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Home My WebLink About0146615-HVAC (furnace) CD CITY OF OSHKOSH No 146615 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1035 W 9TH AVE Owner JAMIE M /MELISSA M LARSON Create Date 06/30/2011 Contractor BETTER HOME HEATING & AIR CONDII Category 500 - Residential- Heating & Ventilating Plan Inspector Nicole Krahn Fuel U Gas U Oil U Electric H Solar I Solid j System [] New I Q Replace n Other u Forced Air u Radiant u Steam u NC U Vent Electric u Hot Water J Suppl. _J Con. Burner Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss 10 As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by Kollman Electric. Check #68001. of Work Fees: Valuation $1,704.00 Plan Approval $0.00 Permit Fee Paid $37.00 Issued By: 0' Date 06/30/2011 0 Permit Voided Parcel Id # 1305260000 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 1130 (0 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 O�HKO�I I Fax (920) 236-5084 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 (l ** 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 L — / Lo -- // / JOB ADDRESS (03 C 14) b O OWNER CIAT∎ Q 7� D CONTRAC R 6.1 -46)141/ at r 'J CHECK Et ALL APPLICABLE • USE CATEGORY EFSingle Family ❑Duplex ❑Multi - Family DRental ❑Commercial ❑Industrial FUEL ❑Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace ❑Oil ❑Solar ❑Other TYPE R EC E ❑4orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water C�Sp,pul� 11C Burner IS CHIMNEY BEING LINED ❑No ❑Yes - LINER SIZE & MANUFAC RA INroF Note: All chimneys shall be sized per the BTU's being vented. COMMUNITY DEVELOPMENT CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent I1ON SERVICES DIVISION HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value ,/� DESCRIPTION / SCOPE OF ALL WORK BEING DONE � NI v TO if O I, rli VALUE (Including labor and materials) $ 110 1 /. e b ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ki //tj 11 • A —� 1 S / 07/07 06/29/2011 08: e8 9202737965 KOLLMANN ELECTRIC PAGE 01/03 City *Oshkosh Division of tm.: ion Services 235 Church Aveaue PO Box 1130 Oshkosh Wt 34903.1130 r7L::t��L f 92920-236-5050 Electric Installation Verification I (We) , / kc.: i^" - L t! C (Electrical Contractor Name or Homeowner's Name) i (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: tl/ � e. . - - . (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 AIC 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 1 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 S / 1 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. .,A(.,r.,e.r� -� — s , ;cox /J/,47 G'o//. 6-191-1/ ig 7 f Compax y officor or Homeowner) 4Print Name) (Date) A7/0 Received Time Jun. 29. 2011 9:OOPM No.6194