HomeMy WebLinkAbout0156125-HVAC (a/c) � CITY OF OSHKOSH ����'�'`��''� 156125
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD �17�3
ON THE WATER �'��Ti'
Job Address 1040 N WESTFIELD ST Owner EVERGREEN VILLAGE Create Date 06/12/2013
Contractor MARK WEBER HEATING&COOLING IN Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector John Zarate
Fuel Gas � Oil Electric � Sola� Solid
System � New I ✓ Replace I � Other I
Forced Air ' Radiant Steam � ✓ A/C Vent
�-J
Electric Hot Water� Suppl. Con. Bumer ;
�
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan 0 Variable � Other � Value
Use/Nature Replacing A/C with a new one. 11� 3��
�
of Work ��
**'Debit account******
I
Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: � Date 06l12/2013
❑ Permit Voided I Parcei Id#1608640200
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.
06/12/2013 07:41 FA% f�001
Ciry of Oshkosh
Division of Inspection Services �
Y.O.Box]130 �
Oshkosh, WI 54903•1130
Phone(920)23G-5050
�aX �920,Z36.SO84 C� KQ H
. UN'ME WNTtR
HVAC PERMIT APPLICATION
All informacion after bold categories must be providcd.
lncompletc applications will not be proeessod. �
• Application(s)And fee(s) can be brought to City Hall,Room 205 or mailed to Inspection Scrviccs,PO Box 1128, '
Oslilcosh'�JY 54903-1128. Cominencing work without permit(s)will result in fees being cloubled or$140.00 plus the
no��nal permit fee, which ever is greater.
OR �
I ou are a contractor artici atin in the Perm 't c S slem and ha►�e acj,����,n,�,_ej,�ck here
i � u w r es t r h n�.
*'�Advisory-For applicable projects, an Elertrical Installallon Veri6cation(E�form, signed by thc Electrical
Contxactor or Houxeowner(Por instailadons allowed to be performcd by the homeowner)must be submittcd
with the pexmit application. Applications snbmitted without an EX'V when such is required,will not bc
processed for Pernut Issuance and wi11 be xetu�rncd for completion.
Co►� D� A.��E �� �-
JOB ADDRESS �-s�! r�- � � ,� � � :
OWNER���t'�SSI t�C��
CONTRACTOR,,f�i,,,�.��✓L � (.c)�
,
CH�CK 6� ALL APPLICABLE
DSE CATEGORY
�ingle Faxnily ODuplex ❑Multi-Faniily ❑R�ntal � ❑Commercial �Industrial
FUEL �as � ❑Electric ❑Solid SYSTEIV� ONew �Iteplace
"DOiI ❑Solar � ❑Other
'�'XI�'E
DForced Air �Rxdiant ❑Stea�n �A/C ❑Vent O�lectric [7Hot Watex ❑Suppl. ❑Con.Burner
�S CHIlVIlVEY BEII�TG L7NED,�No QXes -LINER SIZE &MANUFACTUREIt
Idote:All chimneys shall be sized per t�fe BTIJ's being vented.
CHIN�NTX TYPE OChimney A ClChimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved �Existir►g ❑Not Applicabte
BTU RATE ❑As Por Plan ❑Variable ❑Other Value
DESCJtIPTYON/SCOPE 4F ALL WORK SEING DUNE �¢S�� M�}C >Ml�. �'��I 7', 1� ;'
�n2 r�o +�,��.!' ��1�►� �.'� -
VAY,UE(Including labor and materials)$ ��� � �
ELEC"TRICAL CONTRACTOR(for projects not requiring An�1V k'orm)�,,.
o'�/o�r