HomeMy WebLinkAbout0125542-HVAC
o
OSHKOSH
ON THE WATER
Job Address 3131 ELK RIDGE DR
CITY OF OSHKOSH
No
125542
HV AC PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS
Create Date 05/18/2006
Contractor BREWER HEATING
Fuel l!:J Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss ~As Approved () Existing
BTU Rate ,0 As Per Plan c:::J\7ariable
Category 512 - Ind. & Comm-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar
U Solid I
o Other J
U Vent ~
~NC
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
UselNature OMM/8-unit Multifamily *State Trans ID #1266970 **debt acct
of Work
~
Fees: Valuation $36,000.00
Is,"ed By, q-
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
BREWER
9207486520 >>
19202365084
P 2/3
City uf Oshkosh
Division of] nspectlon SeTvices
PO. Box 113U
():.hLo~;h. W] ~4903 1130
PI!'. :l'~ (920) 2)1;-5050
l~); (~2()) 23(i .500-i
~
OJT'iKOJI- .j
ON lHF W^H~
HVAC PERMIT APPLICATION
All inform.ation afltI' bold categories must be provided.
lncomplete applications will not be processed.
· Application(s) ~::1d feces) can be brour,ht to City Hall, Room 205 or mailed to Inspection Services, PO Box] ]28,
O.shkosh W 1 54903~ ] 128. Corrm"Jcn:::nH:. ,^\.d'. without P(~ilT.it(,,) will result in fe('::; bcin6 doubkd Or $100.00 plus the
norma 1 ptr:1111 j r~c, wkch ever is gJ?3~ ~1.
UE
: ,~;. I:J I~ n' ,~ (~r.Il.J::.!:!.fl!.!.Ll' c n I (; J!..{!.L~~ L~! .1; c F! !:.lJ" (t (e,' A.~: (() ://11 Sv,rJc rn (J n d h a Vc' ad c!1.!:!.o Fe (u n .1:, check he rr:
fLj'ulJ wantlb),1 rr(l(.r:sscd.rJrrOUfh V(I..!O" (!("(I/lint 'f!!f
DATE ,,- ~7 '"t.:I '1
Jon ADDRESS '3 131
OWNER rf1. W t-VeS I
CONTRAC'fORQGt.vU\
eJ~:d~
~~ / . C:;n rT2.ifH.-nv-J
~6 .Jh c:..
'--. -
CHECK E1 ALL APFLICABLE
l..lSE CATEGORY
DSingle Family DDuplex ~ulti.Family
DRental
DCommercial
o Industrial
FUEL
~s
DOH
OElectric 0501i6
OSolar
SYSTEM
ONew
DOthcr
OReplace
TYPE
~rced Air ORadiant OSteam ~C OVcnt OElectric DHot Water DSuppl. Deon. Burner
IS ClIIMNEY BEING LINED DNo DYes - LIl'-\'ER SIZE
Nore; All chimneys shall be sized per the BnTs being vented,
& MANUf ACTIJRER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DCl1imney A
DAs Approved
DAs Per PIal)
DChimncy B
DExisting
OVariable
JiH'i'rect Vent OOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DOr..T flvr?c.
VAL1JE ,i 3G:,J DOG
ELECTRICAL CONTRACTOR
o For applicable projects, an EleclIicJnstallation Verification form, signed by the Electrical Contractor, must be
attached. lfnotanachcd or D0l3pplicahlc, a separate Electrical Permit is required.