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Home My WebLink About0156591-HVAC (furnace) � CITY OF OSHKOSH No 156591 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 309 BACON AVE Owner KYM W ASEN Create Date 07/08/2013 Contractor BETTER HOME HEATING&AIR CONDIT Category 500-Residential-Heating&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 Suppl. Con. Burner Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable HeatLoss AsApproved � Existing � NotApplicable Value BTU Rate As Per Plan 0 Variable � Other � Value Use/Nature FR/REPLACE FURNACE, EIV SIGNED BY TRIUMPH ELECTRIC **check#71898 � of Work � I � � � I �I I —i Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00 Issued By: ��rn(/v Date 07/08/2013 : ❑ Permit Voided � Parcel Id#1518160000 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 113"J � Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax �920>236-SO84 01HKO.lH 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 vou are a contractor participating in the Permit f'ee Account Svstem and have adeguate funds check here i�vou want this processed throu,�h 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 withont an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE �'-l `! 3 JOB ADDRESS �Y� � [,ti1�2 OWNER "' l� �'� � � � CONTRACTOR CHECK H ALL APPLICABLE USE CATEGORY ❑�gle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial FiTEL ❑Gas ❑Electric ❑Solid SYSTEM �New ❑Replace : ❑Oil ❑Solar ❑Other TYP� � ❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric �Hot Water ❑Suppl. ❑Con.Burner IS CHIlVINEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CFIIIVINEY 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 VALUE (Including labor and materials) $ ��Q�• � ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)� � � � — y'�� - o�,o� Jul O1 2013 4: lOPM HP LRSERJET FRXTRUMPHELE 9z07343838 page 2 _'~_�--� �- ' '��-�-• . . _ . . _�,.....r..,,,...,,� ��,. �.. � G�or� - , . _.-......_., � DMbio�of t�pon Smic�s ^ '`~+� � Iti Cltroq�.� ��,»o s ow�mrnw� s.ao�.,iw o�• �ta�s�so�o � Fa !Z�l36.SO�I Electr�c In�tallatton �erfification 1(vVe) ��' (Ele�trical Contra�etor Name) � (Addre�s) itY) (Stata /r � (Z�p Code) h8ve bee�comq�ctOd to perfOa�r1 G1eC�riC tn�llati4lf wOrk for � . � (Name of PartY contracted t�o�> at the following addre�s: 0 A C o � ,� (Addreae where worit will be parfor�r�� Tho nsture of the work consi.sts of; (Check pne os De�c�i1��e Nature of Work ) -� R�comia+cpon or new circuit gor r �_ Roco�oectioz�or uow circnit fca� �a��nt I�aaarr�Plsnt and/or A/C Condeaser, wate�heatear, �'°Pl�°noa��+lectric Watar Heater�powa�ve�ted � R.ecom�ect�on of tb�Serviam Bn. su�d l. �ce C�lrelet�g�,alteratione to rcceptacles ��8�dua to aiding!ao�lt�}�. Note: New Service Entr�nee Cablea arill req.uu+o a�p��, Recormecticn or new circuit &ar the�p��cast�dnt of od�er perenanantly wired a�sPliance�/fixtures. .,.�, New circuit fi�r th�e�ddi.tio�of A/C tio an indtu�dr�o!d+�,lltr�g��(6ouae or the individual ay��s in a dup�ex or co�� 8�1�'ed eervioc electrieal outlete. ,^ Ocher The vaiue of thie work is$� ,o a � -�.`_ T ha�eby variPy tbir work will be Pe,�formed b jm Y at�loyee of this compatiY aud furthsr verifY the reoo�nae�cqou/ia�tsllation wiq be done i�oom li�nce wi1� . a d roQuir�snents, p n m,m�ufactt�r and Electric code � ,' ��_ �3 (S�Bnature of Comp,�y Officer) (�nt N�ne of C�r.ar) (Uate) . sro2