HomeMy WebLinkAbout0134076-HVAC (furnace) CITY OF OSHKOSH No 134076
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 769 VINE AVE Owner DISCOVERY PROPERTIES LLC Create Date 11!18/2008
Contractor BETTER HOME HEATING & AIR CONDIl Category 500 -Residential-Heating 8 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 Appligble
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature FR /Replace furnace. EIV signed by Seckar Electric.
of Work
., ,.
Fees: Valuation $2,073.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~~~ /~
Permit Voided
$41.50
Date 11/18/2008
Parcet Id # 0503430000
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 aRer bold categories must be provided.
Incomplete applications will not be processed.
O HKO.IH
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 ___ ~ ~,,..~ „,~e,,,..-ro finds. check here
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JOB ADDRESS .alp GI ~~/~"t-Q
OWNER
CONTRACTOR ~ ~G
CHECK Q1 ALL APPLICABLE
US CATEGORY
Ingle Family ^Duplex ^Multi-Family ^Rental
DATE // - /~~ ~ d ~ _
.yp~ ~~
.{S"
`W~.
^Coinrnercial ^Indust~ial
TUEL Gas ^Electric ^Solid SYSTEM Other ^Replace
~il ^Solar
TYPE
orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANiJFAC'I'URER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A
HEAT LOSS DAs Approved
BTU RATE ^As Per Plan
DESCRIPTION OF' ALL WORT{ BEING
VALUE (Including labor and all materials including light t'iatures) ~ ~~
ELECTRICAL CONTRACTOR ~ ~ ~~' ~'
~ For applicable projects, an Elecfic Installation Verification form, signed by the Electncal Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9! o?
^Chimney B ^Direct Vent ^Other
^Existing ^Not Applicable
pVariable ^Other Value _
FROM
i
T t MTC4
Electric Installation VelrificatirDn
I(We) ~~~ ~7,~Cf~fC CO ING
(Electrical Con#ractor Name or Homeowner's Name)
~__~~d~~~ PLV~,~e. ~~, ~~N~CUryNE'W1 S`~~g~a_
(Address) (City) (State) (Zip Code)
accept the responsibdity to perform the eloetrie wozic as stated below, at the following address:
7~~ ~/N~
(Address where work will be performed)
The natum of the work consists of (Check One or Descn`be the Nature of Work)
lteconnecdon or »ew circuit for replacement Heating plant and/or A/C Condenser.
Reconnection or new circuit for zepiacement Electric 1~Vater Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / sot~t installadon. Note: New Service
Entrance Cables wi11 t~egnire a separate permit.
.~ Reconnection or new cit+cuit for the replacement of other permanently wired
app{fiances /fixtures.
New circuit for the addition of A/C td an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric oq a single family owner occupied home. Wor~E on a condominium,
duplex, rental, or multi-use budding would require a licensed Electrical
Co>2tractor.
Other
The value of this work is $ ( • d v „_.
I hereby verify this work will be performed incompliance with the License requirements of
Section 11-22 of the t)shkosh Municipal code and further verify the reconnection /installation
will be done in compliance with manufacturer and llectric code requirements.
~, r L~ ~I_ _ E ,~ c~`C .~V~J. ~3.ZUa d
(Signatun o Company C)ffioer ar Iiomeowoer) (Pxira Name) (psca~
FAX N0. :9205824909 Jun. 04 2008 07:56PM P1
City af~icoea
Ditiomot'Taepscdaa Swvior
2l5 CMwd1 A~mie
PO 8wc 1130
O~fooet, WI 5490:x11!0
o)TiW 920.296305D
Pax 910.236.50Ba
C710'1