HomeMy WebLinkAbout2008-HVAC (a/c) CITY OF OSHKOSH No 132826
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1627 WITZEL AVE Owner RONALD F/KIMBERLY K MAKI Create Date 09/11/2008
Contractor BETTER HOME HEAT ING & AIR CONDII Category 501 -Residential-Air Conditioning Plan
Fuel / Gas Oil Electric Solar Solid
System ~ New ~ ~ Replace ~ ( ] Other
Forced Air Radiant Steam / A/C Vent
Electric Hot Water Suppl. 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 FR / INSTALL A/C, EIV SIGNED BY SECKAR ELECTRIC "check #62386
of Work
Fees: Valuation $2,250.00 Plan Approval $0.00 Permit Fee Paid $44.50
Issued By: ~ _ _ Date 09/11/2008
Permit Voided Parcel Id # 0611640200
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 applipnt to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1054 AMERICAN DR
NEENAH WI 54956 -0 Telephone Number 920-733-2161
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084
O HK H
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
JOB
USA CATEGORY
m le Famil
DATE ~- /~ -~
g y ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL L!(ias ^Electric ^Solid SYSTEM ONew ^Replace
^Oil ^Solar ^O~~
T
^' ;,rced Air ^Radiant ^Steam C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CIIIIVINEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall,be sized per tihe BTU's being vented.
CffiMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS DAs Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESCRIPTION OF ALL WORK BEING DONE
~' t- 6 6
VALUE (Including labor and all materials including light fixtures) ~_Q 0
ELECTRICAL CONTRACTOR
^ For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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CHECK l~ ALL APPLICABLE
rROM FAX N0. :9205824909 Apr. 01 2008 06:20AM P1
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