HomeMy WebLinkAbout0155654-HVAC (furnace) � CITY OF OSHKOSH No 155654
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 824 STARBOARD CT Owner THOMAS J/PATRICIA M RANNEY Create Date 05/15/2013
Contractor MARK WEBER HEATING 8�COOLING IN� Category 500-Residential-Heating 8�Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New � 0✓ Replace � � Other �
✓ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner ,
Chimney Type ChimneyA � Chimney 6 � Direct Vent __ � NotApplicable ^'I
- _- -_ __ _— —_— _,
HeatLoss AsApproved � Existing � NotApplicable I Value
__ -- -_ _
--J -- __. ---
BTU Rate As Per Plan � Variable � Other � Value _
Use/Nature FR/REPLACE EXISTING FURNACE,ELECTRICIAN IS SECKAR ELECTRIC "debit acct —
of Work '
I
Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 05/15/2013
❑ Permit Voided�I Parcel Id#1523360000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity. :
Signature Date
AgenUOwner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specifed otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
u5�i5izoia o5:00 FA% f�001
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,W154903-1130
Phono(920)236-5050
Fax (920)236-5084 �
pN TME v1ATER
HV/�C PERMIT APPLICATION
All information after bold categories must bo provided. .
Incomplet�applications will not be processod.
• Aprlication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PU Box 1128,
� Oshkosh WI 54903-1128. Comwcncing work wichout permit(s)will result u� fces being doubled or$100.00 plus the
normai permit f�e,which ever is greater.
OR
I u ar• a cun rac r a tici otin the ermil ee ecoun ste and have qdequare r�n¢s. Gheck here
! ou w nt f is 7' ces ed !hr u our cou��
**Advisory-For applicable projects, am Electrical Installation Veriflcation(EI� form, signed by the Electri�cal
Contractor or Homeowner(�or inatallations aalowed to be perParmed b�the ho�neow�ner)must be sabm►itted
with the peimit application. Applicatiuns submitted without an EIV'wheni such is reqnired, will not be
processed for Perm.it Issuance and will be returned for completion.
DATE � I �_
�� ��� (� � c� �--�
JOB ADDRESS �1,�.� 6 ►Z- '—'—'� `��(�''�T`4-� �1
OWNEY2 � / r'v N'l►g-� � �7f�.,-'�
CONTRACTOR ���.��—��� ��
C�ECK B(ALL APPLICADLE
�U E CATEGURY
�e Family �Duplex ❑Mult�-Family ❑Rental � ❑Commercial ❑Industrial
FUEL �6�s-� ❑�lectric OSolid SYSTEM ❑New �eplace
❑Oil ❑Solar ClOther
�ed Air ❑Radiant ❑Stet►m �A/C C7Vent �Electric ❑Hot Waler �Supp1. OCon. Burter
IS CHTII�NEY BEING LINED�i�o-DYes -LINER SIZE &MANUP'ACTURER
Not�: All c}�►imneys shall be sized per the B'1'U's beins vented.
CHIMNEY TYPF ❑Chimney A OChi�nnay B ,C��rect Vent ❑Other
HEAT x.OSS OAs Approved �Existing �Not Applicable
BTU 12ATE ❑As Per Plan ❑Variable �Other Value
DES TYON/SCOPF.OF ALL WORK BEING DONE / )��J«��'�v ` ��� �1''J�°
0'1�!� �
VALUE(Including labor and materi9ls)� � v ��" �� -
EL�ECTRICAL CONTRACTOR(for projects not requfring an EiV Form) ����'`1 ���
o�lU�