HomeMy WebLinkAbout0153284 - HVAC (install furnace) 0 CITY OF OSHKOSH No 153284
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 857 CHERRY ST Owner GOLD STAR INVESTMENTS LLC Create Date 10/31/2012
Contractor BETTER HOME HEATING&AIR CONDIT Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel fGas 1 ErOil Electric ❑ Solar I Solid
System ❑ New I p Replace _ _1 ❑ Other
Q Forced Air I Q Radiant Q Steam J H NC Went 1
QElectric jHot Water H Suppl. on. Burner
Chimney Type 'p Chimney A Q Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable
Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use/Nature DUPLEX/INSTALL 80,000 BTU FURANCE, ELECTRICIAN IS JP ELECTRIC **check#70734
of Work
Fees: Valuation $2 050.00 Plan Approval $0.00 Permit Fee Paid $41.50
Issued By: Cali) Date 10/31/2012
❑ Permit Voided I Parcel Id#0504830000
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
D
14111111'
Divv ision of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 Of HKO1H
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 n
**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. i
DATE 16 -2_9- 12_
JOB ADDRESS <FY 7 C IAerr S�
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OWNER IGOI G+ r PcprheS 1L)/
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CONTRACTOR 13244 r t'k y& ti ea- tix9
CHECK H ALL APPLICABLE
USE ATEGORY
Ingle Family ❑Duplex DMulti-Family ❑Rental ❑Commercial ❑Industrial
FUEL Erbas DElectric 0 Solid SYSTEM DNew [Replace
❑Oil ❑Solar 0 Other
T
orced Air ❑Radiant ❑Steam ❑A/C ❑Vent DElectric DHot Water DSuppl. ['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 ❑Chimney A ['Chimney B DDirect Vent DOther
HEAT LOSS DAs Approved ['Existing DNot Applicable
BTU RATE DAs Per Plan DVariable ['Other Value,/} /�
DESCRIPTION/SCOPE OF ALL WORK BEING DONE <l)f OO /am ray va,�
VALUE (Including labor and materials) $ ZOO
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
-6777D riP
07/07