HomeMy WebLinkAbout0158063-HVAC (furnace) S
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� CITY OF OSHKOSH No 158063 E
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 218 SCOTTAVE Owner JANICE E HANSEN Create Date 10/02/2013
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 I
✓ Forced Air Radiant Steam �A/C � Vent
Electric Hot Water Suppl. Con__Burner ,I
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable I
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 !
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Fees: Valuation $2,500.00 Plan Approval $0.00 Pertnit Fee Paid $62.00
Issued By: �� Date 10/02/2013
� Permit Voided � Parcel Id#1006940000
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.
10/02/2013 10:37 FA% f�OOa �
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c►ry��roSt�osn
Division of Inspectiou Services
P,O.Box 1130 �
Oshkosli, 4yI5�903-1I30 �
1'hone(920)23G-SOSp
Fax (920)236-5084
C�
HVAC pEF�MIT APPLICA710N ON THE WnTHR
All infonnation after bold categories inust be provided.
lncornplctc applications wil]not bc ptnccssed. �
� Application(s)and fee(s)cai1 be brougl�t to City Hall, R�om 205 or mailed to Inspection Services,QO Box 1128,
Osiilcosli WI 54903-1128. Con»nencing work without pennit(s)wi�L result in fees being doubled o�•$100.00 plus i
nonnal permit fee,which ever is greater.
OR
�oar a��_ a c • c[nj• •Iici r� !n e ernil 'ee A G�o��n S, '
c n uv ade ate z T1L�9 c eck 1 e
i � � wa � lhis r cessed I�rov h �ot�r ccuu
��Adviso�y-For ap�ticable projects, an,Elect�cal Inetatllation yeri�t?�at�o��� fornt si
Contractor or T�omeownex(for installations alIowed to be � �ed by the Electric
performed by the homeowner)must be aubmitted
with the pemut application. Applie�tions submitted without an ETV when such is reqaured, wiil not be
pxocessed for perm�t�ssuance and will be ret�urned for completion.
pnT�_�D �-� �)
JOE,4,DDRESS I� C!O �
UWNE�t-L�, � _.... �� �.
CONTRACTOZt.� ,_ �
CX�CIC�A�,X,AFPLICABLE
USE CA'�'EGORY
�Single Family �Duplex ❑Multi-FFUnily ClR.ental ❑Commcrcial ❑Industrial
FUEL D�C�'ras � ❑Electric ❑Solid SXSTElYI �New /�eplace
DOiI ❑Solar � ❑Ott�er
�o.F,
re�d Aic ❑Radiant ❑Steam ❑A/C ❑Vent ClElectric ❑Iiot Water ❑Suppl, ❑Cort. Durner
YS C�17MNEY BEING LYN'Eb�o I�Yes - LTNER SIZE 8c MAMI�ACTURER
Note:All churu�eys shall bc sized per the RTU's Ueing vented.
C�MNEY TYPE ❑Ck�imney A ❑Chimney B �$erect Vent ❑Other
Ti�AT LOSS ❑As Approved IaExisting �Not Applicable
BTU RATE C7As 1'er Plnn L7Variablc ❑Other Value
DESCRIPT�ON/SCOPE OF ALL WO�ti�B�T.NG llON�r��r.Ldh�,d�C'?1z✓�'
VALUE (�ncluding labor and materisls) � �V ' �
ELEC�'RICAY,CON7'12ACTOR(fur prujects not requiri�g an ��V Form) s �1 .