HomeMy WebLinkAbout0158085-HVAC (furnace) � CITY OF OSHKOSH No 158085
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1351 ONTARIO ST Owner ALVIN B/JUDITH A HARRISON JR Create Date 10/03/2013
Contractor BERLIN HEATING&COOLING Category 500-Residential-Heating 8�Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid j
System � New � �✓ Replace I � Other j
✓ Forced Air Radiant Steam A/C j Vent I
Electric � Hot Water Suppl. Con. Burner ;
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value _
BTU Rate As Per Plan � Variable � Other Value 80,000 :
Use/Nature FR/REPLACE EXISTING FURNACE, ELECTRICIAN IS A MASTERS ELECTRIC `*check#3437
of Work
Fees: Valuation $2,325.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: (�1� Date 10/03/2013
❑ Permit Voided I Parcel Id#1210600000
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 sec re any necessary approvals before starting such activity.
Signature / /� � ��� ��„f7-ua�/ Date � � - 3 ' /3
AgenUOwner
Address 134 QUARRY ST BERLIN WI 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 ' �/° � 1
Division of Inspection Services � .
P.O.Box 1130 � .
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� (920)236-5084 �HK 1H
ON 7HE WATFR �
HVAC PERMIT APPLICATION
All information after bold categories must be pmvided.
Incomplete applications will not be processed.
• Applicafion(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh VJI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contracto�articipating in the Permit fee Account Svstem and have adeouate funds. check here
if vou want this nrocessed through vour account ❑
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed bq the Elecfrical
Contractor or Homeowner(for installations allowed to be peiformed by the homeowner)mnst be sabmitted
with the pernut application. Applications snbmitted withont an EIV when sach is reqaired,w�l not be
processed for Permit Issnance and will be retarned for completion.
DATE ��' �-' �� 3
JOB ADDRESS �3 S� �^���� S�'���
OWNER I J►� �� �ac�r-�s�
CONTRACTOR u���� a-�` �J<<h
CHECK�ALL APPLICABLE
USE CATEGORY
,�Single Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FiJEL �as DElectric ❑Solid SYSTEM �New �Replace
❑Oil ❑Solaz �Other
TYPE
�Forced Air �Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. �Con. Burner
IS CHIMNEY BEING LINED�'No �Yes -LINER SIZE &MANLIFACTURER
Note:All chimneys shall be sized per�tie BTU's being vented.
CHIMNEY TYPE �Chimney A ❑Chimney B �Direct Vent ❑Other '
HEAT LOSS ❑As Approved �xisting ONot Applicable
BTU RATE �As Per Plan ❑Variable ❑Other Value ���
DESCRIPTION/SCOPE OF ALL WORK BEING DONE I�-���- exi6���.� ��/��� �r' �►,,�a�c-
�3�•� �-��a�G �„/i� �t.�+.�„p S` 3r y�9,�e� /� 1 .MSE 'i��+�F)'e-g�aq� iqJ /a C.1-4tca+�/�G� �.
T— �
VALUE(Including labor and materials)$ ��� � �
ELEGTRICAL CONTRACTOR(for projects not requiring an EIV Form)� �a��5 �.�a s�S E���-
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