HomeMy WebLinkAbout0133386-HVAC (boiler)OSHKOSH
ON THE WATER
Job Address 639 641 JACKSON ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner DISCOVERY PROPERTIES LLC
Contractor BETTER HOME HEATING 8~ AIR CONDII Category 500 -Residential-Heating ~ Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ^/ Replace ~ ^ Other j
Forced Air Radiant Steam A/C Vent
Electric / Hot Water Suppl. Con. Burner
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
of Work
(639) /REPLACE
ELECTRIC **check #62497
No 133386
Create Date 10/09/2008
Fees: Valuation^ $4,500.00 Plan Approval $0.00 Permit Fee Paid $77.50
Issued By:
^ Permit Voided
Date 10/09/2008
Parcelld # 0701800000
In the pertormance 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
Address 1054 AMERICAN DR
Agent/Owner
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
x'77.5~
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
Z
O.IHK
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. ~ _
OR
If you are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if you want this processed through your account ^
JOB AD]
OWNER
CHECK ~ ALL APPLICABLE
USE CATEGORY
~1!RY~ / .
\.
+4. r
C,i~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industfial
FUEL f~Gas ^Electric ^Solid SYSTEM ^New ^Replace
^Oil ^Solar ^Other
TYPE
)~Eorced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHI1VIl~rEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
^Chimney A ^Chimney B
^As Approved ^Existing
^As Per Plan ^Variable
DESCRIPTION OF ALL WORK BEING
DATE / U ~ 3 -- G~
~, 4H
VALUE (Including labor and all materials including light fixtures) ~ U. ~
ELECTRICAL CONTRACTOR ~l/ ~~ (~~~~' ~a~
^ 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.
a ~ ~~~~
^Direct Vent ^Other
^Not Applicable
^Other Value
9!oz
FROM FAX ND. :9205824909 Apr. 27 2008 05:27AM P1