HomeMy WebLinkAbout0158086-HVAC (furnace & a/c) � CITY OF OSHKOSH No �s8oss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 59 LAKE ST Owner TROY W ARMSTRONG Create Date 10/03/2013
Contractor BETTER HOME HEATING&AIR CONDIT Category 502-Residential-Both Plan
Inspector John Zarate
Fuei ✓ Gas j Oil � Electric� Solar Solid .
System ❑ New � �✓ Replace � � Other j
✓ Forced Air � Radian� Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type ChimneyA � Chimney B 0 Direct Vent � NotApplicable
Heat Loss �s Approved � Existing � NotApplicable Value
BTU Rate �s Per Plan � Variable � Other Value
Use/Nature SFR/REPLACE FURNACE AND A/C, ELECTRICIAN IS TRIUMPH ELECTRIC ""check#72305 I
of Work � i
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Fees: Valuation $10,600.00 Plan Approval $0.00 Permit Fee Paid $184.00
Issued By: �� Date 10/03/2013
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❑ Permit Voided I Parcel Id#0803210000
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.
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c��y ofo�n�n , -
Bivision of Inspection�ervices - � w
P.O.Box 1130
Oshkosh,WI549U3-1F30 � - o
Phone{920)236-SO50 W `-
Fax (920)23 Er5084 � k\O�i I � ;
ON T}iE WATER o
HVAC PERMIT AP�L1CATiON D '>
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All informaiion after bold ca�tegories must be provided.
Incomplete applications will not be proceased
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• Applicatioa(s) and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO�Box 1128, �
Oshlcosh WI 54903-1128. Commencing work without permit{s)wiII result in fees being doubled ar$100.00 plus the a
normal permit fee,which ever is greater. _ _ r
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OR ^�
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�you are a contractor participatinz in the Permit tee Account Svstem and have adeguate f�ands. check here„�
r��ou want this processed throu.�h �our accaunt n p
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**Advisory-�or applicable projects, an Electeical�staIlal�ion Verification(EI�form,�signed by the Electricai'-'-'
Coxmractor or Homeowner(for insta�Iaiions allowed to be performed by the homeowner)mIISt be subrnitted
with the pernait application. Applications submitted withont an EN when such is reqaired, will aot be �
processed for Permit Issi�ce and will be retumed fox campletion.
DATE I��� ���
30B ADDRE
OWNER '
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CONTRACTOR
CHECK�ALL APPLICABLE :
U5 ATEGORY
ingle Family aDuplex ❑MulEi-Family DRental ❑Commercial DInd�a1
FiTEL L4Uas C7Electric �Soiid SYSTEM bNew ❑Replace
❑Oil C7Solar ❑Other
�3Forced A.ir ❑Radiant OSieam C�JC CJVent ❑Electric QHot Water ❑Suppl. ❑Con. Bumer
IS C�EY BEING LINED Q3�To ❑Yes -LINER SIZE &MAMJFACT�JRfiR
Note:All chimneys shall be sized per the BTU's bei�g vented. �
�� CHIlVI�FEY TYPE ❑Chimney A ❑Chimney B ODirect Vent ❑Other
. HEAT LOSS ❑As Approved ❑Existing C3Not Applicable
BTU RATE L7.As Per Plan �Variable ❑Other Value
DESCRII'TiON/SCOPE OF WORK BEIl�IG DONE
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0
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VALUE(IncInding labor and�naterials)$ � �0 � '
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ELLCTRICAT.COIVTR�iCTS3R(for projecfs not requiring an EIV Rorro) � �
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