HomeMy WebLinkAbout0125776-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address, 420 E MELVIN AVE
CITY OF OSHKOSH
No
125776
HVAC PERMIT -APPLICATION AND RECORD
Owner GERALD A ARMS
Create Date 06/25/2007
Contractor BREWER HEATING
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A C) Chimney B
Heat Loss [) As Approved C) Existing
BTU Rate [) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature :>FR / Replace furnace. EIV provided by Schommer Electric.
of Work
Fees: Valuation
$2,560.00
~
Plan Approval
$0.00
Permit Fee Paid
$49.00
Issued By:
Date 07/12/2007
D Permit Voided I
Parcelld # 1008790100
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
N8804 DOUGLAS ST
RIPON
WI 54971 - 9702 Telephone Number 920-748-6494866-8C
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~07-06-22 16:53
City of O::;hkosh
Division uflnsptction ScrV'icc$
l',n. Hox J 130
O~;bkt)~h. WI 549m-1130
1'1".):1t (920) 23(i. SW.O
: '"x :)2 ~i ) 2::,(J- :'(,04
BREWER
9207486520 >>
19202365084
P 1/1
~
0)'\ --\("U11 1
ON THF wAnri
HVAC PERMlT APPLICATION
All information after bold categories must be provided.
l.ncomptetc appHcations will not be processed.
. ApI' Jicalion( s) and feet s) can be )>rou ghl 10 01 v I" 1I, Room 205 or m>iled lo Inspeclion Services, PO Box 1128,
Oshkosh WI 5490 J-\ 128. COlrll1)<".oc;ng work W;I houl p"rmll( s) will result in iceS being douh led or $1 01l.00 plus Ih,
normal p<:nmt fe(;, which ever 1:;; t~Tta~e;'.
Oi{
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lll(!L'p!JYlL!. his Jl.!.J.!Ll'.l1...ed f h to tlt..!!...J!!!JiLQ.f..€; (I :l.!!! .
DATEGe> - J.-2.-v/
JOB AnDRESS c..fJo 5-- y}1tfj Vj,~
OWNF:R d-vwl J ~'S
CONTRACTOR 8~ ~Jv3
CHECK 0 ALL APPLICABLE
~
Cj;l(J - ? rp... ~ 5''1 $I"
(' ;;r,~ ~ 1'03 -1 Y:.:lR)
'l.lSE CATJ<-:GORY
~ingle Faluily o Duplex OMulti-Family
DRental
o Conunercia,l
Olndustrial
FUEL
~as
looil
OElectric OSolid
o Solar
SYSTEM
ONew
DOthcr
p.lteplace
~~E .
,!'1Forced Air o Radiant DSteam DAlC DVent DEI,ctric DBot Water OSuppl. DCon. Burner
IS cHIMNEY ~EJNG LINED P!lo DYes - LINER SIZE~_ &MANUPAcrt.JRER
'Note: AU chirPneys shall be sized per the B'fU's being vented.
CmMNEY TYPE
REA T LOSS
n'flJ RATE
D'f;SCRlPTION OF ,>.LL WORK BEING DONE fi,.-.--~ . r~ /) 1c..c.e.Y" ..::f--
DChirrmey A
OAs Approved
DAs Per Plan
OChinmey B
OE:dsting
DVariab1e
ODirect Vent o Other
ONot Apphcable
OOther Value
~
VALUE . $ 2,;;(.,,0:::-- ",611Cf
F-LECJ'RitALCONTRActOl~}6t.M--n..~~~ ... . I
o For appl ;cab Ie projects, an Electric 1>",.l1atiO" V erifie'lion form, signed by Ule Electrical contrador, must
attached, If not a.ttached or not applicable, <:I separate Electrical Permit is required.
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Electrie Installation Verific:ation
I (VVe) Schommer Electrical Con~~~~~;ngr Tn~ (SEC. Inc.)
(ElectricaJ CQAtractor Name)
N164 Two Mile Rd.
(Address)
Atlnleton
(City)
WI
" (Stat~)
54913
(Zip Code)
have 'been contr.acl/!.d to perform electrit: installation work for Brewer Heat1 rii
(N~me of party contraCted to)
at the following address: 420 F.. M",h,of,.,
(Addrcaa where work win he pm armed)
The natuT'e of the work consists of: (Check One OT Describe the NatUre of Work)
+
~ec:onncctiO.D. or new ciItuit for replacement Heating Plant and/or Ale COIldegser.
Rceonncction or new circuit for replacement El~ctric Water Heater or power vented
water heatC'I'.
ReccnncctioZ1 of the Service E"trd1l~a Cable, Meter Box, alterations torec:epmcb:.s
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will requrre a separate permit.
ReCCD.D.cction or new eircult for the Teplaccmem ofotb.erpmnanently wired
applLw1ces I fixtures.
l\lew circuit for the addition of Ale to an individual dWf4W:",g unit (h.ouse or the
individual systems in a duple,,- or cODdo.um~ including required service
electrical outlets.
Other
A
The value 0 f this work is $ 75.00.
T hereby verify this work will be performed by an employee afthis company and further verify
the r~~crmcction I in.staUation will be done in complianee with manufacturer ;md Electric code
llj' . .
(SipnltuTC of Company Ofiil;cr)
c0/'1:0 . d 0c6
1/Z/C';
(Dale)
/70 & ~ I S<-liv "'~ ~'--
(Print Name arOfficc:r)
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