HomeMy WebLinkAbout0145748-HVAC (furnace) 0 CITY OF OSHKOSH No 145748
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 722 EVANS ST Owner PIE INVESTMENTS LLC Create Date 05/05/2011
Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan
Inspector
Fuel U Gas [ 1 Oil Electric 1 Solar 1 Solid
System n New 1 0 Replace 1 n Other
u Forced Air u Radiant U Steam J NC n Vent
L Electric LJ Hot Water Suppl. LJ Con. Burner
Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other
Value
Use /Nature SFR / Replace furnace. EIV signed by JP Electric.
of Work
Fees: Valuation $2,998.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: 0/2 Date 05/05/2011
n Permit Voided I Parcel Id # 1106030000
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.
05/04/2011 15:02 9207225866 CENTRAL TEMPERATURE PAGE 02
City of Oshkosh.
Division of inspection Services R EVIS ED
P.O.
CA
Box 1130
Oshkosh, WI 54903 -1130
Phone (20 3500 • Of HKOJH
Fax (920)236 6 -500844 I I
oN TH6 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
.Uvou ar g con rro,ctor p articipating in the .Permit fee Account System and have adequate funds, check here
if you want this processed thr v ur aecountt
** Advisory - For applicable projects, an Electrical Installation Verification (ETV) forxn, 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 ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 4-J
JOB ADDRESS V Q l!k 5 { J i ' D b
�1
OWNER ,�SG DVet
CONTRACTOR 1 .• • —I /_ A
CHECK H ALL APPLICABLE
USE CATEGORY
gle Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial
FUEL 4lGas ❑Electric ❑Solid SYSTEM ONew ❑Replace
❑Oil ❑Solar ❑Other
T�YPPE
E reed Air ORadiant ❑Steam ❑.A/C ❑Vent ❑Electric ❑Hot 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 ❑Chinnney A ❑Chimney B ['Direct Vent CDOther
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan [Wadable ❑Other Value ^ �
DESCRIP . / V ON / SCOPE OF ALL WORK BEING DONE u b'l P -
\ 7 C4t Ft-kV lA
VALUE (Including labor and materials) $ 19 ? - 0 0
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Forrn) C I G
Received Time May. 4. 2011 2:41PM No. 5533- C 07/07
05/04/2011 15:12 9202306865 PAGE 01/01
City of Oshkosh
Division alas Services
215 Church Avenue
PO Box 1130
Oshkosh WI 34903.1130
H Office 920 - 236.5050
aN i wnre¢ Fax 920- 236 -1084
Electric Installation Verification
I(We) 1C_ I/ C—
•
(Electrical Contractor Name e
(El axn or Homeowner's Name)
(Address) V (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
7da- ( / , cot-- ..
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe 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 heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation,. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single 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 $ / .
I 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.
// P �IJ
C 3
■v�. ., (5, l i
ignaturc of Company Off ccr or Homeowner) (Print Name) b
Received 'Time May. 4. 2011 3:07PM No. 5535 07/07