HomeMy WebLinkAbout0133385-HVAC (furnace) CITY OF OSHKOSH No 133385
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 427 UNION AVE Owner GOLD STAR INVESTMENTS LLC Create Date 10/09/2008
Contractor BETTER HOME HEATING & AIR CONDII Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil -~ Electric Solar Solid
System ^ New ~ ~] Replace ~ Other _
/ 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 _j Value _
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
>FR /REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC *check #62497
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $40.00
^ Permit Voided
Date 10/09/2008
Parcel Id # 0702320000
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) 23b-5084
Z
O~HKOIH
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 pernut fee, which eve_ r is greater.
OR
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US CATEGORY
C~Single Family ^Duplex ^Multi-Family ^Rental
^Commercial ^Indust~ial
FUEL l~Gas ^Electric ^Solid SYSTEM ^New ^Replace
^Oil ^Solar ^Other
~E
orced Air ^Radiant ^St~am ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A
HEAT LOSS ^As Approved
BTU RATE ^As Per Plan
DESCRIPTION OF ALL WORK BEING
~n o d
VALUE (Including labor and all materials 'ncluding light tiatures) $ ~C ~ ~, ~.
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.
~2- 9i ~7
9!02
l:tlYl:li tYJ ALL AYYLll:At3Lr:
^Chimney B ^Direct Vent ^Other
^Existing ^Not Applicable
^Variable ^Other Value
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t ierebY - ti~ls w~c wiII De pesi~ormad by an esmptaya of t~tia caan~y ~d ~rdser verity
tisa rea~amax~oa ! ticat will be ~ m wittl mwufac~arer atd Ekctti~ Dodo
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