HomeMy WebLinkAbout0125541-HVAC
o
OSHKOSH
ON THE WATER
Job Address 3141 ELK RIDGE DR
CITY OF OSHKOSH
No
125541
HV AC PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS
Create Date 05/18/2006
Contractor BREWER HEATING
Fuel l.!':J Gas J UOil
System o New ~
l.!':J Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss IT As Approved () Existing
BTU Rate [)AS Per Plan () Variable
Category 512 - Ind. & Comm-Both
Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solid
~er ---.J
~t__J
~
U Solar
~
-~
l.!':JNC ~
U Con. Burne""il
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature iCOMM/ 8-unit multifamily *State Trans ID #1266970 **debt acct
of Wo.k I
I
Fees: Valuation $36,000.00
Issued By: non &-
Plan Approval
$0.00
Permit Fee Paid
$365.00
Date 06/28/2007
o Permit Voided I
Parcel Id #
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.
~07-06-27 14:38
-:. .
... \...11"1 of Oshkosh
... I }IYI~i()n of InspectIOn ServIces
))(). Box IDO
Osb~;osh, WI 549m-l130
!':lOnc (920) 21(1.5050
I :,): (92(\) 2:~(J-5()X4
BREWER
9207486520 >>
19202365084
P 1/3
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Qff-1KOJI 1
ON ;Hf WAHI1
HVAC PERMIT APPLICATION
AU information after bold clltcgorics must be provided.
lncomplete applications will not be processed.
. Appli<.:ation(s) and fec(s) can be bro\.l~ht 10 Cily 'la11, Room 205 or ID<Jiled to Inspection Services, PO Box 1128,
OSllkod, WI ~4903.1] 28. Ctl:-n:TI~:ncir.g \\0rk v.l!~i(\t;l r::mjl(~.:) will rc;.;ult in fees being doubled or $100.00 plus thr
,'JOrmctl pen;li1 f'. e, \.'.'hi(.]\ t;VCr is ~~re.=:!r::-"
01:
",: "~ !-"LJJ '.L. '!.....f') !.!l!.f. {"; ::..~P.J;!"Z U".IJ' ,1 i 'v.:.: ilL r.l; "'.....L.!" ~: rJI i { i..c.....J.n: f.J.!,,1/ SrSt e In a.rr d h a )'e ad e q lJ (J' (' (u n tis, (: II (':(: k here
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DA'fE ~ ..;;l7~D/
JOB ADDRESS 31 '1'1
OWNER (UT>I)~
CONTRACTOH. ~~...,~ t
e1 ~~J~
~/ ~~~
&t!'4~a$-- jYJ Co
CHECK R'I ALL APPLlCAJ3LE
l~CATEGORY .~ ~
(~ ..nuTy ,ODup(' -BM;;;~
o Rental
o Commercial
o Jndustrial
FUEL
~s
oOil
OElectric OSolid
o Solar
SYSTEM
DNew
DOther
DReplace
TYPE
r-orced Air
DRadiant
D$team ~C DVent
DElcctric
DHot Water DSuppl. DCon. Burner
IS CJJIM1'I""EY BEING UNED DNo DYes - LINER SIZE
Nole: All chimneys shall be sized per the BTIJ's being vented,
& MANUFACTIJRER
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChirnney A
DAs Approved
DAs l'er Plan
OChirnncy B ~ect V cnt o Other
DExisting DNo{ Applicable
DVariable o Other Value
DESCRIPTION OF ALL WORK BEING DONE
II i/ 1/(
VALUE
.t 3. c./ 000
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. 1fn01 anachcd or not applicable, a separate Electrical Pelmit is required,