HomeMy WebLinkAbout0156391-HVAC (furnace) � CITY OF OSHKOSH No 156391
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 575 OLSON AVE Owner DONALD UPATTIE S QUINT JR Create Date 06/26/2013
Contractor MARK WEBER HEATING 8 COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate '
Fuel �/ Gas Oil Electric i Solar Solid
System � New � � Replace I � 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 I Value
Use/Nature SFR/replace furnace
of Work
"*debit acct** �
i
Fees: Valuation $2,800.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: 1�'yy` Date 06/26/2013
❑ Permit Voided � Parcel Id#1252330000
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
Agent/Owner
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.
06/26/2013 06:49 FA% f�001
City of Oshkosh �
Division of Jnspection Services
P,O. Box 1130 �
Us�kOsh, WI54903-1130
Phono(92U)236-5050
Fax (920)236-5084 <O H
(7N TI IE W/�TF.R
HVAC PERMIT APPLICATION .
All info�zr►ation after bold categories must be provided.
Incomplete applications will not be processed.
� Application(s)and fee(s)can be brought tu City Hall,Room 205 or mailed to Ynspection Services,p0 Box 112�
� Oshkosl�WI 54903-]128. Com�»eucing work wichout permit(s)will result in fees beinb daubled or$100.00 pl
normal perinit fee,which ever is greater.
OR
I�vou � a conti;acfo�• a�iyalll�lY..jl tl�e Perm' ee ccount S �slem have ad iate mrcl,r •1�sek
i �ot wan! thi,��►•ocessg,d N�rotr ��pz��• accvzrn!
**Advisory-For a�plieable�rojeets, an Elec�triea]lnstallation Verifieation(EIV)form, signed by the Elec
Contractor or Homeowner(for installations allowed to be perfozmed by the homeowner)must be submittc
with the permit application. Applications submitted without anEN wllen such is required, will not be
�rocessed for Permit Issnance and vvill be reta�rned for completion.
)A'rE C� -� ��__�,_
J 0�3 ADbRESS � ` � �C-a�=`� � �"`--�----
OWN�R_ � � /���
CONTRAC'�'OR
CI�ECrC 6d ALL APPLIC.ASLE
� USE CATEGOR7►'
�ingle Family ODuplex ❑Multi-Family DRental ❑Commercial ❑Industrial
�'�EI, �as ❑Elcet�•ic QSolid SYSTF.M QNew �eplace
❑Oil ❑Solar � D�thcsr _
��
rced Air ❑Radianl ❑Steam ❑A/C; ❑Vent ❑Electric ❑H.4t Water ❑Suppl. ❑Con.Rurner
IS CHIMNEX BLING L�1V�D��Xes -L1NER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CH�MNEY 1'Y.PE ❑Chimncy A ❑Chimney D �ect Vent ❑Ot�er
HEAT LOSS OAs Approved �Existing �Not Applicable
BTU RA'x'E �As Per plan ❑'Vxriable �Other Value
DESCRLPT�ON/SCOPE Ok'ALI�V1�OR�C SEING DONE �C��/UL � ' � �-��5���6
� n1 ;� GJi 1 h' �v�l"/�/(�' _
VALUE(Includi«g labor�nd materiAls)� � D�' Q�/ -
F,LECTRI.CAL CONTRACTOXt(for projects not requi�ing au�lY Form�C�`�'