HomeMy WebLinkAbout0156233-HVAC (furnace & a/c) � CITY OF OSHKOSH No 156233
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1630 MOUNT VERNON ST Owner NORMA L MAXWELL Create Date 06/17/2013
Contractor MARK WEBER HEATING&COOLING IN Category 502-Residential-Both Pian
Inspector John Zarate
Fuel ✓ Gas � Oil � �Electric �I Solar-�i Solid I
System � New I 0 Replace ' �] Other I
✓ Forced Air Radiant � Steam J ✓ A/C i Vent �
Electric ; Hot Water Suppl. -I Con. Burner I
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable �
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value
Use/Nature SFR/Replace furnace and A/C �- - --
of Work � * I
i'**debit acct'*'
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Fees: Valuation $6,400.00 Plan Approval $0.00 Permit Fee Paid $126.00
Issued By: �� Date 06/17/2013
❑ Permit Voided I Parcel Id#1504560000
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
AgenbOwner
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.
06/17/201a 06:55 FA% C�001
City of Oshkosh
Division oflnspection Services
P.O.Box 1130 �
Osiikosh, WI549U3-1130 �
Phone(92U)23b-5050
Fax (920)236-5084 �O �
cJN IME WATER
HVAC PERMIT APPLICATION
Al]info��ation af}er bold cetegories must bo pravided.
lncomplcte applicacions wili not be processed. "
• Application(s)and fee(s) can be brouglit to City T-lall, Room 205 or mailed to lnspection Scrvices,I'O Dox 1128,
Oshkost�wi sa9o3-]]28, Commencing work withoui permit(s)will result in fees being doubled or$100.00 plus the
normnl permit fee, which cver is greater.
4R .
or� ai•e a c n� t r arIlel ulirr in tlr� erinrl ee cc �! S ste d have ade u t s eheck. here
;�f_YOU Wand lhis p�•ocessed throt�Qh ��our accov�.,E,
i
**Advisory-For applicable pxojects, an Elec�ical Installacion Ve�ification(EI�form, signed by the Electrica]
Conixactor or Homeowner(for installatione allowed to be per,formed by the homeowner)mnst b�subnr�ittcd
with the permit application. Applications sub�nitted witho�ut an E1V when sach is reqnired, will not be
�►rocessed for Permit Yssnance and will be retarned for completion.
, DATE " l '�
J0�3 AADRESS���—���—b '.-T-�-�.I��O/'�
OWN�R � �l'�C P�'�l �
CONTRACTOR�j� �''Q � ���Cp
C�C�[+�ALX.,APPLxCA}3LE
�U E CATEGORX
ingle Family ❑Duplex ❑Multi-Family �Rental � ❑Coznxnercial OIndustrial
FIJEL ,�CLs ClElectric ❑So��d SYST�M ❑New Re�lace '
❑Oil ❑Solar ' ❑�tk�er
TYPE
Forced Air QRadia�tt ❑Steain �i/C ❑Vont C]�lectric ❑Hot'Water ❑Suppl. ❑Con.I3urner
IS CHIMNEY IIETNC Y,TNEb f�o C7Yes -LIlVElt SIZE &MANUFACTURER
Note:All chiiru�eys shall be sized per the BTCT's being vented.
CI�NIlVEY TYPE ❑Chimney A ❑Ca�imney B J�Dircct Vent ❑Other
HEAT LOSS QAs Approved �Existing `�7�lot Appticable
BTtT RATE ❑As Per Plan ❑Variable ❑Oth r Valuc
DE RIPTION/SCOPE OF ALL WO[tK BEllVG DON'E �(.s.
�
VAT.UE(Includiug labo��aad materials)$ � �Q(� •a �
�
ELECTRICAY.CONTRACTOR(fo�projects nof requiring an EIV Form)� � _�
07/07