HomeMy WebLinkAbout0158394-HVAC (furnace) � CITY OF OSHKOSH No 158394
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1940 EVANS ST Owner CHARLES A/MARILYN J PERRY Create Date 10/23/2013
Contractor MARK WEBER HEATING 8�COOLING IN� Category 500-Residential-Heating 8�Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas � Oil _� Electric Solar ' Solid
System � New j �✓ Replace � Other
✓ Forced Air Radiant Steam A/C �� Vent
� �- �
Electric j Hot Water Suppl. � Con. Burner ;
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss AsApproved � Existing � NotApplicable Value __
BTU Rate As Per Plan � Variable � Other Value
Use/Nature Multi/replacing furnace ;
of Work � I
� I
I ,
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ��. Date 10/23/2013
� Permit Voided I Parcel Id#1514819706
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
Agent/Owner
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.
10/22/201� 17:59 FA% f�003
�
Ciry of Osl�kosl�
Division of Tnspection Services
P.O. Box 1130 �
Oshkosh, WI54903-1130 �
Phone(920)236-5050
Fex (920)23G-5084 ��O � `
un+rNE wr, ea �
HVAC PERMIT APPLICATION
All information after bold categories must be provided,
Ir►complete epplicacions wil)not bc proccs�ed. �
• ApplicAtiai(s)and�ee(s) ca�t be brou�ltt to City Hall, Room 205 or mailed to Inspection Services,YU Hox 1]28,
Oshkosli WI 54903-1128. Commancing work without pe�•�nit(s)will z•esult i»fees b�ing doubled or$100.00 plus�
nonnal pennit fee,w(�ich ever is��•catcr.
Olt
IL)lott are a co»trt�cl.o��pai•�ieipulii� irs tlte er�nit r Accoe. � ,$'., � �phd kave adea:.are,fr�nds chock Tre
: if��o:i wa»► (irls p�•oeessed�r��h ��oti�• ucco�mt
**Adr►isory-Fox a�,plieable pro,�ects, an Eleetnical Ir�stal�ation l�e�eat,ion(EIV)form, signed by the Eleetric
Contractor or Homeownex(for installations allowed to be�e�rformed by the honncowner)must be submitted
wxth the permiC appl�cation. Applic$txo�s sabmitted without an�N whe�t such is required, will not be
pxocessed for Perrnit Issuance and will be retnrned forr coxc►plet,iox�.
�ATE !B�/�/j .
�o��D�SS 1�fC1 �J�l S -� l
ovc�N�����T= �'��� ��
CONTRAC'�'OR��!'� !,G Q �l� _,
CI�CK�ALL A.�P�.,IC,A.BYJE
USE CATECOI2Y
C]Single k'amily ❑Duplex �Multi-Family ��.tal ClCommercial �Industrial
FLIF,T, �@as � ❑Elech•ic ❑Solid SYSTEM ❑New �plaee
QOiI ClSolar ' ❑Other :
TXPF
�orced A.ir ❑R.adiant ❑Steam C�1�./C OVent ClElectric OH�t W�ter ❑Supp1. ❑Con. Btuner
YS CHIlVINEY BEING L1NED�Ve.L7Yes -LII�R SIZL' &MANUFACTUR�lt
Note: All cl�imneys sliall be sized per thc BTU'�be;��g vcnted.
CH�MNEY TX.PE ❑Chim�aey A �imney D ODirect Vent QOther
HEAT Y.OSS ❑As Approved OLxisting ❑Not Applicable
BTU RATE ❑As Per Plan C7Variabl� DOtlier Value
D�SCRXI"TYON/SCOP� OF A,LL WORK BE�NG DON�_2�G�9C°1'i✓L NN✓K'�
VALUE(Includfng lAbor And materiels)�_____f��L,�J�. (J(� �
�LECTRICAL CONTRACTOR(for projects i�ot�equ�ring an EIV�'orm) ����� �