HomeMy WebLinkAbout0158841-HVAC (furance & a/c) � CITY OF OSHKOSH No 158841
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 832 W SOUTH PARK AVE Owner MARY JO RIESE Create Date 11/20/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas [� Oil Electric � Solar l Solid
System �New I � Replace I � Other ;
✓ Forced Air Radiant Steam ✓ A/C Vent
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 1 Value
Use/Nature FR/Replacing the existing fumace and AC with new ones. �
of Work I
� �
I
Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: Date 11/20/2013
� Permit Voided I Parcel Id#1306980500
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 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.
iiiisi2oia 20:52 FA% r�ooi
City of Oslilcosh
Division of Inspection Serviccs
Y.O.Box ]130 �
Oshkosh, WI54903-1130 � :
Phnne(920)236-SOSU
1�eK ��zo�a36-sos� Q � :
• H
HVAC PERMIT APpL�CATION �N r�,E W��FR
All infonnation af'ter bc�ld catcgorios must bc provided.
Ir�cornpiete applications wiJl not be p��cesse� �
• Ap��lic�tioi�(s)and fee(s)cait be bl•ought to City Hal1, Room 205 or mailed to Inspection Services,PO Box 1]28,
Oghlcosll WI 54903-1128. Com�nencing work wit(ZOUt pda1nit(s)will result in fees��eing doubled or$100.00 plus�
ootmal pennit fce,which ever is gi•eater.
OR
�o u��e u � act ,�•parti�b, in N^ ��_p��_„�it �� ccnjirrt as
�u want ll�is pr�cesscrl,rhrou h oam accu r�l �� ��` _� fe t� �1s ah �k �,
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'��Ad�visory-�ox applicable projecrts, an�;lectrical]nstallation Veri�cation(EZV') forr�, signed by tlae EYectric
Contractor or Homeowner(for iu�stallations aliowed to be perfozmed by the homeowner)must be submitted
with the pernut application. Apklications sabnutted withoat an EN when su.cl�xs required, w;�l not be
processed for Permxt Iasuance and will be reta.rn,ed�oY com�Xetion.
.
DATE i� / ~ l�
�ro�nnn�ss .� �..) , c�ur`Z��....�►'t�?c�
OWN�R ,.----�I t�_(��hJ `Z��� __
CONT�tACTOR�� LG���� �i,�/(� ,
CHECYC �(ALL APPLICABI.F
U�E CATEGORY
�ng�e Family C7Duplex DIv�ulti-Facuily ❑IZental CJConvz�ercial ❑Industrial
FUF.L .�s � ❑�leciric ❑Solid SYSTEM pNew ,���$��
❑Oil ❑Solar � ❑Other
T'Yl'�
�orec;d Ai,r ❑�Ladiant l7SteAUi �A/C �Vent �El�ctric �Hot W�ter �Suppl. ❑Con.Bumer
IS C�iIlVINE'X BEIl�iG T.,YNED ❑No ❑Yes -L�IER SIZE &MANU�ACTURER
Note:All cl�imueys shall be sized per tlie BTU's bcing vented.
CHIMNEX TXPE ❑Ctiii�ney A CaChimney I3 �irect Venl �Other
HEAT LOSS ❑As Approved G7Existing Not Applicable
STU RATE �As Per Plat� C�Vviable L]Odier Value
DESC T1UN/SCOP�Or,ALL WOR�BEINC bONE,,, •�J % � � ` � "7s�
s"� '?� �•
VAY.U�(Including IAbor and moterials)$ DDa.d(� �
�
ELL�CTRICA�.COJV�'�2.A,CTOR(for projects not requlrin�au EIV Form)������ �