HomeMy WebLinkAbout2010-HVAC (furnace)0 CITY OF OSHKOSH No 139739
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 121 PROSPECT AVE Owner LEE J TRITT Create Date 02/11/2010
Contractor
BETTER HOME HEATING & AIR CONDII
Category 500 - Residential- Heating & Ventilating Plan
Fuel
❑ Gas
L
L Electric
L Solar L Soli
System
❑ New
❑✓ Replace
❑ Other
✓ Forced Air I
L Radiant I
L Steam
A/C Vent
Electric
L Suppl.
Con. Burner
Chimney Type
Chimney A
Chimney B
Direct Vent
Not Applicable
Heat Loss
As Approved
0 Existing
Not Applicable
Value
BTU Rate
As Per Plan
0 Variable
Other
Value
Use /Nature
of Work
)uplex (upper unit) / Replace furnace. EIV signed by Seckar Electric.
Fees: Valuation $1,877.00 Plan Approval $0.00 Permit Fee Paid $38.50
Issued By:
❑ Permit Voided
Date 02/11 12010
Parcel Id # 1007120000
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.
Citv of OSMOSil
Division of Inspection Services
''.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236 -5050
Pax (920) 236 -5094
HVAC PERMIT APPLICATION
All information alter bold categories must be provided_
Incomplete applications will not be processed.
m Application(s)and fee(s) can be brought to City Nall; Room 205 or mailed to Inspection Services; PO Box 1128,
Oshkosl3 WI 5-4903 -1125- Colnmencutg work without pertnit(s) wi�i result hi fees being doubled or $lOQtl(i plus tlae
normal permit fee, which ever is greater.
OR- i a - - ... ............�., f,...dc rhv�G•. F7[e!•e
** Advisory -- b'or applicable projects) an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applicatioos submitted without an EIj•` when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE —2 — / — X6
JOB ADDRESS /2
CONTRACTOR
C Cy u
CRECK Ul ALL AYPLXCABLE
USE CATEGORY
CtiSinl;le Family Couples DMulti- Family Mental
QCotnmercial QIndustrial
FUEL VGas QElectric. QSolid SYSTEM �Ne��- ❑Replace
00R OSolar 00her
TQ
orced Air QRzcliartt ❑Steam ❑A,lC QVent QElectric QHot -Water C1Suppl. L` -]Con. Bunter
IS CHIMNEY BEING LINE)) []No QYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE QChinurey A QChimney B QDirect Vent Q011ier
HEAT LOSS ❑As Approved QExisting QNot Applicable
BTU RATE QAs Per Plan QVariable 130ther Value f
DESCRIPTION / 1ACPPE OF ALIj WORK BEING DONE _6 61,67111)— 0 i A f i
VALUE (Including tabor and materials) $
ELECTRtC&L CONTRACTOR. (tar not rec}asrinb am& E.1-V Farm}
s�ols.�.:• � ~.
' i b/iM-l�J6103b '
Sep. 02 2009 06:26AN P1
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