HomeMy WebLinkAbout0139875-HVAC (furnace) 0 CITY OF OSHKOSH No 139875
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1534 EVANS ST Owner DENISE SCHUTTE Create Date 02/17/2010
Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan
Fuel I ✓1 Gas 1 1 Oil 1 Electric (J Solar 1 Solid 1
System n New I n Replace
n Other
1 Forced Air u Radiant LJ Steam u A/C u Vent
LJ Electric 1 1 Hot Water I Suppl. I Con. Burner
Chimney Type () Chimney A () Chimney B () Direct Vent • Not Applicable
Heat Loss J As Approved 0 ) Existing • Not Applicable Value
BTU Rate K) As Per Plan 0 ) Variable • Other Value 40,000
Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY SECKAR ELECTRIC **check #65373
of Work
Fees: Valuation $1,840.00 Plan Approval $0.00 Permit Fee Paid $38.50
Issued By: Date 02/25/2010
❑ Permit Voided I Parcel Id # 1511710000
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
'.O. Box 1130 E C E 1 t '
Oshkosh, WI 54903-1130 V
Phone (920) 236 -5050 FEB 2 4 20 �JHKOf H
Fax (920) 236 -5084 •
DEPARTMENT OF ```' T.-I F WATFR
HVAC PERMIT APPLICAT#OdNTr y DEVELOPMENT
All information alter bold categories maaREAWERVICES DIVISION
•
Incompi 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 permit fee, which ever is greater.
011 •
If you are a contractor participating in the Permit fee Account System and have adequate funds. check hkre-
if rot' want this processed through roiir account R
** Advisory -- For 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. Applications submitted without an EIti' when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE c - c2 — 10
JOB ADDRESS /3 c ? / &A-d.. ,0 _If
OWNER , 4t kr L .9/
CONTRACTOR A, ..„„-Air-_, ..02.4 r ih % ' << , 3F-sT
CHECK. El ALL APPLICABLE
USE
O Family ODuplex ❑Multi Family ❑Rental OCommercial ❑Industrial
FUEL U Gas ❑Electric ❑Solid SYSTEM ❑New IJReplace
❑Oil ❑Solar ❑Other
TYPE
OP'otced Air ORadiant OSteam OA/C OVent OElectric allot Water OSuppl. ❑Con. Burner
1S CHIMNEY BEING LINED ONo ❑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 DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION / SCOPE OF ALL WO ' , BEING DONE , ,t ,d :4La °V°
/3/7 < <� /4 -(�_
VALUE (Including labor and materials) $ �i � yO. 0 0 , , 6 ,4 ° ELECTRICAL CONTRACTOR (tar �,royects slat requirin g au ETV Farm} '/� ,4
07 07
ROM : FAX NO. :9205824909 Sep. 15 2009 03:41PM P1
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