HomeMy WebLinkAbout0154740-HVAC (furance) /�'� CITY OF OSHKOSH No 154740
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 828 BOWEN ST Owner ANDREW J FISHER/MIYOKO P GRINE Create Date 03/18/2013
Contractor BETTER HOME HEATING&AIR CONDIT Category 500-Residential-Heating 8�Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New I �✓ Replace I � Other
✓ Forced Air Radiant Steam� A/C� Vent
Electric � Hot Water Supp� Con. Bumer ,
Chimney Type ChimneyA � Chimney B 0 Direct Vent � NotApplicable �
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Heat Loss As Approved � Existing � NotApplicable Value _
BTU Rate As Per Plan � Variable � Other Value 40,000
Use/Nature DUPLEX/REPLACE FURNACE,ELECTRICIAN IS JP ELECTRIC "*check#71397
of Work I
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Fees: Valuation _ $1,550.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: �w Date 03/18/2013
❑ Permit Voided I Parcel Id#1106530000
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
AgenUOwner
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.
Ci'_�f Oshkosh
' llivision of Inspection Services �
P.O.Box 1130 �
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 01HK01H
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
Irvou are a contractor participatin�r in the Permit fee Accozrnt Svstem and have adeguate funds check here
i�you want this processed throu�h 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 perfortned 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 �— �r��
JOB ADDRESS ' ��� �Ll�l�yt�L.1�
OWNER �
, ��o- �
CONTRACTOR
CHECK L(ALL APPLICABLE
US ATEGORY
ingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL [�'Gas ❑Electric ❑Solid SYSTEM ❑New ❑Re lace
P
❑Oil ❑Solar ❑Other
TY�E
i�orced Air �Radiant ClSteam 7A/C C�i�`ent ❑Eiectric GHot Water ❑Suppl. GCon. i3urner
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 ❑Direct Vent �Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE q�,�x� .Y��D ���� a�'I .
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VALUE (Including labor and materials)� ����• 6�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) � � ^ ,
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