HomeMy WebLinkAbout0159057-HVAC (furance) � CITY OF OSHKOSH No 159057
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1627 LIBERTY ST Owner DANIEL J MAGNUSON Create Date 12/13/2013
Contractor MARK WEBER HEATING&COOLING IN Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas _ Oil Electric Solar � Solid
System New � ✓� Replace ' � Other I
.� Forced Air �j Radiant � �Steam A/C _, Vent '
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable� :
Heat Loss As Approved � Existing � Not Applicable _� Value _
BTU Rate As Per Plan � Variable � Other Value :
Use/Nature SFR/replace fumace --il
of Work
"debit acct"*
i
— --— _—�
Fees: Valuation $2,100.00 Plan Approvai $0.00 Permit Fee Paid $62.00 '
Issued By: � Date 12/13l2013
❑ Permit Voided I� Parcel Id#1207600000
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.
12/12/2013 16:36 FA% C�001
City of Oshkosh
Division of lnspection Servioes �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 KO �--� ,
pN TME W/�TER
HVAC PERMIT APPLICATIQN
All information after bold cacogories must be provided.
Tncompl�ta applications will not be processed.
• A�plication(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PU Box 1128,
Oshkosh Wi 54903-1128. Commencing work without permit(s)wili result in fees being doubled or$100.U0 plus the
normal permit fee,which ever is greater. '
OR �
1' �o qre a conll'actor parlicipulln2 1►t 1��,,Qg,r�nrl fee AC u l vste� and hare uilequale fu�rds. check here :
ifvou N�arr► this vr_ncessed rhrourh vnur accvun_�\
**Advisory-For applicable projects, an�lectrical InstaIlatioa Verif cation(FI�form, signed by the Elcctrical
Contractor or Homeowner(for installatians allowed to be�erformed by the homcowner)must be subrnitted
with the�ermit application. Applications sabmatted w�thout an E1Y wher�snch is required, will not be
processed for Permit Issuance and will be returned for compietion. - � _ ��.
DATE=`_,.,'��'.��/ �� .
JOB ADDRE S _ ��� (- .'''"`�/"�'' J , . .. .
OWIVER /�ti��lA S'C-_"" - - - -
CONTRACTOTt -�`/1�9�1,/L��. . f���'l7�'�'�
CI�CK�ALL APPLICABLE
USE CATF.GORY
�gle Family �Duplex C7Multi-Family ❑Rental ClConunercial ❑Industrial
FUEL as ❑Electric ❑Solid SYSTEM ❑New �eplace �
❑Oil QSolar ❑Other
T��E
ed Air ❑Ttadaant ❑Steam ❑A/C ❑Vent ❑�lectric C]Hot Water OSuppl. ❑Con. Burner
IS CHIMNEY BEING LYNFD��10 �Yes -LINCR 51ZE _ &MANUFACTURr;tt
Note:All chinv►eys shall be sized per t$e BTU's being ventcd.
CHIMNEX'�YI'� ���ney A ❑Chimney D �Direcl Vent ❑Other
HEAT Y,OSS C]As Approved ❑Existing �Not Appticable
BTU 1ZATE ❑As Per Plan ❑Variablc DOther Value
DF•�r'-R TION/SCOPE OF ALL WORK RFING DONE_���C��rJL�,'�Tbf�.`^ ����+V�.-
.� �,c.r�n�'G� ��-�- .� n��a�
VALUE(Including labor and materials),� ���' `�' —
ELECTRICAL CONTRACTUR(for pru�ccts not requiring an�IV Form)��/1►' �-
U�/0�