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Home My WebLink About0131628-HVAC (furnace)OSHKOSH ON THE WATER Job Address 540 W 14TH AVE CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD No 131828 Create Date 07/17/2008 Contractor BREWER HEATING I Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar ~ Solid System ^ New ~ ^/ Replace ~ ^ Other ~ / Forced Air ~ Radiant Steam A/C Vent Electric Hot Water. ^-Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existin Not Applicable Value BTU Rate As Per Plan Variable ' Other Value UselNature of Work Fees: Val Issued By: 00 Plan Approval Owner EDITHGLEN M BLEICHWEHL $0.00 Permit Fee Paid $52.00 Date 07/17/2008 ^ Permit Voided Parcel Id # 1300780100 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 920-748-6494 866-8C 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 pertonned within two business days from the time the project is ready. ~, FR /REPLACE FURNACE DUE TO FLOOD DAMAGE, EIV SIGNED BY SCHOMMER ELECTRICAL CONTRACTING 'debt acct ~~ 07/02/2008 WED 15:51 FAX 920 748 6520 Brewer Heating ~~~ CITY OF OSHKOSH City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920)236-5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. ~J003/003 • Application(s) and fee(s) can be brought to City Hall, Rootn 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 ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or T~omeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE 7- .Z - e~ S JOB ADDRESS ~''~~ ~~ ~~ OWNER E ~~?-iZ-~ CS ~~Gt/t~ L' CONTRACTOR .~-r~t~li~ .v ~~ CHECK d ALL APPLICABLE USE CATEGORY `{~ingle Family ^Duplex ^Multi-Family FUEL ~'G~as ^Electric ^Solid ^Oil ^Solar ^Rental ^Commercial SYSTEM ^New ^Other ^Industrial ~eplace TYPE ~ 'Forced Air ^Radiant OSteam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE N• l~' . & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other HEAT LOSS ^As Approved ^Existing ^Not Applicable BTU RATE ^As Per Plan ' ^Variable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE /~PD~GCt ~•.~-~~•.-c VALUE (Including labor and materials) $ ~N3c~~o ~~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/0 JUL-17-2008 15 59 SCHOMMER ELECTRIC ao,~ra~ti Dlhuoo orlawcolian iaricw I lJ C4ueeh wreme !'O aer l1 ~0 o~w~A wl si9o~-u~o orr;e. no.~s,rosa 920 P.01i03 •--~r.:..rer-- Fs. gm.~usoa Electric ~stallation Verification ~om~t ET.EC!'RICAI. co~i'INt~ APP 4 ~ V~Ill~b 61b I (wc) _.. (Electrical Coatractor Namo or Homeowaer's Name) (Address) ~, (City) (Sfax) (Zip Code) accept the iespor~sibility to perform the electric work as stated below, at the following address: (Address whore work will be performed) The nature of tho work consists of: (Check Oiu or Describe the Nature of Work) ,~ Reconnection or new circuit for repiaeeaieat Heating Plant and/or A1C Condenser, lteconr~ection or aew circuit for replacaaent Electric Water Idoatcr or power vented water heater, Reconnection of the Service Eatraace Cable, Mater Box, elurations to receptacles and lighting fxtures due to siding! soffit irutallation, Note• New Service Entrance Cables will require a separatt ponait~ Reconnection or new circuit for the replacemamt of other pcrmaaeatly wired appliaaca /fixtures. New circuit for the addition of A/C to arl iadtvrd~al dwelling wait, including required service electrical outlets. Note: Homeowners can only do ~herr own electric on a rrngle family owner occWpred 11o/ne. Work on a tondomini>rm, duplex, rental, or -nuJfi-use bwilditrg would requrre a (icensedElectrico! Conlracbr. Other ~~~~ ~~" The value of this work is $~,~~- 1 hereby verify this work will be performed in couipliaace with the );,icaise roquiroments of Section 11-22 of the Oshkosh Municipal code and Rather verify the rocanrtectioa / installation will be done incompliance with manufacturer and Electric code re4uizements. (5igne~ule of Company OtCtesr or Hoauowaa~ (trim Namc) (D~tc) o»o~ !,-t~-2age 1141 i 96% P. i3~~