HomeMy WebLinkAbout0126294-HVAC
e
OSHKOSH
ON THE WATER
Job Address 384 WINDINGBROOK DR
CITY OF OSHKOSH
No
126294
HVAC PERMIT -APPLICATION AND RECORD
Owner ARMSTRONG TRUST
Create Date 08/16/2007
Contractor BREWER HEATING
Fuel U Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss K:) As Approved o Existing
BTU Rate o As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
e) Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Add 1 supply and 1 return duct to exercise room. "DEBIT ACCT".
of Work
Fees: Valuation
$400.00
~
Plan Approval
$0.00
Permit Fee Paid
$25.00
Issued By:
Date 08/16/2007
o Permit Voided I
Parcelld # 0614403700
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.
~00_02-0 1 00:00
City of o'<;hkosll
J)i\li~,ifHl of inspection Sc:n'iccs
]>(l. Ho>: I DO
(J:;JJI,u~h, WI ~4CJW-I13()
hc,::(' (920) 236, :'ItJ'iO
; ;.: (~20) 2J6<,~;/A
BREWER
9207486520 >>
19202365084
P 1/1
HVAC PERMIT APPLICATION
All m1orm.1tiUl1 after bold takgorics must be pIUvided.
Jncomplctc ,:pplicalions will ooj be processed.
· Applica1ion(!;) and fec(s) can be l>roughl to City B:.Jl1, ){Oonl 7.05 or mailed 10 Inspec1ion Services, PO Box J 128,
Cl!~Lv.('[,h WI :;~9(J3-11~X Con1:'r.~n~'irJg 'J.'ul:: w:1Lo~1 i,t;ml;t(~) willrf:sull i:l fee!:> being doub;td or $] 'IU.(J'J plus thi:
:J8l"lJ;;:] pt-j'T')J:1 ;(:t.:, \\'L)~ JI (':Vt1 is ;':'::,,~:.::.
,j J ~
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DATE
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Jon ADDRESS 3$",. tv''''2b..-w~-
CWNER {.A "/lH ~ ~ f n.1It14-c....tnv
CO~TRACTOR !5'1'e~ ~e.f,:f 7f, c..
CHECK 0' ALL APPLICABLE
~E CATEGORY
~Single Family
ODuplex
DMulti-Family
DRental
o Commercial
o Industrial
FUEL
OGas
DOil
OE1ectric DSolid
DSolar
SYSTEM
ONew
o Other
ORcplacc
TYPE
OForced Air o Radiant DSteam ONe OVem o Electric DHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE___ & MANUFAC11.JRER____.~,,-.~~
Note: All chimneys shall be sized per the BTU's being vented.
CIllMNEY TYPE
IillA T LOSS
BTl1 RATE
DChimney A
DAs Approved
OAs Per Plan
OChirnney B
DExisting
DVariabJe
DDirect Venl OOlher
DNat Applicable
DOther Value
,
DESCRIPTION O}.- ALL 'VORl{ BEING DONE__.
..a_..._.... '_"__..__
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VALUE
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ELECTRJCAL CONTRACTOR
n For l'Ipplic.:able projects, an Eh-:~tric. Installation Verification fom1, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.