HomeMy WebLinkAbout0158059-HVAC (furnace)' i
� CITY OF OSHKOSH No 158059
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1135 N WESTFIELD ST Owner DANIEL E GRAY Create Date 10/02/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas � Oil � Electric Solar �Solid
System �New _� �✓ Replace � �Other I
✓ Forced Air Radiant Steam _ A/C �i Vent j
Electric Hot Water Suppl. _� Con. Burner
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
HeatLoss AsApproved � Existing � NotApplicable 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 $2,600.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ��� Date 10/02/2013
❑ Permit Voided � Parcel Id#1611880000
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 10:36 FA% f�001
City of O�lilcosh
Divisiou of Inspection Services
P.O.IIox l 130 �
Oshkosl�, Wt 54903-1130 �
Phonc(920)23G-5050
Fax (920)236-5084
HVAC PERMIT APPLICATION �N TH�W��ER
�
All information aRer bold c�tegories must be provided.
Incomplece applications wi]]not be processed. �
• AJ�plication(s)aiid fee(s)cat�be brought to City Hall, Room 205 or mailed to inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Cammc��cing work witliout penni�(s)wil(result in fees beang d�ubled or$100.00 plus�
normal perinit fee,which ever is greater.
OR
�ou a •C a c rctai- rtici iit trr e e�•mrI e Ae� � r�r�t �st �n an�,,e.ade z� e vn s clru k he
f,��� wa�t (`ri�� prr�cessed lhror��vo �1• accor�nt �`
*'"Adv�sozy-For applicable projects, an Electrical 7xastullation Venfication(E�'V')form, sig�ed bp the Electxic
Cot�tractor oX Homcowner(for install.ttions allowcd to bc�erfor,00ed by the ho�meowner)muet be submitted
with the perm�it application. Applicat�ons snbmitted without an EIV when sach is required, vr�ill not be
proce8sed�'or Permit�asuance and will be returned for completion.
/ � ) bA�'F�� '��-'"��
dUB AADTtESS ` � �•� �� � /V
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OWNER „__�'�� �'�/��_..
CONTIL4CTOZt_ �`�, .� �_
CH�CK�AY,L AY�'LICABLE
USE CATEGORY
�iugle�amily ❑T�uplex ❑Multx-�amily ❑lZental ❑Commercial OIndustrial
FUEL ,�Gas � �EIectric ❑Solid SYSTENI ❑New ❑Replace
ClOil OSolar � ❑Other
TYPE
orced Air ❑Radiant ❑Steam ❑A/C QVent ❑Elect��ic ❑I�at Water ❑Suppl. ❑Con.Burner
IS CH�NEY BEYN'G LINED��10 (]Yes -LITTER SI"LE &MANUFACT[IIt�R
Note:All cliunneys sholl be sized por t�TU's being vented. :
CHIMNEY'�'XPF ❑Chi►nney A ❑Chimney B �7irect Vont �Othcr
HEAT LOSS C.7As Approved ❑�xisti�ig ❑Not Applicable
BTU�tATE ❑A�Pcr Pl�n �Variable ❑Ot11cr Value
DESCTti.PTION/SCOPE OF ALL WO�tI�BEING DONE �Gr�.�n/!o /t.
VALUk; (7nCluc]lug labor and materials��_� � D� • � M
�LECTRICAL CON'�'RA,CTOR(for proj�cts �wt requtring aa E1V Form) ��i-�