HomeMy WebLinkAbout0156122-HVAC (furnace & a/c) /�'� CIT1( OF OSHKOSH No 156122
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1625 CRYSTAL SPRINGS Owner WILLIAM/AUDREY L SCHNEIDER Create Date 06/12/2013
Contractor MARK WEBER HEATING&COOLING IN Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid �
System � New � �✓ Replace ; � Other I
✓ Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. , Con. Burner �
- Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved 0 Existing � Not Applicable Value
�
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/Replace furnace and A/C.
of Work '
� (��j�►' AYCdur�
I �
Fees: Valuation $5,500.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: �"{y� Date 06/12/2013
V
❑ Permit Voided � Parcel Id#1308880000
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.
06/11/2013 11:36 FA% [�001 ;:
C:iry of Ushkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI54903-1130
Phone(920)23G-5050 u
Fax (920)236-5084 HK I 1
UN THE WATEIt
HVAC PERMIT APPLICATION
All infoiznation after bold categoriea must be provided.
fncomplete applications will not be prnccssed. �
• Application(s)and foe(s)can bc brought to City Hall,Roan 2Q5 or mailed to Inspection Services,PO Box 1128,
� Oshkosh WI 54903,1128. Comme»cing work without per�nit(s)will result in fccs being doubled or$100.00 plus the '
nonnal pe��it fee, which ever is greater_ .
OR . '
�>>ou are a eo�rrra�t r articr alin in lh� f�ei�mit ee Aee nt S s[em and have de u � unds check he��e
if vou N�ant this nrocessed �hror�glr oav ��• a coun�
**Advisory-For applicable projects, an Electrical Installatio�YeriFcation(E� form, signed br the Electx�ca]
Contraetor or Homeow�ner(for installations allowed to be perfvrmed by the homeowner)mu8t be submitted
with thc pcx�nuit applicat�on. Applicatio�s submitted without an EIV,uvhen such is re�uired� will not be
processed for Permit Issuance and w��be returned for comp�etioa. � .
n.��rE o —1 /— l �
JOB ADbYtESS / CP�`� ���1�jT�'t� �i2��(�05'
owNER . �r�r ✓� .�' Ctfi�i ���
CUNTRA,CTOR �t�/L r� �1�l� ��,—�_ .
CkIECK Q� ALL APPY.YCA�LE
U CATEGORY
S�ngle Family ❑Duplex ❑Multi-Faznily ❑Rental � ❑Commercial ❑Industrial
FUEL �s � ❑Etectric ❑Solid SYS7.'�M ❑New �Replace
❑Oil ❑Solar ❑Other
'TXPE
I�Forced Air ❑Rndiant QSteam �/C ❑Vent ❑Electric ❑I��ot Water DSuppi. ❑Con. Burner
IS CHYIVIl�TEY BE1NG LT,NED �i..❑Yes -L1NER SIZE &MAMJFACTURER
Note:All chimneys shall be sized pec the BTU's bein�vented.
C�-IIMNEX TYYE ❑Chimney A OChimney� �irect Ve�xt DOther
HEAT�.OSS DAs 1�pproved C7Existing CINot A,pplicable
B'i'Yj gp,�,'� ❑As Per Plan OVariable GOther Value
A,E�SC•RL!'T�ON/SCOPE OF AY.L WORK BEYNG AONE_ fS� A�i�G ` L�C
�
6�f�r 6� �y.l�,r��n��i'v�1 �.(� I� �'�� �'�� zC�
VALTJ�(Including labor and materials) $ ��a� �a�
�
E�CCTRiCAY.CONTRACT'OR (for proJects not requiring an EIV Form) U� ,,, S
o�/o�