HomeMy WebLinkAbout0128048-HVAC
G
OSHKOSH
ON THE WATER
Job Address 1325 S WESTHAVEN DR
CITY OF OSHKOSH
No
128048
HVAC PERMIT - APPLICATION AND RECORD
Owner ANJISHNU K ROY
Create Date 11/05/2007
Contractor
BREWER HEATING
Category 202_-I3~Sid_~rl~ClL-l3oth __________
Plan
Fuel 17l~--1 U-oli------l U ElearF-__-_ I nsoTar:-_-j
~_<;7as__ __-! _ __ L.L':"-"" DJ30lid ___=J
System [~LNew___~ Q.Beplace _____J D~~~~___J
[~r:~orced Air I U Radiant =.J ~m~=J ~ AlC _==:1 Dyent____J
D~JT~I IT~~--=J U~upFL__J U Con-:-[u!~~j
Chimney Type D_Qhim~_____U Chimney B _=~-~__._glr~cl=\I~~C----:=--===-=O:Not_App-'ic;Cl~I_~=_=-]
Heat Loss a-As Approved () Existing____=~==._ NotAePfl~~~Ie=:==J Value
BTU Rate Q~sJ:.er Plan _____Q Va~ble _===::===--=]J-b1~~~==-==:=:] Value
Use/Nature fNSFRTTNSTALL NEW HVAC SYSTEM FORNEVln-rO-ME-**debt acct--------------------------------------
of Work i
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L__________
Fees:
Plan Approval $0.00
Permit Fee Paid
$139.00
Issued By:
Date 12/04/2007
Permit Voided
Parcelld # 1312650100
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.
~12/03/2007 MON 14:47 FAX 920 746 6520 Brewer Heating ~~~ CITY OF OSHKOSH
No v. 2 1. 20 0 7 6 : 49 AM ins p e ct ion s e r y ice s
City of Oshkosh
Division of Inspection S()rvicc:-;
'P.O. Box 1130
Oshkosh, vvr 54903-1 130
Phone (920) 236-5050
Fax (920) 236.5084
141001/001
No. 6277 P.
~
OJHKOJ~I
ON THF wMFR
HV AC PERMIT APPLICATION
All int'ormation after bold categoricsl'nust be provided.
Incomplete applications will not be processed.
. Applieation(s) and fee(s) can be: brought to City Hall, koom 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee. which ever is greater. .
OR
f(vou are a contrt:!:..9.Lol' nurticioating in the Permit 'e Account S liJem and have adequate funds. check here
if YOu want this p..rocessed through VOII" flccount
** Advisory - For applicable projects, an Electrical Installation Vcdfication (EIV) form, s.igned by the 'Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications su.bmitted without an EIV when such is required, will not be
processed for Penult Issuance and will be returned for completion.
DATE / .2-/&/E 7
JOB ADDRESS / 3e?~ We';.'! !f7I1/-?~ JI't
OWNER-.6vu. ;-hw-<.>. ~~
CONTRACTOR .By~ __ ..}J'nC
CHECK iJ ALL APPLICABLE
USE CATEGORY
~ngle Family DDuplex OMulti-Family
DRcntal
DCommcrciaI
D Industrial
FUEL ~2S
(""Dail
. DElectric DSolid
DSolar
SYSTEM
A9New
DOther
ORcplacc
TYPE
~l'ced Air o Radiant OStcam ~C OVcnt DElectric DRat Water DSuppl. OCon. Burner
IS CHIMNEY BEING LINED ONo DYes ~ LINER SIZE & MANUFACTURER
Note: All chimneys shall l'le sized per the BTU's being vented.
CHIMNEY TYPE DChimne:y A DChimne:y B ;r:n5irect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE OAs Per Plan DYariable DOther Value"":"--
DESCRIPTION / SCOPE OF ALL WORK llEING DONE /!t/rl-(. flU>> ;-/vu~
VALUE (Including labor and materials) $ $ABhoo-
.
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07