HomeMy WebLinkAbout0158084-HVAC (furnace) � CITY OF OSHKOSH No �ssos4
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 414 W IRVING AVE Owner EPSILON BETAALUMNI OF THE DELTA SI Create Date 10/03/2013
Contractor BERLIN HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric
Solar i Solid
System � New J �✓ Replace ; � Other '
i
✓ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Bumer
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value 100,000
Use/Nature FR/REPLACE EXISTING FURNACE, ELECTRICIAN IS A MASTERS ELECTRIC "check#3437
of Work i
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Fees: Valuation $2,725.07 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: � Date 10/03/2013
❑ Permit Voided , Parcel Id#0500350000
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 s e any necessary approvals before starting such activity.
Signature Gt �--� � �,� � Date l u�� 3 — /�-�
Agent/Owner
Address 134 QUARRY ST BERLIN W� 54923 -2219 Telephone Number 920-361-3066
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.
City of Oshkosh
Division of Inspection Services � i�� �
P.O.Box 1130
Oshkosh,WI54903-1130 �
Phone(920)236-5050
Fa�c (920)236-5084 j�
n
N Hf WATfR
HVAC PERMIT APPLICATION
Ail information after botd categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be bmught to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is geater.
OR
�ou are a contractor narticinatinQ in the Permit fee Account Svstem and have adequate funds check here
if vou want this arocessed through vour account �I
**Advisory-For applicable projects, an Electrical Installation yerification(EI�form, signed by du Electric,-tl
Cont�ractor or Homeowner(for installations allowed to be performed by t�e homeowner)must be submitted
with the permit application. Applications sabmitted without an EIY when sach is reqaired,will aot be
processed for Permit Issnance and will be retnrned for completion. ,
DATE ��� �� � (3
JOB ADDRESS ��� r,.J. �rd��nq �fi
OWNER_ �OS.�o� ���a -�"��
CONTRACTOR �cr��v� I�a{1:� ���,.�
CHECK 0 ALL APPLICABLE
USE CATEGORY
,'�Single Family ❑Duplex ❑Multi-Family DRental ❑Commercial ❑Industrial
FiJEL jB�Gas �Electric �Solid SYSTEM �New ]�Replace
❑Oil �Solar �Other
T�'PE
�Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water �Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED C]No �es -LINER SIZE 3 l� &MANUFACTURER �Ja Ke.X
Note:All chimneys shall be sized per the B 's being vented.
CHIMNEY TYPE ❑Chimney A �Chimney B �irect Vent ❑Other
HEAT LOSS ❑As Approved .�?cisting ot Applicable
BTU RATE ❑As Per Plan ❑Variable ,f�Other Value l0.'�,s�� l3)f-(,
DESCRIPTION/SCOPE OF ALL WORK BEING DONE Ze..•,o,n �� �-�ed a.:r � �,�.a�e ar,o�
t�0���e W��1� "��,,,,esfar rHOde( i1J`TM S E a`�w�e-5faq2 9576 �Eci�.tr.ti
.
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VALUE(Including labor and materiatc)$ � / � s, l7�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)���f`'j as�ers� � /t'(��{e� �/e�`
o�/o�