HomeMy WebLinkAbout0158418-HVAC (furnace) � CITY OF OSHKOSH No 158418
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 812 MALLARD AVE _ Owner CHARLES A/MARILYN J PERRY Create Date 10/23/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas I Oil _� Electric Solar i Solid '
System � New � �✓ Replace � � Other �
✓ 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 � Existing � Not Applicable Value
BTU Rate �As Per Plan � Variable � Other --�� Value _
Use/Nature Multi-family/Replacing furnace � :
of Work �
"debit account �
�
i �
Fees: Valuation _ $2,300.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: g� Date 10/23/2013
❑ Permit Voided 'i Parcel Id#1522830000
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.
10/21/2013 11:45 FA% �001
City of Oshkosl�
Division of Inspection Services
P.O. Box 1130 �
Oslikosh, WI 54903-1 I30 �
Phone(920)236-SO50
Fax (920)236-5084 O �� �
UN THE WA FR -
MVAC PERMIT APPLICATIQN
All infamation after bold categorics�nust be provided.
Jncornplcte applicacioris wrll not be processed. �
� Applicatia�(s)and fee(s)cA» be brought to City I-isll,Room 205 0►•mailed to Tnspection Services, PO I3ox 1128,
Oslikosl�WI 54903-1128. Coinmcnciug work witho�t per�nit(s)will result in fees baing douhled or$100.00 plus�
no�mal permit feo,which evcr is greater.
OR
1 �o« re cr co��Ir� .oi• a�•tie' uIr» i he P ri�rrt ea cot �� S�s und !v ve udeoual� ri�,yds, eheck Ire
u:r wa�ot hls roce secl lhrurr h � ir uccount
'"*Advisory-�'or applicabXe�rojects, an�Elecaical lnstallation ve�rification(EI1��'orm, sig�,ed by the Electric
Contra.cCOr or�ornt�eowner(fbr installations allowed to bc perfotx�ned by Che homeowner)must be submitted
with the pezmit applicatioi�. ,Applicatians submitted without an�TY when such is required, will not bc
processed for Pez�rait Zssuance and w�ll be returned for completion.
DATE ��r�i r J �
JOB ADDRESS 7��,�. / 16`�'�-L.✓��.� �
OWNER / . ,�!``L �-� /_._
CUNTRACTOR_�/'�� , _ `� �
CL�ECK�ALL A.F'�'LICABLE
US� CATEGORY
❑Single Family ❑J�uplex �Multi-Family �tental ❑Commercial C7Industrial
� rUEL �as ❑Blectric ❑Solid SYSTEM ❑New y�iace
DOiI C7Solar DOther
TYPT
�oreed Air ❑Radiant ❑Steam ClA/C ❑Vent ❑F.lectric OHot Water ❑Suppl. ❑Con.Burner
�S CHIMN�Y SLING L1NED�Vo �Yes -LINER S1ZE &MANUrACTUR�R
Note,f111 cl�unneys shall be sized per tl�e 13TU's bcing vented,
CHIMNF..X�'X.PF, ❑Cbimney A �unney I3 ❑Direct Vent ❑Qther
HEAT LOSg ❑As Apprpved ❑Extsting ❑Not Applicable
STU RATE ❑As Per Plan ❑Vnriable �Other Value
DESCRIPTIUIV/SCOPE OF ALL WORK BEIlVG DON'L��li✓.6" ��c ir/ �'
VA,X,�(1E (Yncluding labur and materisls)� ���� �Q'� ^ `
ELECTRICAL CONTRACTOR(for projects not requirins an EIV Form) ���� :