HomeMy WebLinkAbout0158562-HVAC (furnace) /�'� CITY OF OSHKOSH No 158562
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 622 FRANKLIN ST Owner ERIK MAY Create Date 10/31/2013
Contractor PALISADES SHEET METAL Category 500-Residential-Heating 8�Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil _� Electric ___' Solar � Solid ��
System � New I � Replace I � Other I
✓ Forced Air Radiant j �Steam � A/C Vent 1
Electric ' Hot Water Suppl. Q Con. Bumer '
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 SFR/Replacing furnace
of Work '
'Paid with check '
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Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: Date 10/31/2013
❑ Permit Voided Parcel Id#0703520000
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 1475 RACINE RD MENASHA WI 54952 -1459 Telephone Number (920)729-1282
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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.
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City of Oshkosh �
Division of Inspection Services ''
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P.O.Box 1130 � �
Oshkosh,WI 54903-1130
Phone(920)236-5050 E
Fa�c (920)236-5084 � �--��� H `
ON twF WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided. �
Incomplete applications will not be processed.
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• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to lnspection Services,PO Box 1128,
Oshkosh WI 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater. €
OR
f vou are a contractor participating in the Permit fee Account Svstem and have adeguatefunds, check here
i1'vou want this processed throu�h vour account n
**Advisory-For applicable projects, an Electrical Installation Verificatinn(EI�form, signed by the Electrical }
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted �
with the permit application. Applications submitted without an EIV when such is reqaired, will not be �
processed for Permit Issaance and will be returned for completion.
DATE10-24-2013
JOB ADDRESS 622 Franklin ST `
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OWNER Erik May �
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CONTRACTOR Palisades Sheet Metal Ocr 3120�3 `
CHECK�ALL APPLICABLE �EPARTh9E17'OF
C0�1�7u�i'�'y DEVELOP9�IE.VT
iNSPECTIOY SERVICES DI�7S10V
USE CATEGORY
Y�Single Family ❑Duplex ❑Multi-Family �Rental ❑Commercial ❑Industrial
FUEL �Uas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
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TYPE `
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�'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. �Con.Burner
IS CHIMNEY BE1NG LINED ❑No u Y'es - LINER SiZE & �1ANUFA�TURER
Note:All chimneys shall be sized per the BTU's being vented. '!
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CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
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DESCRIPTION/SCOPE OF ALL WORK BEING DONE replace furnace �
VALUE(Including labor and materials) $ 4 0 0 0. 0 0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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1612912�13 12:01 9207252138 SCHAFER ELECTRIC INC PAGE 011�1 �
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h�avc�iee�x rontractcd to�perfoxx'n elecl�ic iztstaa��t�or�wark fox,{dr����.� �- _ • ,
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ai t.he fta1lowir�g ac�.dress: ��_o�.,��/1�1��.C�i�v.�'.�� __.,_,�,,..T• ;
(Adc�ress r�vhcxe wox�?�wila he pc�rformed)--------
'T'he nattarc af th�r wvxk cc�nsi:sts of: (Clt�ck tJne or l�escribe the;Natnxe of W'c�r��
_� �eco�.r�cetion or new eire��it far replacezzaeaat}�eat�n�P�a�t anc�/ar A/C: {::hne�enser. �
__,� Reeo�nx�ecti��n c�r ncw circuit for re��acezxzcta.t Elect�rie Water.I-leatet'.
___�, k�econaaec;tior� nfthe Servic�: Er�trance C:ablc, Meter Bax, �a)t:erataons ta re�e�,r�cics and
1i�tiza�;�xtures duc trs sidir�g/so���t; instalaatiar�. Nnte; New Se�vacr Entrance
�Cab1GS wila requir� a sc�a��ate pernait;.
, ...`_ Reco�n�aec#i�n or new circuit. fur�the�r pex.rr�anentiy wir�d a�plzan;ces/f x�i.xre.s.
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'Th.e value of this wvrk is 5 /30 •�
�[hercby vea-ify this�rvc�rk wial be perf'n�ned b,y az� empioyee of this coaaapszny�,r�d furl:aler�fcr�fy t11e
rccor���cc1;iCyn /installaric�n will hc donc in cotr�p�aa,�nc;c�rith m,anufactur�r�nd T?lecrric cotic '�
requir�;n7cnxs.
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