HomeMy WebLinkAbout0157699-HVAC (furnace) � CITY OF OSHKOSH No 157699
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 755 W 17TH AVE Owner AMY L TAPLIN Create Date 09/12/2013
Contractor BETTER HOME HEATING&AIR CONDIT Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar i Solid
System ❑ New � Replace ❑ Other j
.� Forced Air Radiant Steam � A/C Vent
Electric Hot Water � Suppl. Con.Bumer ;
Chimney Type � ChimneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value 40,000
Use/Nature SFR/replacing furnace , '
of Work ' �
'i :
I
� _---- ----
Fees: Valuation $2,200.00 Plan Ap roval $0.00 Permit Fee Paid $62.00
Issued By: �� — Date 09/12/2013
❑ Permit Voided I Parcel Id#1405960300
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 specifed 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 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 you are a contractor partici�atinQ 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 EN when such is required, will not be �
processed for Permit Issuance and will be returned for completion.
DATE 7 — Q'l3
Jos annxESS 7sss � � �7'`�` L�ew2
' �
OWNER
' ��- �
CONTRACTOR
CHECK H ALL APPLICABLE
U�S� CATEGORY
C�'Single Family ❑Duplex �Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL DPas ❑Electric ❑Solid SYSTEM �New ❑Replace
❑Oil ❑Solar ❑Other
T�
aF'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CIIIIVINEY SEING LINED �No ❑Yes -LINER SIZE &MANiJFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIlVIl�TEY 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 �y�� `tr/Cl_7ld �f7�
VALUE (Including labor and materials)����
/ 1
�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
� � —�qQ � o�/o�