HomeMy WebLinkAbout0155664-HVAC (a/c) /�'� CITY OF OSHKOSH No 155664
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1608 NEBRASKA ST Owner KEITH J MCBRAIR Create Date 05/15/2013
Contractor BETTER HOME HEATING B�AIR CONDIT Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar
��� Solid
System � New � � Replace � � Other I
Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner , `
Chimney Type ChimneyA � Chimney B 0 Direct Vent � NotApplicable !
Heat Loss As Approved � Existing � Not Applicable � Value
BTU Rate As Per Plan 0 Variable � Other 1 Value
Use/Nature FR/INSTALL 2 TON CENTRALAIR, ELECTRICIAN IS BEEZ ELECTRIC **check#71680 i
of Work
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Fees: Valuation $2,350.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �,J Date 05/15/2013
❑ Permit Voided � Parcel Id#0305450000
In the performance of this work,I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 1054 AMERICAN DR NEENAH WI 54956 -1305 Telephone Number 920-733-2161
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� (920)236-5084 I
ON THE WATER -
HVAC PERMIT APPLICATION MAY 15 2013
All information after bold categories must be provided.
Incomplete applications will not be processed. DeP,aK'��►�E�T oF
C0�1�tU\iTY'�E�°ELOPAfEVT
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspecti���rv�'c�s�F���t�qi$t�;
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 vou are a contractor participatin� in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�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.
DATE l�� ��— /�
JOB ADDRESS /G Cf� //�'`�0'' L��� �
OWNER �"/lC � , " � �
Y`C_.t�C�-'� �� ,r .o n � �
CONTRACTOR
CHECK�ALL APPLICABLE
U�S�ATEGORY
C�'Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL �'Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYPE _�� �
❑Forced Air ❑Radiant ❑Steam C]�/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIlVINEY BEING LINED ❑No ❑Yes -LINER SIZE &MANLJFACTURER
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/ PE OF ALL O EING DONE o7 T
r (,J
VALITE (Including labor and materials) $ vZc�� _
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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