HomeMy WebLinkAbout0156663-HVAC (furnace & a/c) � CITY OF OSHKOSH No �5sss3
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 330 E SNELL RD Owner MICHAEL S/SUSAN K WEISS Create Date 07/12/2013
Contractor BETTER HOME HEATING&AIR CONDII Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar I Solid
System � New j Replace _� � Other �
✓ Forced Air Radiant � Steam ✓ A/C I Vent �
Electric j Hot Water Suppl. Con.Burner I
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/replace furnace and A/C
of Work
I"ck#71910**
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Fees: Valuation $7,900.00 Plan Approval $0.00 Permit Fee Paid $142.00
Issued By: �� Date 07/12/2013
❑ Permit Voided I Parcel Id#1533040000
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.
City of Oshkosh ,
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O�HKO�H
ON THE WATER
HVAC PERMIT APPLICATION
All information a8er 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed throu�h vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted :
with the permit application. Applications submitted without an EIV when such is required, will not be '
processed for Permit Issuance and will be returned for completion.
DATE �— � —���
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JOB ADDRESS •
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OWNER , � (�,
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CONTRACTOR l �qr
RECEIVED
CHECK�ALL APPLICABLE
U�S�CATEGORY
JUL I 12013
C�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
DEPART;►tE�T OF
COJI�tU\I?'Y DE�'EC,OP�1EVT
IVS TIO`•'��:R�'lCES DR'iSlO'.Q
FUEL as ❑Electric ❑Solid SYSTEM ❑New �l�eplace
�Oil ❑Solar ❑Other .
TYPE �
�orced Air ❑Radiant ❑Steam G3"A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS C���INEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIP ION/SCOP OF L W B�ING DONE (fd��� :
VALITE(Including labor and materials)$ � �O� . !�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)__��
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