HomeMy WebLinkAbout0152130 - HVAC (replace furnace) 0 CITY OF OSHKOSH No 152130
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2015 NEBRASKA ST Owner CHARLES J FLUEGEL Create Date 09/05/2012
Contractor BETTER HOME HEATING&AIR CONDIT Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel I✓ Gas I Oil I L Electric L Solar L Solid
System —1 New I L] Replace I n Other
• Forced Air ] Radiant Steam u A/C u Vent
L Electric j j Hot Water u Suppl. I L Con. Burner
Chimney Type O Chimney A 0 Chimney B O Direct Vent • Not Applicable
Heat Loss O As Approved O Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature jSFR/REPLACE 60,000 BTU FURNACE AND 2 TON A/C,ELECTRICIAN IS BEEZ ELECTRIC **check#70373
of Work
Fees: Valuation $1,200.00 Plan Approval $0.00 Permit Fee Paid $118.00
Issued By: Orn Date 09/05/2012
❑ Permit Voided j Parcel Id#1400710200
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
Oshkosh, WI 54903-1130
(41116—.D Phone(920)236-5050
Fax (920)236-5084 DJHKOJH
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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE '`-3 I– 1 3—
JOB ADDRESS c2 U l 2 61(it--S kCL S---
OWNER @, karle5 r1 u //j. G6
CONTRACTOR Be' cr }-kme J�� e0. K
lit
CHECK H ALL APPLICABLE q,(- ( 2
US,E CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL D6as ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
p orced Air ❑Radiant ❑Steam D /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 DChimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DO (/" . 0,e7g
/ 3 �-oPh �/.� ..r�. r a?
a
VALUE (Including labor and materials) $ 7 7 Q 0, 13 6
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) j- • - ;,••••• •
4- 02 - 17 07/07