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Home My WebLink About2011-HVAC (furnace) 0 CITY OF OSHKOSH No 145668 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 741 PROSPECT AVE Owner DISCOVERY PROPERTIES LLC Create Date 05/02/2011 Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan Fuel ✓ Gas LJ Oil Li Electric u Solar u Solid System n New 1 ❑✓ Replace ❑ Other i U Forced Air U Radiant u Steam u NC U Vent Electric } U Hot Water U Suppl. U Con. Burner Chimney Type ( ) Chimney A 0 Chimney B O Direct Vent • Not Applicable Heat Loss ( ) As Approved () Existing 0 Not Applicable Value BTU Rate j As Per Plan () Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by JP Electric. of Work Fees: Valuation $4,175.00 Plan Approval $0.00 Permit Fee Paid $73.00 Issued By: O Date 05/02/2011 ❑ Permit Voided I Parcel Id # 0504000000 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 Budding 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 4) 11r1114 Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 \ Phone (920) 236 -5050 Fax (920) 236 -5084 OJ HKOJ H 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 ** 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 / - 02/ _ JOB ADDRESS 7 P GS c 7L AV& • OWNER /SC r) VP// ,m2erif /+ - g 75_ 66 CONTRACTOR /@7'1/ (1'L ., CHECK ALL APPLICABLE i � USJ(CATEGORY APR 2 5 2011 Mingle Family ❑Duplex ❑Multi - Family DRental ❑Commerc 1pART ,In4ustrial � COMMUNITY DE ELOP'MENT FUEL ❑Gas DElectric ❑Solid SYSTEM ❑New PECTION puce IVISION ❑Oil ❑Solar DOther ' Weed Air DRadiant ❑Steam DA/C ❑Vent DElectric DHot Water ❑Suppl. DCon. Burner IS CHIMNEY BEING LINED ❑No ❑Yes - 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 DVariable ❑Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE (j -_ /� (e VALUE (Including labor and materials) $ "1 / 7s, 00 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) x -9/61 07/07 05/01/2011 09:09 9202306865 PAGE 02/02 DIvNio. ofispeaHos Soda ®- 215 Comb Maws PO Has 113) Aiands Wl s49113 -1231 •TA Oates 42043440:10 • - Fax 930-21440161 Electric Installation Verification I (We) l L Name or Homeowner's �. VI v. ., , r.♦ N of HWY�eo�s Name) Jac q 19 r cam/ A - . (Address) 1 (City) (State) (Zip Code) accept the responsliility to perform the electric work as stated below, at the following address: / ° Da t. .eF cS V where work will be performed) The M U M of the work consists of (Check We or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit fe replacement Electric Water Heater or power vented water heater. Reconnection ofthe Service Entrance Cable, Meter Box, altercations to receptacles and kiting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate pern it. Reconnection or new circuit for the replacement of other permanently wired appliances / fnctures. New circuit for the addition of .A/C to an individual dweller unit, including required service electrical outlets. Note: Hallte.01V7ten can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or p, ndtl -see building wauu1d require a licensed Electrical Contractor. Other The value of this work is $ /a 1 hereby verify this work will be performed in compliance with the License scuts of Section 11-22 of the Oshkosh Municipal code and farther verify the reconnection. / installation will be done in co4liance with manufacturer and Electric code requirements. r —eV :. �' L teL4 661,../ e of Comp:0 or x , ) (hriatName) ( ) Received Time May. 1. 2011 9:05AM No. 5449