HomeMy WebLinkAbout0133384-HVAC (furnace) CITY OF OSHKOSH No 133384
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 613 GRAND ST Owner KIA YANG/NENG XIONG Create Date 10/09/2008
Contractor BETTER HOME HEATING & AIR CONDII Category 500 -Residential-Heating & Ventilatin~_ Plan _ __
Fuel / Gas Oil Electric Solar ~ ~_Solid
System ~ New ~ ~/ Replace ~ Other __ __
/ Forced Air Radiant Steam A/C ~ Vent __j
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
Fees: Valuation $2,576.00 Plan Approval $0.00 Permit Fee Paid $49.00
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Issued By: (c~ ~ ( Date 10/09/2008
Permit Voided
Parcelld # 0403350000
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 1054 AMERICAN DR NEENAH
WI 54956 -1305 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
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
01HKO1H
ON THE WATER
• 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.
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USyE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental
^Commercial ^Indust~ial
FUEL QGas ^Electric ^Solid SYSTEM ^New ^Replace
^Oil ^Solar ^Other
T~
Ci~'orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS C)EIDVIlVEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESCRIPTION OF ALL WORK BEING
VALUE (Including labor and all materials including light fstures) $
ELECTRICAL CONTRACTOR ~~^,,~~ ~'D~.~~ ~~
^ For applicable projects, an E ecl tnc Installation Verifi at of n 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 m ALL APPLICABLE
~~OM FRX N0. :9205824909 Apr. 27 2008 05:27AM P2
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