HomeMy WebLinkAbout0125543-HVAC
e
OSHKOSH
ON THE WATER
Job Address 3171 ELK RIDGE DR
CITY OF OSHKOSH
No
125543
HV AC PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS
Create Date 05/18/2006
Contractor BREWER HEATING
Fuel l..!'J Gas UOH
System o New
~ Forced Air 1 U Radiant
U Electric I U Hot Water
Chimney Type (] Chimney A ----D Chimney B
Heat Loss o As Approved () Existing
BTU Rate o As Per Plan () Variable
Category 512 -Ind. & Comm-Both
U Electric
[lB.eplace
U Steam ~
U Suppl. I
Plan
U Solar
I
U Solid
~~~------~
l..!'J AlC I [IYent l
U Con. Burner I
. Direct Vent
o Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature COMM/8-unit Multifamily * State Trans 10 #1266970 **debt acct
of Work
Fees: Valuation $36,000.00
Issued By: ~~
Plan Approval
$0.00
Permit Fee Paid
$365.00
Date 06/28/2007
o Permit Voided I
Parcelld #
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
N8804 DOUGLAS ST
RIPON
WI 54971 - 9702 Telephone Number 920-748-6494866-8C
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.
2007-06-27 14:38
BREV\I'ER
9207486520 >>
19202365084
P 3/3
ell y of Oshko,h
] )i. i~ion ()fJnsp~clion Services
1'. (). Box I13Cl
U: 11~.o,h, WI 54903- ] ] 30
~I,:. (920) 23().S050
~ ,.: ('120j LH,')\JK1
~
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C~jl-1KOJI j
()I~ 11<' W^1H
HVAC PERMIT APPLICATION
All information afler bold categories must be provided.
Incomplete applications will not be processed.
· ^pplicalion(~) and fce(s) can he brought to City Ball, Room 205 or mailed lo Inspection SCTvicts, PO :-!i)X 1128,
()shb',sh WI 54 9D3-11:2 S. C,.Jlnnencing \"or k wi t:lot:\ pc:-rmt(:i) will result in fees being d('llbkd or $ j(){J,(JO plus the
lX.H,1,.:l pcnit 1('(:, ",h\ch ("VCI IS gj(;"lt:;.,
0::,
~f-.""! I.Ul..L<: ..'2-.{Y!.!..! r(J r..l!.!...!:.J2JL!lL:.ip.Jl..!. i'j f.' i !.1....l.iJiL~.C..ltl i 7 j (',' ~s: (!!_'Lff 1 S~',\ r 11m f.l n d..l:J.fL!'S....~rl.G..fl_:L?J cJj~"'; d.:.....!..!J...~:cl! h ('II!
i..' ~...)I.I \'v(Jnl rillS prO...(~.D(',f ri:r;);'~'), \UUl'j;Z..f:,;:olln~
DA TE,....b._=d.-7 - 0 I
JOB ADDRESS 3 r., \
OW1\1l::H {V\ W\.V(..SS" __
COi'\TRACTOR ~
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CHECK 0: ALL A!>PLlCABLE
11SE CATEGORY
DSinglc Family ODuplex ~u1ti.Fami1Y
DRental
DConlInercial
OIndustrial
FUEL
~as
DOil
DElectric DSolid
D Solar
SYSTEM
ONew
DOth(;",
DReplace
TYPE
'f1Forced Air DRadiant DSteam ~ oVent DElectric OHot Water OSuppl. Deon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTIJRER
CHIMNEY TYPE
IlEA i LOSS
BTU RATE
OChimney A
DAs Approved
DAs PcrPhm
DChimney B ~ect Ven!
DExisting ./ DNot Applicable
o Variable OOther Value
DOther
DESCRIPTION OF ALL WORK BEING DONE' HI/" 4 L
VALUE
.t
'6" I O()O
T
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. lfnot attached or n01 applicable, a separate Electrical Permit is required.