HomeMy WebLinkAbout0156596-HVAC (furnace & a/c) � CITY OF OSHKOSH No 156596 ±
F
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1190 BLOSSOM CT Owner CAROL J STADLER Create Date 07/09/2013
Contractor MARK WEBER HEATING&COOLING IN Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas � Oil Electric Solar Solid �
i
System � New j �✓ Replace � Other j
✓ Forced Air Radiant Steam ✓ A/C I Vent
Electric � Hot Water Suppl. Con.Burner
Chimney Type Chimney A � Chimney B 0 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
"'debit acct*'
Fees: Valuation $5,400.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: �� Date 07/09/2013
0
❑ Permit Voided� Parcel Id#1323750000
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.
07/08/2013 05:54 FA% f�001
City of Oshk�sli �
Division of Inspection Services �
P.O.Box 1130
Oshkosh, WI54903-t130 �I� �
Phone(920)236-SO50
Fax (920)236-5084 ON TME wATER
HVAC PERMIT APPLICATION
All information after bold categories inust be provided. .
i.ncomple�e applicatians wi11 not bG processed.
s and fee s ca��be brought to Ciry Ha11,Room 205 or mailed to lnspectein doubled o$00 00 pgus the
• Application( ) � )
Oshkosh WI 54903-1128. Commencing wo�•k without permit(s)will result�z�fecs b g
itormal pennit fee,wbich ever is greal.er.
, �• enO�uct r• rl"ci�at'n irr tlre ernti e cco:r191 S�stei and ava a e unle und.� c ae k. ere
� u u � •
i �ut wan� thi,c roces ed t rvt v �r ucc unt/
le ro ccts, an L�lectrical�nstallation Vexification(EIV�form� sxgned b3'����e��l
**Adwiso�ry-For applicab P .� �o�ed by the homeowner)raust bc sub�nitted
Cantxactor or Homeawncr(for installations allowecl to be p�
with the pe�t aPp
lication. Applications submitteci without an�1Y v�'her�such is rcqnired, will not bc
proeessed fax Pern�t T,sBUan���d will be xeturned for Coxnpletxon. D�TF / ` � � �
��B A�n�ss l
J"J L�� � ��� :
,, ,
OWNER_�,5���—
CUNTRACTOR �
CI�CK�A.LL AI'PLXCABLE
USF CATEG�RX ORental ❑Commercial ❑Industri�l
�it�gle Family �Duplex ❑Multi-Family
SYSTFM ❑New �.ePlace
r.U�� �ds � DElectric C1Solid pp�1er_
pOil CJSolar
r�� �, pCon.Burner
��• ❑Radiant QStea�n �9LC ❑Vent ❑ElecU•ic ❑Ilot Water ❑SuPP
�qrccd A g�Mn�FACTiJRER
XS CHIMNEY BE1NG LINFD�
o ❑Yes -LINBR SIZI��–
Note: All chirnneys s�all be sized per the B'TU's being vented. , � �ent ❑Other
C�I��Y Typ� �Chimney A ❑Chimney B ,�r� t
�oved �Lxistit�g ❑Not Applicable
TIF,AT I.OSS �A��p�' pVariahle �Od�er Value ^`
BTU ItATE �As Yer Plan � s��(�
OF ALL WO]�tK BEXNG DONE�-�C.���' � � � � � tJ Sr
DES�SIPT(ON/SCUPE � , .
a
�
�
yL,/po . a �� �
VALUE(Including labor and mAterials)� _� 1 ,
F•LECTRICAL CON7RACTOR(for hroJects not requiriag an E1V Form)
5����-.
c