HomeMy WebLinkAbout0156937-HVAC (furnace & a/c) � CITY OF OSHKOSH No 156937
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1745 S OAKWOOD RD Owner THOMAS A/BEVERLY GLAESER LIVING T Create Date 07/29/2013
Contractor MARK WEBER HEATING 8�COOLING IN Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid '
System � New � Q Replace � � Other I
.� Forced Air Radiant Steam � ✓ A/C Vent I
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 fumace and A/C
of Work
debit acct"
�
Fees: Valuation $5,400.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: '�ti` Date 07/29/2013
❑ Permit Voided 'I Parcel Id#1331280000
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 approvats 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.
07/29/2013 09:02 FA% �J001
city of oshkosh :
Division of lnspection 5crvices , �
P.O.Box 1130 �
Oshkosh, WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 � �
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation after bold categories must be provided.
Incomplete anplications will not be processed. �
� ApplicatYOn(s)and fee(s)can be brouglit to City I3a1l,Roorn 205 or tnailed to Itlspection Services, PO Box 1128,
� Oshkosli WY 54943-1]26. Commencing work without permit(s)wSlti xesult in fees being doublad or$100.00 plus tlae
nocmal permit fee,which ever is greater.
OR �
(f��au are a conli�a !or t�ar,t,Lcipating in the Per�nit fee Accoprnt Svstenr and l�ave adeqr�ate rNrrds check here
rf vov want /his nroces.sed �hro:�,�h vour• ��count � :
**Advisory-For ap�licable projects, an Electrical Installation l�eri�ficatxon(E�fo�n, eigned by thc Electxxcal
Contractor or I3oxneowner(far installations alXowed to be perfarmed by the homeowner)must be submitted
with tbe�ermit applicata�n. Applicatiotts submittcd withont an EIV when auch is reqnired, wiLl not be
processed for Pexmit Issuance and wiII be retnrned for completion.
DATE� �-
JOB t�DDRESS / / 7 S� ��`�LcJ C�U y� _
OWNElt__����� ������^n ......
CONTRACTO _ ����'1— �c'! � z
CHECK Rj ALL APPT.XCAIiLE
US CATEGORY
�ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial OIz�dustrisl
�'CJEL �x�s � OElectric ❑Solid SYSTEM �]New �R,eplace �
OOiI ❑Solar ❑Other
TYPE
�orced Air ❑Radiant ❑Steam �4/C ❑Vent �Electric ❑Hot Water C]SuppL �Con. Bu�ner
IS CRIMNEY BEING Y.IlVED�io OYes -LiNEIZ SIZE &MANUFACTURER
Notc: All chimneys shall be sizcd per tha�TU's being vented.
CHIMNEY TYPE ❑Chamney A ❑Chimney B �pirect Vent ❑Other :
HEA�'LOSS ❑As Approved ❑Existuig ❑Not Applicable
BTU RATE ❑As Per Ptan ❑VAriable �Other Valuc
bESC T1UN/SCOPE Ok'ALL WORK BEXNG DONE G�5►P_Ij��k'�N! 'Th�� ?�-���%�'�/�
h�/ w!�P 9 "��r` /l�.�J od��
VALUE(Yncluding labor and materials) � � �l�� � �L)
ET.ECTRICAL CONTRACTOR(for projects not requiring an E1V k'orm) �"���_ ----
o�io;