HomeMy WebLinkAbout2007-HVAC
e
OSHKOSH
ON THE WATER
Job Address 1102 ADAMS AVE
CITY OF OSHKOSH
No
128240
HVAC PERMIT -APPLICATION AND RECORD
Owner KERRY DERR
Create Date 11/12/2007
Contractor BREWER HEATING
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss K:) As Approved () Existing
BTU Rate K:) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
I Solar U Solid
D Other
U AlC U Vent
U Con. Bumer
. Not Applicable
. Not Applicable
. Other
Val~e
Value
Use/Nature ~FR / City rehab / Remove and replace fumace, install UL approved chimney liner, and metal vent duct for dryer in basement.
of Work
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$47.50
Fees: Valuation
Issued By:
Date 12/20/2007
D Permit Voided I
Parcelld # 1605580000
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.
==:12/13/2007 THU 13:57
::: Cily ofOshkosl1
Division of inspection Services
P.O. Hox J 130
O:-,bkosh, WI 54903- ] 130
)'!i(';:C (920) 23G..~(J')O
i ;:..; (no) 236-)O~;4
FAX 920 748 6520 Brewer Heating ~~~ CITY OF OSHKOSH
141001/001
Ol~ 1 Hf WATf-1e
HVAC PERMIT APPLICATION
All infom1ll.tion after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City lbll, Room 205 or mailed to Inspection Services, PO Box 1128,
Od,kosh \\I] 54903-1] 28. Com:r:tncing Wo! k VI'i,lho'Jt jitf!lIMs) wjll result in fees being doub;cd or $j (iO.OO plus the
nomd ))crr.J:l fct;, wlli~:n ever is ~~;-eat~;-.
~.n.~
L' '" u u<< " com ".' w. r pq en, '1'."" n<' 'r ,h e J' q,? -ifmunl S"."em .oc €,PE".~.i,.~u",,(!, rd". ,he,ck here......
Ii \'OU wanT TJIlS Droccsse.d Throl/?h ...our nC.{:uzuif
DATE 12----/1-3/07
C" '1\TER
/10;1
~v'1 D~
CO~TRACTOR ~~
17.thv'J S
J on ADDRESS
CHECK 0' ALL APPLICABLE
USE CATEGORY
~g1e Family ODup1ex
*~ .xhc
?;;{()~ 7y?~c;t:/9c;'
H '7YJl- r;s;;zo
OMulti-Family
o Rental
OCornmercial
o Industrial
FUEL
~as
tQ2;il
DElectric DSol1d
DSolar
SYSTEM
DNew
DOther
OReplace
~E
f3l<orced Air DRadiant OSteam DAlC OVent o Electric
IS CBIM1\~Y BEING LINED DNo DYes - LmER SIZE ~ II
Note: All chimneys shall be sized per the BTU's being vented.
oHot Water OSuppl. DCan. Burner
& MANUFACTURER
CHIMNEY TYPE
IIEAT LOSS
BTU RATE
DChirnney A
OAs Approved
DAs Per Plan
DChimney B
DExisting
OVariable
~irect Vent
oNot Applicable
o Other Value
!lefhuL~~
OOther
DESCRIPTION OF ALL 'VORK BEING DONE
V ALUE..------ -..--
---.....~::-..::~-~-
flJ~ ~6;}.9Jv - ~~~
ELECTRlCALCONTRACTOR ~ . -# /.,;;>p/so
, n Electric Installation Verification foml, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicabl.e, a separate Electrical Pennit is required.
9/02