HomeMy WebLinkAbout0152059 -HVAC (install AC) (ID CITY OF OSHKOSH No 152059
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3160 ELK RIDGE DR#A Owner PAUL J MESTER
Contractor BETTER HOME HEATING&AIR CONDIT Category 501 -Residential-Air Conditioning P a^ ate Date 08/30/2012
Inspector Nicole Krahn
Fuel Gas I U Oil I U Electric
U Solar I U Solid
System LLNew n Replace
❑ Other
[_f Forced Air I Li Radiant I U Steam A/C
I I u Vent
U Electric I I I Hot Water I U Suppl. I I I Con. Burner I
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss O As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other I Value
Use/Nature (CONDO/INSTALL 2-1/2 TON A/C, ELECTRICIAN IS BEEZ ELECTRIC **check#70363
of Work
Fees: Valuation $ 9.00 Plan Approval
Fyrn (3,3 $0.00 Permit Fee Paid $67.00
Issued By:
Date 08/30/2012
❑ Permit Voided I Parcel Id#1329610220
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 R E
7 E 1 Vr
P.O.Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050 AUG 3 0 2012
Fax (920)236-5084
DEPAR1MENT OF
COMMUNITY DEVELOPME /HKOM
HVAC PERMIT APP AFE b N THE WATER
RVICES DIVISION
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 n
**Advisory-For applicable projects, an Electrical Installation Verification
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
cal
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 6- a27—/.
JOB ADDRESS .3ZC &-AL j-
OWNER imp 3�C '
CONTRACTOR
... _�
de
CHECK H ALL APPLICABLE
UUn.CATEGORY
❑Jingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Comm
ercial ❑Industrial
FUEL Ddas DElectric ❑Solid SYSTEM ONew DReplace
DOH ❑Solar ❑Other
TYPE
❑Forced Air DRadiant ❑Steam C ❑Vent DElectric :Mot Water ❑Suppl. ❑Con. 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 ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL ORK BEING DONE i , , 02 /
VALUE (Including labor and materials) $ c9 7 00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07