HomeMy WebLinkAbout0127995-HVAC
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OSHKOSH
ON THE WATER
Job Address 3200 ELK RIDGE DR
CITY OF OSHKOSH
No
127995
HV AC PERMIT - APPLICATION AND RECORD
Owner MIDWEST GENERAL CONTRACTORS
Create Date 08/23/2007
-_.
Category ~1J_:J!1d. & fg~_m-Both_,____._ Plan
Contractor
BREWER HEATING
BTU Rate
r:/Tr-.-------; D~-.'_::J ~ ]
1,(.J Gas. ~ u~~.ti~_-=.
o New I D_B~plac~~_____J
0: ~~~~d A.~~ ITRadlan~='=J [J~~~__~==] l~[A1C _==.-.J
fit ] 0 '0: D.,._.-..C._,_ori.~_ I3'u_._-.r,n',e.'.-,r__'__'.
L.LE:T~ctrj~==- _nHot...,^,~l~~=~J _ ,_~jJpeC.===J - -
[[Chimney A.=.D._~~i~~ey !3_-~-=~=-~-I=gire-c(\7~~C-====O}i~Ape!i~a~~=.- ]
a-6~]l:j:)00V~<[====-=.,==a_E:~i~ting===~ ~,====.,-~-oi6epF~~bI~= =-_-~:__. Value
D'A~})~0'la_n -.~---=_o VariClQ~==:= ,- =:===.____QIh~___.=______:====::=] Value
D_ SOICl!:=====
O-SOlid =~-=:=-1
Fuel
System
Other
D~~-rif-=~~:!
Chimney Type
Heat Loss
UselNature [COMIIIi/6 unit 1 story multifamily structure. State ApprovedP.larls TransTI5#1276736**debt accf
of Work
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I
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------------.-----...------.-------------------.---..._._---_._-----_._-_.-._-_..~---_..._"- ._.._~_.-.__._--
.__J
Fees: valuatioO- __ __ t~7,000.00
Issued By: ~
Plan Approval __~.OO
Permit Fee Paid _~___$3~0-,-QQ
Date 11/29/2007
D Permit Voided !
----~
Parcelld #
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 (Le. 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.
~11/29/2007 THU 12:24
::: City of Oshkosl1
Division ofJnsp~ction Services
P.O. Box] 130
()~!Ii;()sll. WI 54903- ] 130
he'jJ(:' (920) 236.-'iU')O
; ;,..: (no) 2J(j-~Ol;.1
FAX 920 748 6520 Brewer Heating --- CITY OF OSHKOSH
1410 0 11 0 0 1
Of. 1 HI' WAll-Ie
HVAC PERMIT APPLICATION
All inform.ation after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and feces) can be brought to CilY Ball, Room 205 or mailed to Inspection Services, PO Box 1128,
ChU'.Osh '''''l 54903-11:?.8. Com:'J')(:neing WuJ k ",'i.~ho'jt pc:mi;t(s) will result in fees being doub~cd or $1 (/0.00 plus the
:'JOll1l,d pcmJ:! j-t;c;, \Vlli::n ever is ~.;.ea\:';:-.
;j J-~
~:"'J'(lU (ore (I (''')lii~'."''-IO/' p,irr]c:J2.:2~:?1L in rhe }-'(.U,1il ref' Account Svsrem and have adequ{]I,~ funds. check here
li \'OU want rhls !)?"occssed rhrou~,h V(}U~- Q(.COll1j1 W
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JOB ADDRESS ~;;J()'O~" k'l ~ (<.1 ~ _ G, - VI n. +-)
C\\'J\'ER j'\I\..Q)l.Vt.6r ~I C....,~S
COXTRACTOR ~r-e~ ~(.. ~
DATE /1/.2-Z3/IJ7
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex ~u1ti-Family
o Rental
o Commercial
o Industrial
FUEL
~as
DOil
DElectric OSo1id
o Solar
SYSTEM ~w
o Other
DReplace
TYPE
~orcedAir DRadiant o Steam ~ DVent DElectric OHot Water OSupp1. DCon. Burner
IS C~TEY BEING LINED DNa DYes - UNER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY T\'PE
REA T LOSS
BTU RATE
OChimney A
DAs Approved
DAs Per Plan
OChimney B
OExisting
OVariable
.)tIDirect Vent OOther
ONot Applicable
DOther Value
DESCRIPTION OF ALL \\TORK BEING DONE /-fyI}-L
VALUE
$ ;) 7,. tJ tJ d-----.---------.
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicabl.e, a separate Electrical Pennit is required_
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