HomeMy WebLinkAbout0158062-HVAC (furnace) � CITY OF OSHKOSH No �5sos2
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1849 MOUNT VERNON ST Owner CATHERINE D BOORMAN Create Date 10/02/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel Q✓ Gas Oil Electric Solar Solid
System �ew J �✓ Replace � Other I
✓ Forced Air �] Radian� Steam A/C ]�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
Use/Nature FR/REPLACE FURNACE, ELECTRICIAN IS SECKAR ELECTRIC "debit acct
of Work
i
Fees: Valuation 3,000.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �� Date 10/02/2013
� fi
❑ Permit Voided I Parcel Id#1503700000
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 speci�ed 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.
10/02/201� 10:36 FAg @�002 i
City of Oshkosh
Division of Znspection Services �
P.O.Box 1130 �
Oshknsh,WI54903-1 l30
Phone(92U)236-SO50
Fax (920)236-5084 O ��---I
oN THS wnrE.n
HVAC PERMIT APPLICATION
All information after bold categories must bo providcd.
lncomplete anplications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,kootn 205 or mail�d to Inspection Seivices,PO Box 1128,
� Oshkosh WI 54903-1128. Commencing work without pei�rit(s)wi�1 result in fees being doubled or$100.00 plus the
normal �ennit fee,which eve►•is greater.
QR �
If��vu are cnntraolor�a�•ticrpa�Jn� iK tke Permit fee�f. �ount SvsleHr and have adequul��tds. check here
fY v want,lhis pro�essed �h�•ot�Qh »our accuun! n
**Adr►isory-Foz applicab�e pro,�ects, an Electrical Installatio�n Verif catian(EN) form, sig�ed by the Elec�cal :
Contractor or�Iomeowne�r(for insta�ladons allowed to be peiformed by the h�meowner)mu.st be submittcd �
with the pernut application. App�ications submitted without an EN when�sach is required, will not be
pxocessed�or Perimit Xesuance and will be retarned�or completion.
AATE D r Z�' �
JOB ADDRESS ' , � ���{�l /� 1 -V�ti���
OWNER //f i Q/1 ��` r
CONTRACTOR �L1'�� I�il a � -
CHECK 6d AY.L APYLICABLE
U E CATEGORY
p�Single Family ❑Duplex ❑Multi-Fama�y ❑Rental ❑Commercial OIxadustrial
FUEY. �s � OElcetric ❑Solid SYSTEM ❑New � eplace �
pQ�! ❑Solar � ❑Other
�F,
rccd Air ORadiant ❑Steam ❑A/C ❑Vent C]Electric [7Hat Water ❑Suppl. ❑Con.Bucner
YS CkiIMNEY B�ING LINE o ❑Yes -Y,INER S1ZE &MANUFACTURER
Note:AU chimney�shall be sized per the BTU's bei��g vented,
CHIMN�X TYPE UChimney A ❑Chimney k3 �9ir�ct Vent ❑Other
1iEAT Y.,OSS ❑As Approvcd ❑Existing ❑Not Applicable
BTU RAT�: ❑As Per Plan 17Variable ❑Other'Value
DESC 'rION/SCOP�OF ALL W0�2K B�YNG DO1V'E !r '�GD�°��p � ��L
f�� ,� .. �i'�� �J c�n� .
VA.LUE(�nctuding labor and matcrials) $ �vv U ��v
ELECTRTCA.L CONTRACTOR(for proJects nut requiring an�iV Furm)
o��/U'�