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Home My WebLink About0145669-HVAC (furnace) (0.) CITY OF OSHKOSH No 145669 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1429 W BENT AVE Owner EXCEL PROPERTIES LLC Create Date 05/02/2011 Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan Fuel L).✓ Gas Lf Oil Electric U Solar I Solid System [] New 0 Replace I ❑ Other u Forced Air [J Radiant LJ Steam LJ A/C LJ Vent U Electric LJ Hot Water _ II Suppl. Li Con. Burner Chimney Type ( ) Chimney A 0 Chimney B () Direct Vent • Not Applicable Heat Loss J As Approved () Existing • Not Applicable Value BTU Rate 10 As Per Plan 0 Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by JP Electric. of Work Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $58.00 Issued By: ./1/2.( Date 05/02/2011 El Permit Voided I Parcel Id # 1200990000 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 Oshkosh, WI WI 54903-1130 Phone (920) 236 -5050 Fax (920) 236 -5084 OJHKOJH 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 permit fee, which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account 1l ** 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. [/ .,�/ DATE / — Z SF - � JOB ADDRESS /12? �: /3.42.-A} ��iY�/ ' k 5 6- OWNER .I / �. dr uG CONTRACTOR 4 iiAPP■< R E C 4k r R'r CHECK fa ALL APPLICABLE APR 2 9 2011 USE CATEGORY ❑Sin le Family ❑Du lex ❑Multi -Family ❑Rental ❑Co I '� RP � R r! 1 hkd istrial g Y P Y 1n 3fl dllYQ,VF, Mrtli INSPECTION SERVICEL FUEL ❑Gas DElectric ❑Solid SYSTEM :New DReplace ❑Oil ❑Solar DOther TYPE ❑Forced Air DRadiant ❑Steam ❑A/C ❑Vent DElectric DHot Water ❑Suppl. ❑Con. Burner IS CHIMNEY BEING LINED ❑No DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B DDirect Vent DOther HEAT LOSS DAs Approved DExisting ❑Not Applicable BTU RATE DAs Per Plan ❑Variable DOther Val // i DESCRIPTION / SCOPE OF ALL WORK BEING DONE A A r_�� 5D VALUE (Including labor and materials) $ c 6 0 - d 0 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) \?`' - # 4 77 - eir � 07/07 05/01/2011 09:09 9202306865 PAGE 01/02 • tit 2u rf.sa6 A9ew. PO Boa[ 1139 ........ w1 54909 -4119 X11: AN: comm 92 • Electric installation Vailication 1(we) t . , c, 1-1 G owned : ..„ Name or Homeowner's Name) - • 79002 0o2 r� .. I �.,`- (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: (Address where work will be performed) The nature of the work costs of: (Check One or Descrt�e the Nature of Work) (- Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water ]eater. Reconnection of tie Service 1hlirance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit insaallation Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances / fxixt res. New circuit for the addition of A/C to an individual dwelling writ, including required service electrical outs. Note: Homeowners can only do their own electric on a singleianuly owner occupied lame. Work on a condominlran, duple; rerrtaZ or ;meld-use Indldlng would rovetre a licensed Electrical Contractor. . Other The vabm of this work is $ /bd ---- . 1 hereby verify this work will be permed in compliance with the License regcareaments of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance widxmannfacturer and Electric code requirements. - g s Pdisit4./ ...st. in4_ R il,u,,, � r: !pan= of Company Officer or Homeowner) (PrintName) ( ) • no Received Time May, 1, 2011 9:05AM No. 5449