HomeMy WebLinkAbout0158395-HVAC (furnace) � CITY OF OSHKOSH No 158395
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1490 WHEATFIELD WAY Owner JACOB C BRECHEISEN Create Date 10/23/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas _ ' Oil Electric Solar � Solid
System ❑ New � Q✓ 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 AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value _
Use/Nature SFR/replacing furnace
of Work I
i'
Fees: Valuation $2,900.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �c-� Date 10/23/2013
❑ Permit Voided I Parcel Id#1340600000
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 17:59 FA% 1Q004
i • .
City Of OSIilcUSh
Divisi�n of Inapection Sarvices �
P.O.Box 1130
Oshkosh, WI54903-1130 �
Plione(920)236-5050
Fax (920)23G-5084 �O
UN 7HE WAT@R
HVAC PERMIT APPLICATION
All infnnnation after bold categories must bc:provided.
Incomp(elc opplications wi]]noL ba proccssed. �
� Ap��licaiion(s)a�id �ee(s) cau be brought to Cily Hall,Room 205 or ntaiied to InspeCtion Services, PO Box. 1128,
Oshko�h W i 54903-1 a28. Commcnc�ng w�xk witl�out po�mit(s)will result in fees being doubled or$100.00 plus i
normal permit fee,wl�ich ever is greater.
OR
1 �or� ar¢ a euirlraclor �a�� 'c" alrn i c Pern�' re�4cc ruv� S� n and h ve ade u er���1s e ck 1�e
i1'��uu wQn rhis proces�ed rl�,•ou�,vu:�r cr,ccount '
**Advisory-�'or a�plieable pro,�ects, an,Eleetrical Installation Verifeat�ipn(EII�form, s�gned by t�te Electric
Contractor ot Ho�cowncr(for installations allowcd to be pezformed by the homeowner)must be submitted
with th� pezmit application. Applications submitted without an EIV wher�such is rec�uired, v�v�ll not be
processed for Permit Issnance and will be returned�or completiox�.
DATF�� � J
JOB AllDRESS
�`��C./ G��i�' �^-'r'►%
OVVN��t V 0'�'e��j ����5�W,,, ,_„
CONTRA.CTO�t/�/�'�C1� ��
CX�CK Q�ALL A��'Y.ICAI3�E
USE CA�rEGORY
�Sii�.�le Family QDuplex f7Multi-l�amily ❑Rental ❑Coxxunercial Olndustrial
FUEL �Cas ' ❑Electr•ie ❑Solid SXSTEM ONew �place
p� CJSolar ❑Otlier
TYPE
' orced Air ❑Radiant ❑Stee►n �A/C �Vent C]Electric ❑Hot Water ❑Supnl. dC�t�.I3urner
YS CHIMNEY BEJNG I..�NED�Ato ❑Yes -LINER SIZE &MAMJI�ACTURER
Note;All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimr�ey A C1Chimney B �irect Vent ❑Other
I�AT LOSS ❑As Approved ❑Existing ❑Not Apptic:able
RTU RAT� ❑As Per Plan �Variable ❑Other V$aue
DESCItIPTIUN/SCOPE OT ALL WORK B��NG AO1VE G�����J,b �i��h�-��
VALUE(YnCludillg labor and maEerials) $ �/,� �� � ��
ET�ECTRICAL CONT�tACTOR(for pro)ects not requir[ng an�XV T'orro) ,
..�-���.