HomeMy WebLinkAbout0128044-HVAC
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OSHKOSH
ON THE WATER
Job Address 1085 HILLWOOD RUN DR
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
128044
Owner CLASSIC HOMES BY KUBA
Create Date 12/04/2007
Contractor
BREWER HEATING
Category ~9~_-I3~l)J~~~~al:~otl]___ ______________ Plan _ _ ~_~~~____
illlect!!~____~ U_SoT<ir=-~
D~"'place______~ D_O~~er
U Radiant ~ []Steam =:J ~__~ 0- Vent___]
U Hot Water-=:] U Suppl. --=:-:1 U Con=~ll!~~J
_~~~~~y~_===___.~~E'_ Venf==~~=_Ot{otApREc~bl~~-~-J
() Existing.-NOtApPTIc-abfe----~=] Value ____________
__0 Variable__~====.----otf1er--------1 Value
U_~_===J
Fuel
~as ~___==
0J.l~~___J
---~j
System
~. Forced Air
U Electric
Chimney Type D__ghimney A
Heat Loss
KJ As Approved
o As Per Plan
BTU Rate
Use/Nature INSFR/INSTALL NEW HVAC SYSTEM FOR NEW HOME **debt acct
of Work I
-----------~---------l
I
I
I
.._.J
Fees: Valuation $6,400.00
c.....~~ .
Issued By: 0l-1---k:::l
Plan Approval $0.00
Permit Fee Paid
_____$1 06~QQ
Date 12/04/2007
D _F'~~~~t_Y51i~~_cU
Parcelld # 1560104200
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- 7 48-6494 866-8C
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.
:::11/20/2007 TUE 12:27 FAX 920 748 6520 Brewer Heating
::: City oJOshkos)1
J )jvisjon of lnspectioll Services
P.O. Hox ] ] 30
()~bi;osh, W] 54903. 1 J 30
1'l;{.nr; (920) 23G.-.')c)r)(j
i ;,..; (no) 236.)v!A
141001/001
~
GJi:"IKUJI I
ON 1 HI" ViAll, II
HVAC PERMIT APPLICATION
All inform.ation after bold categories must be provided,
hlcomplelc applications will not be. processcd,
.
Application(s) and fee(s) ca,l be brought to City Ball, Room 205 or mailed to Inspection Services, PO Box] 128,
OsUzosh \Vl S'-i903- 1 1 :2.8. CommtJ1eing \V01;~ \I":,~ho~t !)(;ml;t(s) will result in fees being doub~ed or $1 (i().OO ph.ls the
:JOrm<~l ptrn,:l fec, whj~,ll ever is ~~:'~a~t:;'.
~) J.~
L.2J!.:!L.~-B:_!LJ:.'2.!.!. i !',~ (1 (.' r TJ~' rt J C JJ2.Q,'i~u:.j2LJ_L1.ft_)~{.. nil: r {'(' A_CCOll n t SJ::ste man d have (J d.f:llU a 1 !:J..1H1 ds. check here
if \'OlJ 'want this l?roccs.\ed thr(!..Y.J.:./; "our (J(.(;.IJulii' .
DATE
I ;J;o/tl7
I
JOB AI)DRESS
C\\1\TER C..{~.;s, I ~
/ 0 cbS ;-/ dlWblJ-j)
-I-b.vv~.. S, ,:r::>7
CO~TRACTOR_ bve~-,-. ~,.~V~
r<l-1. VI O.tZ
t<fJl A //
ClmCK 0' ALL APPLICABLE
USE CATEGORY
~gle Family ODuplex
Dl\1ulti-Family
ORental
o Commercial
OIndustrial
FUEL ~as
DOi!
OElectric OSolid
o Solar
SYSTEM
)8New
DOther
o Replace
T\TE
~:forced Air o Radiant oSteam fi!ilac DVent o Electric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED oNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& :MANUFACTURER
CHIMNEY TYPE
IffiA T LOSS
BTU RATE
DChimney A
OAs Approved
DAs Per Plan
DChimney B
OExisting
OVariab1e
)\tpirect Vent o Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
/-JV r;-C
.
VALUE
.~ (., yt'/iJ-
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification foml, signed by the Electrical Contractor, must be
atiached. 1fnot attached or not applicabl,e, a separate Electrical Pennit is required.
9/02