HomeMy WebLinkAbout0159026-HVAC (furnace) f
� CITY OF OSHKOSH No 159026
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1303 HAZEL ST Owner JEREMIAH M/MARGUERITTE F MILLER Create Date 12/10/2013
Contractor NAU HEATING AND COOLING LLC Category 500-Residential-Heating 8 Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric � Q Solar � Solid
System � New j �✓ Replace �i � Other I
✓ Forced Air Radiant Steam _ A/C I Vent
Electric Hot Water Suppl. Con. Burner j
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 SFR/Replace furnace with new furnace due to age and not working ;
� of Work '
'Electrician is Zimmer Electric '
� �
� -�
Fees: Valuation $2,200.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 12/10/2013
� Permit Voided j Parcel Id#1509180000
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 perfortn 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 sec any necessary approvals before starting such activity.
Signature ��� �_ Date
AgenUOwner
Address 1420 PHEASANT CREEK DR OSHKOSH WI 54904 -7452 Telephone Number (920)231-6363
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,WI54903-1130
Phone(920)236-5050 Of HK01H
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 maited to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
, If vou are a contractor participatinQ in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed throu�vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be submitted
with the permit application. Applications snbmitted without an EIV when such is reqnired, will not be
processed for Permit Issnance and will be returned for completion.
DATE /������3
JOB ADDRESS /3 0 3 ��Ze� S�1.
OWNER
CONTRACTOR 1VGi1n eU-�;� �, ,. GO�I-i�
CHECK G�1 ALL APPLICABLE
USE CATEGORY
�Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL .�+Gas ❑Electric ❑Solid SYSTEM ,�New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric �Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No DYes -LINER SIZE��&MANLJFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B �Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing JZQ�Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
D SCRIPTION/SCOPE OF ALL WORK BEING DONE �e���L�-2 �rr�oc.� �,;f� /Ve�
'V�✓ t/ P. P� p-� e..o,i�.�,
�
VALUE(Including labor and materials)$ ���� �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) �•✓r1��GY C�t-�W��`�-
o�/o�