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Home My WebLink About0157425-HVAC (furnace) � CITY OF OSHKOSH No 157425 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1585 CRYSTAL SPRINGS Owner ALICIA RODRIGUEZ ALVARADO Create Date 08/26/2013 Contractor BETTER HOME HEATING&AIR CONDIT Category 500-Residential-Heating&Ventilating Plan Inspector Nicole Krahn Fuel ✓ Gas Oil Electric � Solar ' Solid --- �-- --- System � New � �✓ Replace � �_Other___ ✓ Forced Air Radiant Steam A/C Vent ' — -- Electric i Hot Water � Suppl. � �Con. Bumer ' -- -- -- ---- ---- -- Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable _ f Heat Loss As Approved � Existing � Not Applicable � Value - - - _-- ---__ _ . _. ._ BTU Rate As Per Plan � Variable � Other Value Use/Nature �SFR/REPLACE FURNACE, EIV SIGNED BY TRIUMPH ELECTRIC **chekc#72112 , of Work i I I � I � � Fees: Valuation $2,150.00 Plan Approval $0.00 PermitFee Paid $62.00 Issued By: �(,�..� Date 08/26/2013 ❑ Permit Voided ' Parcel Id#1308860000 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 O��O�� 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 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�rocessed through vour account ❑ **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 EN when such is required, will not be � processed for Permit Issuance and will be returned for completion. ° �O —/..3 DATE O — JOB ADDRESS ^ �� l ow1vER��• ,�,.� , . RECEI��D� CONTRACTOR AUG 2 6 2013 CHECK Q ALL APPLICABLE ` US� � CATEGORY C0�1�U\IT�t7£ELOP11 VT C�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commert�l�cTi��nc��hria�►av FITEL ❑�as ❑Electric ❑Solid SYSTEM �New ❑Replace ❑Oil ❑Solar ❑Other TYr� : ❑F ced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water �Suppl. ❑Con.Burner IS CHININEY BEING LINED ❑No ❑Yes -LINER SIZE &MANLTFACTURER Note:All clumneys shall be sized per the BTU's being vented. CHIlVINEY 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 RK BEING DONE �G D�� o � e � ��p VALUE(Including labor and materials) $ c� �"� �� l ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) � � — /�� o�/o� Rug 22 2013 6: 39RM HP LRSERJET FRXTRUMPHELE 9z07343838 page 2 , '"'.�,�� .�,. .._."y".._.,-.�,,,,.��.�,�� r� , •..-..,.,.,,.,,,�..._. ,_�-,,.�,,�� q ofOrh�co�h � Divi�fa of le�paaioo&�icet 71s CMurN�A�e�p�e 108ex 1110 Or#kah WI 5�903.11D0 otex�aa�ssoso Pw f20�136.SOd1 � Elecfix�c Installatioa Ver�ficatton .., � I (vVe) ' r,� e c ; ., . (Electrical Contracbor Natne) �/ a 1 q I! (AddreBe) ity) (State) (Zip Code) have been conp�acted to perform electric inetallation work for �'r�l t (Name of party ontracted to) � at the following address; Sr� (Address wh wor1E ' 1 be performod) The nature of the work consists of (Check One or be$cribe the Nature of Work) � Reoonnection or now circuit for reylecement Heerting plant attd/or A/C Con,dp�ser. Reconaoction or new circuit for repta�ceraent Eleca�ic W�ater Heatez or power vented wate�hcatar. . Rocosmeetion of the Scrviee Entrer�ee Cable.�bleta�Hox. a,iterstions to reeeptacles and 1i,�htis�,g fixt�nes due to aialin�/so#�c imstall�ion. Note: Ncvv Service Entrance Cablee a►ill require a se�arate pe�ssit.� I�ecoemectian or naa circuit for tbe replaeament of otber penn�nently wired applianc�/fixtures. New circuit for the�dditioa of A/C to an tr�df�idval dw�e!l�i�g unit(]�ouse or the iadividual sy'tans in a duplex or cwada��ium), includi.ag roc}uired,�ervice electrical oatlet�. Other The value of thie worlc is S�a� .o a I h�eby verify thi� work will be perfonned by an emp)oye�of this coa�pany a�d further veri�r the reeonneetioa/ inetail$tion will be done in eoa�pliance ar�th ma�ufaeturor ana Electrie code requir�ments. �:c�,c�I IQQ_.6��. �'�� I 3 (Sl$ri 8 h l te O f C O Z f 1 p 8 t 1y O F F lCBr� (�rint Nsme of Ot�c�r) (Date) � sm: