HomeMy WebLinkAbout0158391-HVAC (furnace) � CITY OF OSHKOSH No 158391
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1711 COLUMBIAAVE Owner KEITH L BURGETT Create Date 10/23/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel �/ Gas Oil , Electric Solar i
Solid
System � New I ✓ Replace � Other J
✓ Forced Air i Radiant Steam A/C Vent
Electric Hot Water Suppl. � Con.Burner
Chimney Type ChimneyA � Chimney B � Direct Vent 0 NotApplicable ;
HeatLoss AsApproved 0 Existing � NotApplicable Value
BTU Rate � As Per Plan � Variable � Other Value
Use/Nature SFR/replacing fumace -- ,
of Work �
�
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: 1� � � Date 10/23/2013
❑ Permit Voided ; Parcel Id#1216940000
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 piease 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.
lU/'L'L/'L013 17:58 FA% �001
City of Oshkosh
Division of lnspection Sarvices
P.O.Dox 1130 �
Ushkosh, WI 54903-1130 �
Pl�one(920)236-SOSU
Fax (920)23G-5084 L ��/
� I `�fl\O �
HVAC PERMIT APPLICATION °" ~�w�TER
All i►tfonnation after bold.categories�nust be provided,
,Tncomplete upp)ications will not be processed, �
• ApplicAtion(s)Hnd fee(s)can be broughl to City Hall, Rcx�m 205 or tnailed to Inspection $ervices,PO$ox 1128,
Oshkosh Wi 54903-1128. Commonci►�g work without perii�it(s)wijl result in fec�being doubled or�100.00 plus�
normal pennit fee,which ever is�rcAler.
OR
1 �ou�i�� a cunMucto�• vartla j/�ulrirg itr�,jte Ae�• r� ' ee.4ceourrr S�,�le»> c�nrl hav� '
if��ou want r1�is �•ocessed rh�•oa�glz our acc un� —��-4Nars,fi1nds, che�k he
** Advisory-kor app�icable projerts, an Elet�ical Ir�stall�dor�Verifcadon(EIV')form, signed by the Elecrcic
Conixactor or Homeowner(Por installat�ons ollowed tc�be performed by t�e homeowner)must be sub�nitted
with t�e pena�it appt�cation. Applicatxvns subinitted without an ETV yahen such is required, wiil not bc
processed for Permit Issuance and wi11 be retuxned for com�letion.
DATE �D�� I
�o��D�SS�7/1 �'!'JC_[a �t✓�/!`1�
OWNElt � /�C.(i2 ^
CONTRACTO�/ l�Y1� �7
CI3ECK�ALL A,PPLICA�3Y.F
U �CATEGQRY
,�ing�e Family ❑Duplex ❑Multi-Family ❑Renta►1 ❑Commcrcia d .
1 Industrzal
FUEX, �as � ❑Eleati•ic ❑Solid SYS�,'EM ❑New ��'ace
�011 ❑So1ar ❑Othe[
TYP�
�ced Ai�• ❑Radiant l�Steam OA/C pVen� LlFlectric C]Hot Water L]Suppl. ❑Con.l3ur►�er
YS CHIMNEY S�XNG LYNED f�Ne.nYcs -LINER SIZE &MANUPACTURER
Note� All chimneya�hall bc sized per die aTU's bou�g vented.
C�IIMN�X'�'YPE CJChimney A ❑Chimney B �irect Vent �Other :
HEAT LOSS �As Approved ❑Existing G1Not Applicablc
BTU RAT� OAs Per Plaii DVariable L]Otlter Value
bESCRIPTION/SCUPE OF ALL WORK BEING AONE___��'G/'/�/G f►r's��MCz'^+
VALUE(Including labor and materistls) $ � �Q�, _
E�ECTR�CAL CONTRACTOR(i'o�•projects not requiring an �;IV Form) ����'�