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Home My WebLink About2013-HVAC (furnace) � CITY OF OSHKOSH No 158515 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 909 RUGBY ST Owner DAVID D KUHN Create Date 10/29/2013 Contractor BLACK-HAAK HEATING _ Category 500-Residential-Heating 8�Ventilating Plan Inspector John Zarate Fuel ✓ Gas Oil � Electric j Solar Soli� --J Q-- System � New I � Replace ' � Other '� ✓�Forced Air Radiant Steam A/C Vent Electric , Hot Water � SuppL Q Con. B ru ner Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable Heat Loss � As Approved � Existing � Not Applicable I Value BTU Rate As Per Plan � Variable � Other � Value Use/Nature 5FR/replace furnace ! of Work 'ck#5735" , I ', � Fees: Valuation $2,300.00 Plan Approval $0.00 Permit Fee Paid $62.00 Issued By: � Date 10/29/2013 ❑ Permit Voided I Parcel Id#1302430000 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 PO BOX 7075 APPLETON WI 54912 -7075 Teiephone Number 920-757-9990 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 specifed 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. � y City of Oshkosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 O H�(O � i� ON THf 'JJATFR HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applicalions will not Ue processed. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box l 128, Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor participatin� in the Permit fee Account Svstem and have adeauate funds check here i�you want this processed through your account n **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE io-a3- � 3 JOB ADDRESS_ GU� .�� 5-1- �ECEI�ED OWNER �GIU�CI f'1 u�t V1 OCT 2 8 2013 CONTRACTOR �IGI(_I�- }��.k H?u`�'�llA . ��C ..�. ".- =.a v� CHECK�ALL APPLICABLE ��i�'� � -� ��E�� a�vS�€� :. , � .. . , ;;�� U�E CATEGORY i�Single Family ODuplex ❑Multi-Family ❑Rental �Commercial ❑Industrial FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New L�eplace ❑Oil ❑Solar ❑Other TYPE [�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric �Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED �o DYes -LINER SIZE &MANLJFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other HEAT LOSS ❑As Approved ❑Existing �Not Applicable BTU RATE ❑As Per Plan ❑Variable ❑Other Value DESCRIPTION/SCOPE OF ALL WORK BEING DONE �(�5�✓►-I�tC,c.l ��rnc�ce Ir(X>IQC'P(11�i1 [ VALUE(Including labor and materials)��OD -� ELECTRICAL CONTRACTOR(for projects not requiring an EN Form) ��V�n �I�S�:�i # �a�Og� � o�io� ��e�►��{ �� = � �� . � City of Oshkosh Division of Inspection Services � P.O.Box 1130 � Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 ��/O1H ON 7H\c/ATFR ELECTRICAL PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the normal permit fee,which ever is greater. OR If vou are a contractor narticiDatin� in the Permit Fee Account Svstem and have adequate funds check here If vou want this processed through your account ❑ DATE ��- �3 I 3 ,roB Ann�ss `�0�1 �u ��l-��, S-� OWNER �Gl V I C� �u h 1n CONTRACTOR �IuCb� - ctc.t.l< /-I c'r,�f�'�q� �G • CHECK 0 ALL APPLICABLE US�CATEGORY C+�Smgle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial SERVICE ❑New ❑Temporary TYPE ❑Overhead L�l�tot Applicable ❑Change E�7'1Got Applicable ❑Underground FILL IN THE APPROPRIATE BLANK WITH THE NUMBER Volts / Receptacles# Circuits# : Phase Amps Switches# Fixtures# CHECK�ALL APPLICABLE ❑Range ❑Dishwasher ❑Garbage Disposal ❑Dryer ❑Water Heater ❑Fan OR Blower I�urnace ❑A/C ❑Electric Sign ❑Motors ❑Gas Pumps ❑Other DESCRIPTION OF ALL WORK BEING DONE j,UIV�Q 1�-YI'1LzC� r��l��PVY� Y�f VALUE(Including labor and all materials including light figtures) MASTER ELECTRICIAN }�/Li1/� �/�r�C-G� � ��I��' ��1��'li+ �� (� 3io2 �v