HomeMy WebLinkAbout0127913-HVAC
G
OSHKOSH
ON THE WATER
Job Address 3895 SHOREBIRD CT
CITY OF OSHKOSH
No
127913
HV AC PERMIT - APPLICATION A~D RECORD
Owner MICHAEL L1JOAN A WOLDT
Create Date 11/09/2007
Contractor
BREWER HEATING
Category ~il_- Re!l1<!.e!1!L~!:~ating~_Y~!:1!!LatiEI9__. Plan
Fuel l::J ~~~_ ___==J IT oJf=~~_] [I}:JEl~tri~ ~==J U_~0aT nJ D~()li9=:
System [?Lt-jew __.______________J D__F3Elplil~__________"_J o Other
~-F:~~3 A1r-~ D_-~adiant ~~.=] D~SteaJll=-:~=::l D-~C=_:_=:::::] D5t:~~I _.---- - _..1
OJj~~FF~:-==J [1:8ot ~~~L:] IT~2fli.~::==J O=gon~:~tJl:6~~J
Chimney Type Gfhimney A .--<:JIhTmneys-_:.:===O Direc[yeni-==_e N_otAf>elicable __::::::-J
Heat Loss G:As Approved_~U~a::=:=_~==--=.NOtAppJjCcIEfe---.J Value ____
BTU Rate GAs Per Plan___~_~iable__________.~~er ______~~ Value ____
Use/Nature ~FR / ADD DUCTING FOR FINISHED BASEMENT "debt acct
of Work I
I
-i
i
i
L_
I
__________._.__"________._____...____1
Fees: Valuation $600.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid _~_____g5.00
Date 11/20/2007
D_.~ermit V_o~d~
Parcelld # 1281340000
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
---- --
920-748-6494 866-8e
I 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.
===11/20/2007 TUE 14:40 FAX 920 748 6520 Brewer Heating
::: City of Oshkos)l
Djvision oflnspc.ctioll Services
P.O. Hox ] 130
O~lJkosh, WI 54903-1] 30
h(.::e (920) 236..:')(1')(J
i 'c..: (920) 2~6-)OtA
141001/001
~ej
1/1.~--if)
ON 1 Hr VJATi.I<
HVAC PERMIT APPLICATION
All information after bold categories must be provided_
Incomplete applications will not be processed.
.
Application(s) and feces) can be. brought to City Ball, l~oom 205 or mailed to Inspection Services, PO Box 1128,
OsLkosh \\1] 54903-] 128. Comm::;neing \>'/OJ;; w~..ll'JO~t PC:r!1J;t(s) will result in fe~s being doub;cd or $j fjO.OO plus the
;lorn:,:1 pc.:md fer.;, wlJi:.n ever is ;:;.~o.::':;-.
:jJ.~
L~B~f!_S:..!L'J.U."~{(iLJl...I.u:1Jc)p(J;i!u; ;,,, the V~ 1'111;( ('{' Account Svsrem and hove (ldeql1olc funds_ check here
11 ~'{IU want rhis .r;roces.led rhrotl ,Ii vour (}U:lJun! ,
DATE
1~/~7
{
JOB ADDRF.~-;:..~..._.:: 3f!f1fY ~11if);<'Gl31)J:.?O.
.,~ JJ~t/i'S (;l..!2S172tfc:-rhOYt
CO?'iTRACTOR. J~K (~Ie-.. ....;(e::------y;=;-;nrXi-- -.D1C .
C \'\ '1\1rR
...:, .
CHECK IiI ALL APPLICABLE
USE CATEGORY
~11gle Family ODuplex
DMulti-Family
DRental
o Commercial
o Industrial
FUEL /,.JGas
I'
DOil
DElectric OSolid
DSolar
SYSTEM
.~ew
DOther
OReplace
T'rpE
'~.~~.ced Air o Radiant OSteam
.,JC OVent OElectrlc DHot Water DSupp1. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the B11J's being vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
DAs Approved
OAs Per Plan
DChirriney B
DExisting
OVariable
) -pirect Vent DOther
oNot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE-t
H{){)
,Du vA tJ
fiN-
.-h V7/~
B/!jp WLofr
VALUE
<..:) 0
$ ((, CJ(J) ::--
-.... -
ELECTRlCAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or n01 applicabl.e, a separate Electrical Permit is required.
9/0'2