HomeMy WebLinkAbout0156236-HVAC (furnace) /�''� CITY OF OSHKOSH No 156236
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1301 E MURDOCK AVE Owner MITCHELL LOUIS Create Date 06/18/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas � Oil � Electric Solar
� Solid
System � New � ✓� Replace � � Other �
✓ Forced Air Radiant Steam � A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type Chimney A 0 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 gas furnace
of Work
"""debit acct"'*'
Fees: Valuation $2,700.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ��Ly� Date O6/18/2013
❑ Permit Voided j Parcel Id#1525550000
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
AgenVOwner
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.
06/18/2013 05:56 FA% f�001
Ciry of Oshkosh
Division of Inspection Services
P.O.Box 1130 �
Oshkosh, WI54903-1130 �
Phone(920)236-5050
Fax (920)236-50�4 �I �
QIV T W/�TER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplcte applicedons will not be processed. '
• Application(s)and fee(s)can be bmught to Cifiy�Iall,Rooin 205 or mailed io Inspection Seivices,PO Box 1128,
Oshkosh WI 54903-1128. Commcncing work without permit(s)will result in fees being doubled or$100.00 p�us the
normal pennit fee, which ever is greater.
O�t .
!f vou Cl�C a conCractor pQrlici1La�g in th� Permit f� .4cco:� S�ste» n„d haV de uate uh[ls, cl�eek here
if ur� wa !s process� th►•or�gh vnu►• accoynt,�
**Advisory-For applicable pro,jerts, an Electrical Installation Vexification(E� form, eigned by the Elecerical
Contractox or I3omeowner(fox installations allowed to bc perFozimed bp the honneownear)must be submittcd
with the pezmit application. Applicat�ons subrn�tted without aa EIV wk�en such is xeqnired, will not be
processed for Pernut Issuance and will be returned for completion,
,
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DATE �° �r b '`� 1�
JoB aDn�ss ��? � � . �"'1 �.�n.�c s/.
ovviv�x �_�1,�� S
CONTRACTOR /7i , ���� l-��,-7,✓� ,
CHECK B1 ALL A.PPi.XCASLE
USE CATE�ORY
f�Single Fanc�ily ❑Duplex ❑Multi-�'amily ❑Rental �Commercial ❑Industrial
k'UEL �s � ❑Electric �Solid SXS'�'EM ❑New �eplace
❑Oil �Solar ❑Other
TYpE
�oroed Air ❑Radian� �Steam ❑A/C (7Vent OElectric OHot Water QSupp1. ❑Con. Burner
IS CHIMNEY BEING LINEDI�Fe-DYes -LINF.R SIZE �c MANUFACTURER
Note:All cl�imneys sl�all be sized per the DT'U's being vented. :
CHIMNEY TYPE ❑Chimney A �Chimney B �rect Vent ❑Ot[ier
HEAT LOSS �As Approved ❑Existing �Not Applicable
�3TU RATE �As Per Plan ❑Variable ❑Other Value
DTS RIPTION/SCOPE OF A.x.L WO�t1C BEING DONE �fS��'C�9�-!rl�•�G (�'('C. ��L�/��E
1,.
��r,�.,� ���"`� G�t�� � /I/t�� C��
r-- � — . ---- - —
VAY,UE (Yncluding labor And materi�ls)��?�� • n C�
�GECTltICAT.CONT1tACTUR(for projects not requiring an EiV Form)__ ��Z'S��(l���
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