HomeMy WebLinkAbout0159165-HVAC (furnace) �.
� CITY OF OSHKOSH No 159165
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3019 LAKE REST CT Owner ALFRED/MARLENE N REISLER Create Date 12/30/2013
Contractor MARK WEBER HEATING&COOLING IN� Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas � Oil Electric I Solar j Solid �
System � New � 0✓ Replace I Other ;
✓ Forced Air Radiant Steam A/C _� Vent �
Electric Hot Water Suppl. ; Con.Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/replacing existing furnace with new one
of Work
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Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: �^ ^ Date 12/30/2013
❑ Permit Voided I Parcel Id#1417020000
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.
Signatu�e Date
AgenbOwner
Address 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523 `
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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 r
continue if the inspection is not performed within two business days from the time the project is ready.
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- 12/29/2013 11:31 FAg f�001
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050 -
Fax (920)236-5084 Q � H
ON TNE WATER
HVAC PERMIT APPLICATION
All iiifonnation after bold categories must bc provided.
Incomplctc applications will not be processed.
• Application(s)and fee(s)can be brougi�t to City Hall,Room 205 or mailed to Inspection Services,PO Dox 1128,
Oshlcosh Wi 54903-1128. Commencing work without pennit(s)wilt rosult in fees being doubled or�100,00 plus tlie
normal pc.rmit fee, which ever is greatcr.
OR
Ifvou ure u e��lraelQ nariicipullhL+ in the Perm �ee Accuunl Si��l�m and have ad�guafe lund rl�eck her�
if vou wan! th�s nrocessed through ov r�r_ ccnur�t �
�*Advisory-For apQlieable projects, an E�ectricat Installation Verification(EI�form, signed by the Electrieal
Contxactor or Homeowaer(for installatior�s allowcd to be performed by the homeowner)must be submitted
with the pernuit applicatian. Applacations submitted without an EN when such is reqnired, will aot be
processed for Permit Issuance and will be returned for completion. - _ �-.
DAT�_�_ ,,�.
JOB t�DDRESS J��� " �.�✓ ��/ C� _
OWNER ,� ��'�S l—���-
CONTRACTOR_�..����'y� �����'�O
CHEC� RI ALL APPLICABLE
USE CATEGORY
�ingle Family ODuplex ❑Multz-Family ❑Rental ❑Corrunereial ❑Indusfial
F[TEL as C7Electric C1Solid SYST�M ❑New �eplace •
00�1 ClSolar ❑Other
T'YPE
�ed Air �Radiant DStea�n �A/C ❑Vent ❑Electric ❑Hot Wat�r �Suppl. OCon. 13urner
IS CHIMNEY BEING LiN�D�lo ❑Yes -T..TNER SIZE &MANUFACTURER
Note:All chimz►eys shall be sizod par tho B'I'U's being vented.
CHLMNEY TYPE ;.�''�++�ney A ❑Chimney B �`1Direct Vent DOther
HEAT LOSS ❑As Approved ❑Fxisting ONot Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Othar Value
AF��'-�tTPTION/SCOPE OF ALL WORK BEING AONE�G��t�,,, 7Z�f� �� ��
�n►�q�.�� L� c�r�+- �1��c��.r
VALUE(Including labor and materials)�.. �/� '�
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ELECTI2�CAL CON'x'RACTOR(fur projects not requiring 9n EIV k'orm) �.
u�/0�