HomeMy WebLinkAbout0126567-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1275 HERITAGE TRL
CITY OF OSHKOSH
No
126567
HV AG PERMIT - APPLICATION AND RECORD
Owner LORNA A GUETZKOW
Create Date 08/31/2007
Contractor
BREWER HEATING
Category 501 - Residential-Air Conditioning
Plan
Fuel
ITGas-=
[JOil
U Electric -=:=J
I I Solar
-~
oso~- I
Wtea~_._~
U_.~u2.Pl:=-:=J
~ AlC
-,
~
o ~t~_____l
o:ve~__J
BTU Rate
0- New -.J
~orced Air URadi,ant
U_~~~__j [J Hot 'Water ~
;
ITi5.hI~ney A =___~_C) C6i!!lney B ___.~~-ITDJ~~I'Z~nt~~~--~~-_=~oi:ApQITc:~Ele==__J
,
U~~~d_____D EXi~ting-~~=~=_-=N:~IA'p"pli~~le-~=~~=-J
LTAs Per ~Ian____- _0. Var~able_:=~=._:==_.=Qt6eY====--==-:=J
o Replace
___J
System
U Con. Burner
Chimney Type
Heat Loss
Value
Value
Use/Nature I.SFR-/lnstall AlC unit. EIV provided by ~umingsEfectric~-**I)EBltAccf~---.--._------~--
of Work "
l
_!
I
L-
Fees: Valuation
$1260.00
fPnvo
Plan Approval
I
$0.00
_._----~---_.
Permit Fee Paid
$37.00
.------------
Issued By:
Date 09/04/2007
o Permit Voided 1
Parcelld # 1314840000
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 eas~ment, 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
----.--.----...--.-------- I
i
RIPON
\IV.!.. 5~_9z..1. - ~?g~_ Telephone Number
920-748-6494 866-8C
To schedule inspections please call the I~spection 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 ~ill 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.
!00-02-0100:02
City of Oshkostl
Divisioll of!nspc.C1ioll SCJ\'ic.es
p 0, l~tJx 11:~O
()!,!Ji:()~h, WI 54'.103,]130
/'J;('ll!' (920) 23G..';(j')(J
; ...; (~20) ;U0-;,(J/,.1
,
BREWER
9207486520 >>
19202365084
P 1/1
~ 'I
~ ( 5' ,0
~
G7~--I(,,()JI I
0111." VJI-.TII,
HVAC PERMIT APPLICATION
Ail inf6rmation ailer bQld c3tc.guries must be providtd.
: IncOlllplCtc o:ppllcations will not be processed.
!
. A pplication(s) and f e.e( s) Can be h'l'OUHh1 cO ell)' J b 11, 1~(jO;~1 205 or maikd to lnspection Services, PO Box 1 J 28,
(hhl~(':;h \\TJ 5~903- J ] ~8. C()nn!.:::n~'ing Wlll \ '.,..i.tl:o....t !,''':rrll;t(S) will result b le~s being d()\lb~d()r S;] ',U.O'J pbs tl1['
;lorn::.:l pl."l1~j;l ~t,e, wLi:n c\'C':r is ;i7~'a:~;-.
~IJ( ,
~ J.JL..li_ (:-If {J (',) Ii ;~:i:.:"l!...r..Il..:: t r! 0.!.!...:2:";'U.J.L.' .:! (;., L~.? 1.'1: f ;'~'l' A {' COli II! .<-D's f{:m (J 1: dhow (1 dN/ I/O /.' (I< r~dl.,-"fh(~ck h (~T'('
11' 1'/'11 Won! rIllS Dr(l('('s.',ed rhr/~1Lil_:r;,lJr (H (",1111.; ':::H--
~-_... ........1 I. ....- r
nATE B- 3/--07
JOllADDRESS 1~1') Jk!VI--bt 1le~,Il-_
l;'\'NER [Oil-III&. ~ ~~~2~QCAJ
CO~TRACI'OR~~ ,~__.,_.,..._
CHECK 0 ALL APPLlCABLE
lJSE CATI.:GORY
gmngle Family DDuplex bMulti~Family
DRental
DConunercial
Olndustrial
FUEL
DGas
DOll
OF.lectric' OSolid
o Solar
SYSTEM
lS'New
DOther
o Replace
TyrJ::
OForced Air o Radiant DStealn rlfAlC DVenl DElectrlc ORot Water DSuppl. DCon. Burner
I r'
IS CIUM:Nl<:V B:EING LINED O~o DYes .. LINER 512E__.____ & MANVF ACnJRER
Note; All chimneys shall be sized per ~e BTU's being vented.
CIDMNEY TYPE
IlEA T LOSS
BTU RATE
OChirrmey' A
DAs Approved
DAs Per Plan
OChimncy B
OExisting
DVariable
DDirect Vent DOther
DNot Applicable "
OOther Value
DESCRIPTION OF ALL WOm<, BEING DONE
The, ~tl q ~))1 d' Ax'v- C~r?;-hW\e v_
VALUE
".::>
$ (7((;0
t?Ce 1
f~te
ELECTIUCAL CONTRACTORi ~ IIV'~'~ S 8 ~ ,-.f- ~; c... ,;23/- 57 Y f;
o For appliC:l\'hk. pwj(':('".ts, (111 Electric Installation Verification form, signed by the Electrical ContJ.actol, I'lJust be.
attached. If nol at1ached oi' not applicable, a separate Electrical }>etmit is required.
~
CUMINGS ELECTRIC, INC.
920-722-0769
p.1
~
~
HE """^ ER
Cily or Oshl:osb
Divisicll or Inspection Services
2lS ClwI1:b A\'Cnll!'
. PO Bolt 1130
0shIc0sh WI S49!>3-1I3 0
Office 92ll-236-S0S0
Fu 920-2l6-S0S4'
I
I
I
~Iectric InstaUation Verification
I (We)
(State)
(Zip Code)
have been contracted to perform electric installation work for
i
BREWER REbTTNG
(Name of party contracted to)
at the following address: . 1275 HERITAGE TRAIL
I, (Address where work will be performed)
.
The nature of the work: consists of: (Check One or Describe the Nature ofWark)
i
!
--XX.- Reconnection or new circuit for replacement Heating Plarit and/or AlC Condenser.
Reconnection dr new circuit for replacement Electric Water Heater or power vented .
water heatet.
Reconnection o(the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance C~bles will require a separate permit.
Reconnection ot new circuit for the replacement of other permanently wired
appliances I :fixtures.
New circuit for the addition of Ale to an in.dividual dwelling unit (house or the
individual s~tems m a duplex or condominium), including required service
electrical outlets.
Other '
-"., .'
The value of this work is $ 85.00
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation ~ill be done in compliance with manufacturer and Electric code
,
requirements. :
RICHARD J WENZEL
(print Name of Officer)
9/4/07
(Date)
5102