HomeMy WebLinkAbout0157873-HVAC (furnace & a/c) � CITY OF OSHKOSH No 157873
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 1281 WHEATFIELD WAY Owner THOMAS R/JULIE STARK Create Date 09l23/2013
Contractor MARK WEBER HEATING&COOLING IN Category 502-Residential-Both 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
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable �
Heat Loss As Approved 0 Existing � Not Applicable � Value __
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/replace furnace and A/C
of Work i :
"debit acct*�
i
� -�
Fees: Valuation $5,800.00 Plan Approvai $0.00 Permit Fee Paid $110.00
Issued By: ��, Date 09/23/2013
❑ Permit Voided I Parcel Id#1341180000
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.
09/20/2013 14:17 FA% f�001
City of Oshkosh
bivision of lnspection Scrvices �
P.O. Box 1130 �
Oshkosh, WI54903-1130
Phone(920)236-5050
Fax (920)236-5084 �� H
pN lt{E WATER
HVAC PERMIT APPLICATION
All information after bold cate�orics must be provided. .
Incomplctc applications wil!noc be processcd_
• Application(s)and fee(s)catt be brou�ltt to City�iall, Rooin 205 or mailcd to I�ispectioz► Seivices, PO Dox 1128,
� Oshkosl�WI 54903-1126. Commencing work without perinit(s)will result in fees being doubled or$100.00 plus thc
nonnal permit fee,which ever is greater.
OR
T ou 'e Q contr ctar • ici alrn ' tlre Pei•inlr e .4ccuunl t m and ve ade ua Hnds eek kere
1 oz want t ' roce d thr I� uur t
�*Advisory-For appixcable projecta, an Elec�ical Installation Ve�x�canon(EI�form, signed by tbe Electrica]
Contractor or I�omeowner(for installatioxu�allowcd to be perform�ed by thc l�c►meowner)must be submitted
with the pexmit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issnancc and wi11 be returned�or completion.
DATE `� �
JOB ADDItESS �/� Q �?l�-'�'�
OWNER_�G�1�-,�t�--��
CUNTRACTOR �V• � � � -
CH�CK�ALX.APPX.ICAB�E
US , TEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
F�Y, C�Gas ' ❑Electric OSolid SYSTEM �New 4�Replacc �
❑Oil ❑Solas � ❑Other
'�'YPF �
�ccd Air ❑Radiant ❑Steam -�A/C ❑Vet�t DElectric ❑Hot Water C1Supp1. �C;on.IIurner
XS C�IIIVINEX SE�NG LI1�ED ❑No DYes -T.TNBR SiZE _ &MANU�'ACTUR�It
Note:All chimneys shall be sized per the I3TU`s being vented.
CH�MNEy'�'YPF �Chimt�ey A CaChimney B �rect Vent ❑Othcr
HEAT LOSS CIAs Approved QF.xistuig ❑Not Applicabie
B��p,�'� ❑qs Per Plan C1Variable ❑Other Value . .—
pE TION/SCOPE O ALL WORK BEING AONE Y��-AG�14_L ��� t^� ��
W �
VALUE(Including labor aed materiels)$ �� �•O� -
FLECTRICAL CONTRACTOR(for projects not requir[ng an EYV Form)
oi/o�