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� CITY OF OSHKOSH No 156419 €
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1925 GROVE ST Owner CHARLES A/MARILYN J PERRY Create Date 06/27/2013
Contractor MARK WEBER HEATING 8 COOLING IN� Category 511 -Ind._&Comm-Air Conditioning Plan
_— _
Inspector John Zarate
Fuei Gas Oil ✓ Electric Solar ; Solid ',
System � New � �✓ Replace I � Other �
Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan 0 Variable � Other —1 Value ;;
Use/Nature ULTI-FAMILY(APT#3)/REPLACE EXISTING A/C, ELECTRICIAN IS SECKAR ELECTRIC "debit acct ',
of Work I
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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 j 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
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.
06/27/2013 06:36 FA% f�001 F
City of Oshkosh �
Division of Inspection Scrvices �
P.O. �ox 1130
pshkosh, W154903-1130
Phot�e(920)236-5050 ` '
��( �92Q�236-SO�a ON THE WATfR
HVAC PERMII' APPLICATION
All informAtion after bold c�tegories must be provided. ,
lncamplete applicauons will not bc processed.
PO Box 1128
• Application(s)and�'ee(s)ca��be brougt�t to City T�aU,Roon► 205 or mailed to Inspection Services, +
Oshkosh W I 54903-1128. Commancing work without perm,it(s)will resuit in£ces bein�doubled or$100.00 plus the
nortnal permit fee,whicll ever is �»'eat.�r. •
,o are a oOrRu tur � •tic'�u i�r in tlrr P rn it e Ace :nr! . st �n nr.l huve a � s«l uitds check here
if>>ou wunt fhis Droc�sse�i� �� 'uL�• accu int
** is -For a plicable pxojects, an Electr�eal Installation Veri6ca.tion(EI��o n�g�ust be b�tt��al
Adv ory P
Contractor or Hon►�cat on(f A�lieatio�ns submitted with ut an EI'�wh ne uch i equi�red, wi�1 not be
w i t h t h e p e r m i t a p p P P
processed fox Permit Xssaance and will be xeturne d for comp l e t i o n. / /7� �l
DATF �o ��-�—
, f �i�5 CrP1��� �� �
JOB ADDRESS - �
OW N E�t�S�. - .C'�C►'��.��_ '
CON'�'RACTOR �I►�'Y�1� P,c�-���-�2 t-k�Z.
CHECK B1 AL'L APPLICABLE
US�CAT�GOhtY � ���1 pComn�ercial ❑lndustrial
DSingle Family ❑lluplex �Multi-Family � -
SXSTEM ❑New �Replace
�,�i Y, DGas � �lectric ❑Solid � ❑pther_,
❑Oil ❑Solar
��E �,Q,/C ❑Vent aBlectric �Hol.Water aSuppl. ❑Con. Bu�liar
OForced Air ❑R.adiant GSteam
XS CIiI�MNEX BEYNG LTNEI�� DYes -LINER SI7E�_
&MnNUFACTUttER
Note:All chimneys sh�ll be sized per d�e J�TU's being vented.
CHIMN�Y T�� �Chintney A QChimt�ey I3 pN�t A Vl cable ��thcr :
HEAT LpSS QAs Approved ❑Existing Pp
B� �TE ❑As I'er Plan ❑Va�'�able ❑Other Value_
D�SCRiYTr4N/SCOPE dT AL�����E�G DONF,
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/�� O►.��h C�1
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VALUE(Including labor and m�terials) :
ELEC'I'RTCAL CONT�tA
CTOR(for prujects not requirinQ au E1V Form) C�-�u
c