HomeMy WebLinkAbout0157326-HVAC (furnace) � CITY OF OSHKOSH No 157326
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 26 W SOUTH PARK AVE Owner AARON M/KRISTINA L KOSZYCKI Create Date OS/21/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil� Electric Solar �', Solid ;
System � New _� �✓ Replace , Other j
✓ Forced Air � Radiant� Steam A/C Vent
Electric �I Hot Water Suppl. Con. Burner j
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
of Work !
**debit acct** !
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Fees: Valuation $2,600.00 Plan Approval $0.00 PermitFee Paid $62.00
Issued By: ��� Date 08/21/2013
❑ Permit Voided I Parcel Id#0303690000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
08/20/2019 21:59 FA% I�001
city of oshkosh
Division of Inspectiou Services
P.O.Box I 130 �
Oshkosh, WI54903-1230 �
Phono(920)236-5050
Fax (920)236-5084 ^ � �
�,1J
Ot�TWE WA1'EN
HVAC PEF�MIT APPLICATION
All infornnation aRer bold categories must be provided.
rncomplete applications will not be pmccssed. �
• Application(s)and fec(s)ca�i be bmught to City Hall,Roo�n 205 or tnailed to Inspcction Services,PO Box 1128,
Oshkush WI 54903-1128. Commcncing work without permit(s)will result in fees l�eing doubled or$]00.00 plus the
�iormal pennit fee,which ever is�rcater.
012 .
�o ai•e Colll�uclur art'e' �!n in t/e Pern►it Accot� t S�ste» Rd have e uate � check •e
i ou wunt �h' • essed �hr h �ui�,• acc u �
'�"'Advi�sory-For appl�cable projecta, an Electrical installation l�eri�cation(ETV)form, signed by the Electz�ical
Contractor or Homeowncr(Por iasta]lations allowed to be performed by the hc►meowner)must be submitted
with the pernat application, Applications submitted without an E�'V when snch is reqa.ired, wi11 not be
processed fo�Pexmit Ysanance and will be z�etetrned for co�pletion.
DATE '�� � ~I
JO�ADDRESS � � �.. �(�P� ��(�
O'WNEIiI /�'115�1��} ��i l�1
CQNTRACTOR_��1�� (' y �`��_
CHECK�AY,L APPLICABY.E
U E CATEGORY
Single Faxnily ❑Duplex ❑Multi-Family C7Rental ❑Conaax�excial �Industrial
FiTEL �as � �Electric ❑Solid SYSTEM ❑New �place .
❑Oil ❑Solar � DOtheT
J�E
ced Air ❑Radiant OSteam �A/C ❑Vent ❑Electcic 0lIot Water ❑Sup,pl. DCon.Burner :
Y.S CHIMNEY BEYNG LYNED�pYes -T.INER SIZE & MANUFACTURER
Note:All chirru�eys shall be sized per tl�e BTU's beinb vented.
CHIMNEY TXPE ❑Chimney A ❑Chimney B �ir�ct Vent C10ther
HEA,T LOSS C1As Approvcd (�Existuig �Not Applicable
BTYJ 12ATE [7As Per Plan OVariable ❑Other Value
DE TION/SCOPE OF ALL WORK BEING DnNE L�rA/4 ?7��'~ ������6
.l�'1h) � ��� C�i�.�1
VALUE(Including labor and materials)$ ��p�r-� 'L�
,— .—..�,......_....-.._.,
F.�ECTRTC,A,L CO.IY'�'RACTUR(for proJects not requiring an�1V k'orm) ������—.�1{'��
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