HomeMy WebLinkAbout0156420-HVAC (a/c) /�', CITY OF OSHKOSH No �ssa2o
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2009 GROVE ST Owner CHARLES A/MARILYN J PERRY Create Date 06/27/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector John Zarate
Fuel Gas Oil ✓ Electric � Solar ; Solid l
System � New I 0✓ Replace _ _ _� � Other__ �
Forced Air Radiant Steam ✓ A/C n Vent J
�--� � �!-------
Electric Hot Water Suppl. Con. Burner j
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variabie � Other Value
Use/Nature ULTI-FAMILY(APT#1)/REPLACE EXISTING A/C,ELECTRICIAN IS SECKAR ELECTRIC "debit acct
of Work �
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Fees: Valuation $2,300.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ��,� Date O6/27/2013
� Permit Voided � Parcel Id#1514819706
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.
06/27/2013 06:36 FA% f�002
City of Osbkosh �
Divisiou of lnspcction Services �
P.O.Box 1130
Oxl�kosh,WI 54903-1190 �
Phonc(920)236-5050
FtiX (920)23G-5084 ON T1iE WI�7FR
HVAC PERMIT APPLICATION '
Ail information o#ter b�ld catebories must hc provided. .
Tnc;o�nptetc applicacions will n�t be proce�scd.
• A licatiox�(s)and fee(s)can be brought to City I-�a11,R�om 205 or mailed to I�e s bein� do blcd oO 00 00 psus tlle
�u
� Oshkosh WI 54903-1128. Cai�menc�ng work without pe�nnit(s)will resu t ua �
normal pennit fee,which ever is brentar.
C •
ui•e u cuOli'�uctu • �i� •tr ' u '�� in 1 e rnr't e Ac�o �►rl S+stem ar d hpve de uate un[1 claeek hcre
if uou ant thi.� nrocessr d I! ro t h o r uc nu t
�� form, signed by the Eleetrical
�*Advisory-Foc applicable pro,�ecte, an Electrical Installation Vezi�cadon(EX'V)
r Homeownez(for installations allowed to be performed by tl�e homeo enex'�ans�t i�nobb itted
Contractor o
with the permit aPPlication. .t�pp�ications submxtted without an EYV wlicn suc a q �
pmcesaed�or Penmit Iasuance and will be returned fox coxnpletion. / �� ' ( �
DATE
a no� +--
,ss �� ���`� ��- 1 �i '
,YO�i ADDR�
OW�IEXt � •
CONTRACTOR v -� �
CH�CK�ALL A�'YLLCA�3LE
rJSE CATECORY ��up�ex �lulti-Family ❑Rental ❑Comanercia] ❑Indust�ial
p Si�zgle�amlly
SYST�M ❑New �eplace
�U�L C1Gas 1=leetric DSolid pOther
❑Oil DSolat
TXl'T� pVent Q�lectric ❑Hot Wa�er ❑Suppl. ❑Con. 33urner
❑Porced Air ❑Radiant ❑Steam �C CTITRER
IS CHIMtNEnY BEhal b s�iz EA��B U's be'g�n aSTZL
&MANU FA
Note. .
LH��y T�E ❑Chimney A OChimncy B ❑D�recC Vent QOther
pAs A roved QExisting �NoC App�icable
STYT RATES ❑A.s rer Ylan QVariable DOther Value r��
r�1G��`�' �
AESCRiPT10N/SCOP�OF ALL WOXtK BEING DONE �^
�� �� � �
clu�fin lsbor and mAterlals)� ��-"-'� �
VAI�UE(rn g
ELECTRICAI.CONTRA
CTOR (for pi•ojects not requirin6 an�TV Form) ����� .
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