HomeMy WebLinkAbout0128065-HVAC
G
OSHKOSH
ON THE WATER
Job Address 820 W 18TH AVE
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
128065
Owner TODD A/MARY E KRUEGER
Create Date 10/19/2007
Contractor
BREWER HEATING
Category 500 -_F3~~l~~tiClL~Heat!!1g?<Yenti!Clti.f1g_____ Plan
Heat Loss
L~l Gas ":=J 0:: Oil J U E~~tIjE .~~ U Sola~==~_~~
[~L!"ew. D~~p~c;~___________J
0~~1rI U Radiant =:J U~~___J U AlC u~---J
U_ Electric-l ITHOf~J U~pl~::=J ITCon~8Llmer_1
O_Qb.i..m~~________Q.fb~~~~:-=:~:I.g!r_~c~~~~---=:~=O-: Not ppPJica_b1~~:~:::.:]
erAs f\FjlI"~~~________D_~i~til]~=:-=--n_:=_===-:'--N~f f\0lD_~ClbJe~-:~=:' :::-.: Val ue
D-E.s_~~f='.Ta_n:=_:_-:=:_==Q='Z.~il~l~j~::_ ._-- ---~-:.::Qili~!: :--- Value
D_)olid -=::~J
[l()t~_~r________..J
U_yent ___==]
Fuel
System
Chimney Type
BTU Rate
Use/Nature [NSF-R/Tf'ISTALUiJEwHvAC-SYSTE-r\,n=ORNE\iVI-iOME- **debtaccf . --
of Work:
i
i
,.___ -..--.--
I
I
I
I
I
J
Fees: Valuation $6,430.00
Issued By: ~ 'b-
P.lan Approval
$0.00
Permit Fee Paid
____1!9}-'-~
Date 12/05/2007
O__,:,er~!'y_oid~~J
Parcelld # 1409990000
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, wewill 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.
~12/05/2007 WED 13:57
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920)236-5050
Fax (920) 236-5084
FAX 920 748 6520 Brewer Heating ~~~ CITY OF OSHKOSH
[4]001/001
~
OfHKOfH
ON THF WATFR
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 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
I au are a contractor artici atin in the Perm't ee Account S stern and have ode uate unds check here
au want this rocessed throu h our account
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
L" J . I.rft...
JOB ADDRESS 0(;10 ~ - IlJ
OWNER KUWi-:I2 (;/1\$;'(1>> ? rJ"IJ V'
CONTRACTOR 8 ( ~..r ~G JYl C-
t.
DATE
I ~/~/o 7
CHECK 0' ALL APPLICABLE
!lS~...CATEGORY
~gle Family
DDuplex
o Multi-Family
ORental
o Commercial
OIndustrial
FUEL
~
[SaiT
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
DReplace
~E
("'n:orced Air DRadiant DSteam DAIC DVent DElectric
IS CHIMNEY BEING LINED ONo DYes ~ LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
DHot Water DSuppl. DCon. Burner
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
DAs Approved
OAs Per Plan
DChimney B
DExisting
OVariable
tR5rrect Vent
ONot Applicable
DOther Value
flilfJL
OOther
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $
1:.3cJ'!3---
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07