HomeMy WebLinkAbout0154361 - HVAC (frunace) 0 CITY OF OSHKOSH No 154361
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 524 W NEW YORK AVE Owner GOLD STAR INVESTMENTS LLC Create Date 02/06/2013
Contractor BETTER HOME HEATING&AIR CONDIT Category 500-Residential-Heating&Ventilating Plan _
Inspector John Zarate
Fuel ✓❑Gas ErOil Electrc . Solar J Liolid
System ❑ New ❑ Replace _ I ❑ Other
J Forced Air ❑ Radiant 1 ESteam i ❑ A/C Vent
Electric 1 ❑ Hot Water —] Suppl. I Con. Burner
Chimney Type Chimney A 0 Chimney B O Direct Vent • Not Applicable
Heat Loss As Approved _ O Existing • Not Applicable ] Value
BTU Rate D As Per Plan 0 Variable • Other 1 Value 80,000
Use/Nature ISFR/REPLACE GAS FURNACE,ELECTRICIAN IS JP ELECTRIC **check#71200
of Work
Fees: Valuation _ $2,150.00 Plan Approval _ $0.00 Permit Fee Paid $62.00
Issued By: 87/70) Date 02/06/2013
❑ Permit Voided Parcel Id#1203070000
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 oOofInsh
4111)
Division ision of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 OJHKOJH
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 pennit(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 R
**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.
DAT'. - -
JOB ADDRESS o?/ /22.44.J
OWNER Go d
CONTRACTOR 41...../1-1.1-7 /,721-e,
R '"�
CHECK Il ALL APPLICABLE FEB 0 5 d'0‘3
USE CATEGORY
laigingle Family ❑Duplex ❑Multi-Family ❑Rental rr 1"
OCommercial P �
O,°M EN T
INSI`EC ION SE FM( I,CON
FUEL 16as DElectric ❑Solid SYSTEM ❑New DReplace
❑Oil DSolar DOther
TY
❑forced Air DRadiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. 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 ❑Direct Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL W• ' BEING D 9 NE �D dUI> /37-‘(
VALUE (Including labor and materials) $ oll� 5t.0 v
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Y!' •
9 79 / 07/07