HomeMy WebLinkAbout0155817-HVAC (furnace) � CITY OF OSHKOSH No �55a��
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1915 KNAPP ST Owner BANK OF NEW YORK MELLON Create Date 05/24/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuei ✓ Gas Oil Electric _� Solar � Solid
System � New __I �✓ Replace I Other
✓ Forced Air Radiant Steam � A/C �', Vent
�-� �--- --, -�---� p -- - --
Electric Hot Water Suppl. � Con. Burner
Chimney Type Chimney A � Chimney B � Direct Vent 0 Not Applicable �
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature FR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct
of Work ' '
I
�
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: (�) Date 05/24/2013
❑ Permit Voided I Parcel Id#1307100100
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 specified 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.
05/24/2013 11:57 FA% �001
City of Oshkosh
Division of lnspection Services �
P.O_Box 1130 �
Oshkosh,WI549U3-1130 '
Plione(920)236-5050
Fax (920)236-5084 O KO H :
ON TI•IE WATER
HVAC PERMIT APPLICATION
All informetion after bold categories must be provided.
Incomplete applica[ions will not bc processed. �
• Application(s)and fee(s)can be brought to Ciiy Hall,Room 205 or mailed to Tnspection Scrviccs, PO.Hox 1128,
Osllkosh WI 54903-1128, Commericing woric without permit(s)will result in fces bcing doublcd or�100.00 plus the
norrnal permit fee, which ever is greater. :
OR �
! ou are a contra c �' ! rhe P t S�slen� and have ade :ia1e r�nds c%ec ere
i ou �van� t is ces, ed thrnu h uirr accovnt
*'"Adv�soxy-For applicablc projccts, an Electr,ical�stallation Yerificacion(EI�form, sigped by the Electrical
Contractor or klomeowner(for instatlations aliowcd to be performed by the homeowncr)smust b�aubmitted
witt�the pernut application. Applications snbmitted without an EN when such is requ�red� will not bc
processed for Pernut Issuance and will be returned for compXetion.
DATE
JOB A,AARESS ,�_`� �y_1,=�"�► 1
OWNER �_�I/ *���
CONTRACTOR_��I� I����, �-
CFIECK�AL�APPLYCABi.F
USE CATEGO�tY :
�Single Family �Duplex ❑Multi-FAmily ❑Rental � ❑Commercial ❑Industrial
FUEY. �ias ' OElcctric ❑Solid SYSTEM ❑New G�teplace
LlOil I�Solar ❑Other
��E
rced Air ORadiant I]Steam �A/C ❑Vent ❑Electric �Hot Water ❑Suppl. ❑Con.Burner
IS C�EY BE�NG LINED�Yes -L1N�R SIZE &MANU�ACTURER
Note:All c:himneys shall ba sized per the BTU's being veuted.
CI�MNEY TXl'E ❑Chimney A ❑Ghimncy B irect Vent ❑Otl�er
HEAT�.OSS ❑As Approved QExisting ❑Not Applicable
BTU RATE ❑As Por Plan DVariable ❑Other'Value
DESC '�'ION/SCOPE OF ALL WORK S�EIN�G DONE c�r IG ����/'S'�w(,
,.,. — �.il��� ��l�J-J''�!� /'i!3�,LJ�. ,
VA,LUE(Yncluding labor and materials)$ ���'Q�
CY.ECTRICAL CONTRACTOR(for projects not requiring an E�V Form)_�,������%b'��1
o�io�