HomeMy WebLinkAbout0153407 - HVAC (replace Furnace) 0 CITY OF OSHKOSH No 153407
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 820 JOHN AVE Owner DISCOVERY PROPERTIES II LLC Create Date 11/06/2012
Contractor BETTER HOME HEATING&AIR CONDIT Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel U Gas Erbil Jctric 1 ❑ Solar 01 Solid
System ❑ New I ❑ Replace ❑ Other
✓ Forced Air H Radiant Earri A/C 1171 Vent
❑ Electric ❑ Hot Water ❑ SuppI. ❑ Con. Burner
Chimney Type 0 Chimney A 0 Chimney B O Direct Vent • Not Applicable
Heat Loss _ As Approved O Existing • Not Applicable Value
BTU Rate • As Per Plan O Variable • Other 1 Value 60,000
Use/Nature IISFR/REPLACE FURNACE, ELECTRICIAN JP ELECTRIC**check#70748
of Work
Fees: Valuation -�,,^ $2,225.00 Plan Approval $0.00 Permit Fee Paid $44.50
Issued By: 5--in/ Date 11/06/2012
`��VV ❑ Permit Voided Parcel Id#0505190000
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
Phone(920)236-5050
Fax (920)236-5084 Of H<Of H
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 17
**Advisory-For applicable projects, an Electrical Installation Verification(ElV)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 //
JOB ADDRESS YC'0 . L /
OWNER C _ _' - ' / f f
CONTRACTOR
CHECK H ALL APPLICABLE
USWCATEGORY
5Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL LIUas DElectric ❑Solid SYSTEM ❑New DReplace
❑Oil ❑Solar DOther
D or
orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric DHot 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 DChimney A DChimney B DDirect Vent DOther
HEAT LOSS ❑As Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE 67-/Z' ,77( -
VALUE (Including labor and materials) $ 7 5-, U U
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) T I ?
V7 7/ 07/07