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Home My WebLink About0158555-HVAC (furnace in 1408) � CITY OF OSHKOSH No 158555 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1406 OSHKOSH AVE _ Owner ALEXANDER A KOOPMAN __ Create Date 10/30/2013 Contractor HOMETOWN HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate Fuel ✓ Gas 'i Oil 1 Q Electric Solar Soli� System [] New J �Replace '� � Other � d Forced Air Radiant Steam � A/C ' Vent ' Electric Hot Water Suppl. Con. Burner I Q —I _ � Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable� Heat Loss As Approved � Existing � Not Applicable � Value _ BTU Rate � As Per Plan � Variable � Other � Value Use/Nature �I UPLEX/replace furnace in 1408 —, of Work , **ck#2149** . i I � i -- Fees: Valuation $2,000.00 Plan Approval $0.00 Permit Fee Paid $46.00 Issued By: ��. Date 10/30/2013 ❑ Permit Voided I Parcel Id#1600470000 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 secur any necessary approvals before starting such activity. Signature Date jC7�- fv •�p AgenUOwner Address 5518 REIGHMOOR RD OMRO WI 54963 -9439 Telephone Number 920-379-9940 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. � � F E City of Oshkosh � � Division of Inspection Services � � P.O.Box 1130 � Oshkosh,WI 54903-I 130 Phone(920)236-5050 Fa� (920)236-5084 01HKOf 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$100.00 plus the normal permit fee,which ever is greater. ` OR If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here � � if vou want this processed throu�vozrr account n � **Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted � with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be � processed for Permit Issnance and will be returned for completion. ( yQ�, DATE IO' 3(7 -� � JOB ADDRESS�� 6��p;�UP...� OWNER � � � CONTRACTOR Ho/l��,�✓1 ��j�' C�.2,�r�_ d � CHECK[�ALL APPLICABLE USE CATEGORY _ �: ❑Single Family �'Duplex ❑Multi-Family .�Rental �Commercial ❑Industrial ` � FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New �Replace � , ❑Oil ❑Solar ❑Other ; , � TYPE � J�'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner � s IS CHIMNEY BEING LINED�io ❑Yes -LINER SIZE &MANUFACTURER ; Note:All chimneys shall be sized per the BTU's being vented. i � t CHIMNEY TYPE ❑Chimney A ❑Chimney B �Direct Vent ❑Other ; HEAT LOSS ❑As Approved ❑Existing �Not Applicable BTU RATE ❑As Per Plan ❑Variable ❑Other Value � DESCRIPTION/SCOPE OF ALL WORK BEING DONE_,T�Z,Qi P.C"�,S�'�r c,.c.P� f � � t � r VALUE(Including labor and materials)$ ��O, � ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) � � i Q7��7