HomeMy WebLinkAbout0158392-HVAC (furnace) /�"� CITY OF OSHKOSH No 158392
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1610 OREGON ST Owner RICHARD GEHRKE/CYNTHIA LANGUTZ G Create Date 10/23/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating 8 Ventilating Ptan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Q Solar Solid
System � New I 0✓ Replace ' � Other I
✓ Forced Air � Radiant Steam � A/C Vent
Electric � Hot Water Suppl. Con. Burner ,
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/replacing furnace
of Work
i
�
Fees: Valuation $2,600.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �—�T , Date 10/23/2013
❑ Permit Voided � Parcel Id#0305340000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity. .
Signature Date
AgenUOwner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
10/22/2013 17:58 FA% f�002
�
Ciry of Osl�kosh
Divisioo of Inspection Secvices
P.O.Box 113U �
Oshkosh, WI54903-113Q � .
Phone(920)236-SO50
F�x (920)236-5084 �O �
UN 7Hk WATEN
HVAC PERMIT APPLICATION
All intorin�tion after bold categories must ba providcd.
Incotnplcte applications will not bc p�bocsscd_ '
• Application(s)and fee(s)can be brought lo City Hall, Rootn 20S or mailed to Inspection Services,PO Box 112$,
Oshicosh WI 54903-1128. Commencing work witl�out pal�nit(s)will resalt in fees bcing doubled or$1U0.00 pl��s�
normal p�nnit.fee,wJ�ich ever is greatcr.
ou
1 � rr qi•g u canN�acto�• a�•tl iir in e Pernr' e.Qccnurst � unrl l, �s ud� u :�nr1s cl�e /��
�' �ou want rhis rvice hrou h u�� accu n
**Advisory-For a�pl�cable�rojerts, an Elecitical Inatall�tipn Verificatior�(ET1�for�m, signeQ by the Electric
Contractor or Homeor�vner(for installations a�lowed to be pe�fornned by the homeowner)m��st be submitted
w�t�the pem�it application. Applicarions snbmitted without an�IV when such is xequired, will nat be
grocessed fox Pexrriat�ssuaz►ce and will be returned fox co:np�etio�,,
DATE �D I
JOR A.DDTtES5� I LV
OWNElt�+ �1`'I- (�h'��1 � .
CONTRACTOR�i�L��i �1'C�/'SG� ��`7`�e/
.
CHECK �'ALL APPLICABLE
U E CATEGORX
ingle Family ❑Duplex [aMultx-�'a�tiily ORental C>Commcrcial �Industrial
. ' '
FUEL �as � ❑Eteciric ❑Solid SYSTEM ONew �eplace
❑Oil ❑SolAr � ❑Other
T'YYE
�ced Air ❑Radiant ❑Steam ❑PJC OVent ❑Electric f.]Hot Water L]Suppl. ❑Con.Dwner
�S CHIMNEY BEING Z.�NED�io OYcs -LINER SIZE &MANUFACTURER
Note:All cliimneys shall be sized per tl�e BTU's benig vented.
CHYMNEY T'Y�� ❑Chimney A ❑Chimnoy II �irect Vene ❑Qther
HEA'1'T..OSS DAs Approvcd �Existin� ❑Not Appl,cablc
BTYJ 1tA'xk: ❑As Per Plau �Vviable �Other Value
DESCRTPTYON/SCOPE OF AGL WORK BE�1VG AO1V� ��C��L �t/�Nj��+
VAY.YJE(Ynciuding latx,r and matcrlals)$ iS (��v r�U
EX.EC'�'XtXCAU CONTRACTOR(for projects not requiring an �IV Form) ��� �' \ ;