HomeMy WebLinkAbout0144744-HVAC (furnace) C ) CITY OF OSHKOSH No 144744
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 225 W 11TH AVE Owner TIM S /JENNIFER A MORRIS Create Date 01/26/2011
Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan
Fuel L✓j Gas 1 Oil ❑ Electric _ (J Solar 1 j Solid
System ❑ New 1 121 Replace 1 ❑ Other
u Forced Air ❑ Radiant ❑ Steam ❑ NC J Vent
1 Electric Li Hot Water J Suppl. U Con. Burner
Chimney Type K ) Chimney A () Chimney B 0 Direct Vent • Not Applicable
Heat Loss ( ) As Approved () Existing 0 Not Applicable Value
BTU Rate ( ) As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace. EIV signed by Kollmann Electric.
of Work
Fees: Valuation $5,140.00 Plan Approval $0.00 Permit Fee Paid $88.00
Issued By: arMR- Date 01/26/2011
❑ Permit Voided 1 Parcel Id # 0901110000
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 efOrlige51.
P . O .oi:vx k N>_�v: li:ut Stria+
P.O. box. l k:rE)
0A11 .36, WI Ws:13 -113D
Pima; -, .'..2D)21-6 , %5C 1 +50 � f l
_ Fax 026)236-M44 u R`
6 -M44 ( I H
dt1 t t' Vito FF
IVA+C' * ERWII T APPLICATION
t A ll intinctr;. iur afar hold roles. -ire mte he provide :I.
Es conplrleayilisatians will ne : be. prat ssed.
Q cv
fLkp! i r un[s) urd Je:(s) uurt lit lu_iaug'rit to City Mail, iRuum e0S or hopscf.iot S r ix s, PO Box ]
Oshkosh Vi01 54943 - 1128. Commencing work without pstrnit (s) will resell in fees Bing doubled or $100. pJua tl
ncci ui p fee, wftirle eY is gr eater.
you area contractor =arlieinurin2 iN t}te f ersr.i2 fee Account i. 'istem and *ave. adequate futcd`e- E/.eck here
if yen: wan/ rhi_ proucrseal i/ir u gh y yr uscou+rt fl
" Ind viz i - For li.ble projects, an Electrical L*:Stx?!at on Vm?3ceti,^-n (ELY) fe , .:gn:I by the El ettri: at
Contractor or Homeowner (Foe installations allowed tube performed by the homeowner) must be submitted
with the permit application. Applications subnrritied''ititaut an BWV when sut"i ii required, will ti ot be
pracess-ed for Pelt Issuance And frill 1b returned for completion. /�
DATE
JOB ADDRESS a? a / / rk A v e
GwNE$ \len r,'T"i'r /Her r 7f
CONTRACTOR in li ' A.
CBECK Ef ALL APPLICABLE
USA CATEGORY
Ingle Family CJ Duplex CI Rental DConim rcial El industrial
FUEL fiCias DU eon; c EIS Iid SYSTEM D e w DRepleee
�OFI O v la: orr V E D
T C ❑
Air 7 s pp i ro:d EaE�dia�t CIS:calm ❑A1C Vert ❑Bjt3ctrac l�iot��• �Su �. • r
IS CHIMNEY 13 MI G EIN D DNb DYe.t; - LINEM SIZE c. MANUFACTURE-ft tl'Att I MItIV I OF
'Nom: sill ct.lrn7cyssl�Il tc alzad pez ttsB BTU's �cirrn Tc�,tt;. COMMUNITY DEVELOPMENT
CHIMNEY TYPE DClurniw y A. DOhunrrwy B GJDJi' ;t Vent CialiskiSPECTION SERVICES DIVISION
HEAT LOSS QAs. u roved DExiitting ❑Not App
r- W1'U RATE. DAsPe Plan DVari le 00i135r Value
ti\
,;; DESCRIPTION J SCOPE OE' ALL WORK BE1] G ]kOrig I /I/ y _ _ . -A. -
v � r� `i p
- VALUE (iitcEtoitlg E:aiI:I p it'i tex;ti.cafnls)" ,� / v
l_l
t.i
1.111,1:C1'711 CM, COMM ACTOR (fur ]tl•�sads not i giiirir.g art Bi:` Ft.rrtl
07/47
02 J
01/24/2011 09:16 9202737965 KOLLMANN ELECTRIC PAGE 01/01
• City of Oshkosh
Division of Inspection Services
2i5 Church Avenue
PO Box 1130
Oshkosh W1 54903 -1130
Office 920 -236 -5050
N „ w A Fax 920. 236.5084
Ele , tric Installation Verification
I (We) /(0/6Vi/i, A ‘'Cl 4 ZC . .
(Elec 'cal Contractor Name or Homeowner's Name)
0 1 ° 0 k 2 Ve.rm 4y l't- ? 7
(Address) Ci
( ry) (State) (Zip Code)
•
accept the responsibility to per orm the electric work as stated below, at the following address:
oC Ate ✓/ 'Ter a" e s ea7;:.
(- d• - ss where work will be performed)
The nature of the work consist- of: (Check One or Describe the Nature of Work)
K Reconnection or ew circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or • ew circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of e Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fi. es due to siding / soffit installation. Note: New Service
Entrance Cabl - s will require a separate permit. •
Reconnection or , ew circuit for the replacement of other permanently wired
appliances / fi tures.
New circuit for th addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a s!ngle family owner occupied home. Work on a condominium,
duplex, rental, or multi -use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ / E '
X hereby verify this work will be performed in compliance with the License requirements of
Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
/_ .. / L.d.i. , i , Al - 4.7.- 74 ._ Teres.t., /610 ,, ,,\ l'-2V./(
7 (sign: a of Company Officer or Homeowner) (Print Name) (Date)
07/07
Received Time Jan. 24. 2011 9:13Pv1 No. 4477