HomeMy WebLinkAbout0159025-HVAC (furnace) /�''� CITY OF OSHKOSH No 159025
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2324 N MAIN ST Owner PRISCILLA M SITTER/STEVEN HORTON Create Date 12/10/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&Ventilating Pian
Inspector John Zarate
Fuel ✓ Gas I Oil Electric� Solar Solid
System New _� �✓ Replace J � Other I
✓ Forced Air , Radiant Steam A/C Vent
�- -- —
Electric I [J Hot Water Suppl. � Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable I
Heat Loss As Approved _ � Existing _ _� Not Applicable � Value
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BTU Rate �Per Plan 0 Variable � Other _ � Value
Use/Nature SFR/REPLACE EXISTING FURNACE, ELECTRICIAN IS SECKAR ELECTRIC **debit acct �
of Work i
i
I
�
Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: ��1 W Date 12/10/2013
� Permit Voided Parcel Id#1516910100
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.
12/09/2013 18:41 FA% I�001
c��y ofosnkosh
llivision af Jnspection Scrviccs �
P.O.Box 1130
Oshkosh, WI 54903-1130 �
phone(920)236-5050
Fax (920)236-5084 (1�u�((1 �u
�.JJ I .UZLJ� � �
ON T�WATER��
HVAC PERMIT APPL,ICATION
All information after bold categories must be provided.
lncomplote spplications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to lnspection Services,PO Box l 128,
Oshkosh WI 54943-1128. Commencing work witliout per�nit(s)will result in fees being doubied or$100.00 plus tl�e
narmal permit fee,which ever is greater.
OR
/f vau ore a contraclor narticiaating in 11�e Permir fee Accuurrt Svstera ond have adequa�e ('und.► check hrre
tl'vou want th►s nrncessed throvgh vour accoun� �
**Advisory-For a�plicable projects, an Electrical Ynstallation Verification(E�form,signed by the Electricai
Conbractor or Homeowner(for is�stallations aalowed to be performed bp the homeowner)mnst be sabmitted
with the pernut application. Applications submitted withont an E�V wher►such i�required, will not be
processed for Permit Issuance and will be retarned foY completion. � ^ �., „
DATL��r�Z���?� �
JOB AADRESS � _� � �:: /v . � � �'�J _ .
OWNER y S 7�.�-�n�
CorrrxaC�ox ��"r�i-►,��� t����
CHECK 6�ALL APPLICABLE
L1S�CATEGORY
�gle Family C]Duplex ❑Mutt�-Ffunily ❑Rental QCommercial Dlndusttaal
FCJEL � OElecttic ❑So(id SXSTE]V� ❑New �eplace �
C]Oi) � OSolar ❑Other
T'YPF
�ed Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric I�Hot Water �Suppl. ❑Con. Hurner
IS CHIlVllvEY BEING T.TNEA„ ``�o �Yes -LINE12 SiZE &MANU�ACTURER
Notc:All chimneys sltall be siud per the D'1'U's being ventcd.
CHYMNEY�'XPE �.:''�ney A ❑Chimnoy B �irect Vent �Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
B1'U RATE CJAs Per Plan l]Variable ❑pihcr Value
DF'��tIPTTON/SCOPE OF ALL WO�tK BEING DONF,_.��'��-� � 1 a '7Z�� �/S��.iL'.
��.✓��J r�-� ��1 c�-�►�-.�. .c�w r�,�.�!
VALUE(Tncluding labor and materials)� ��� ' Ov
ELECTRICAL CONTRACTO�t(for proJects not reyuiring an ��V Form) �►'g'�'\
o��o�