HomeMy WebLinkAbout0131629-HVAC (furnace & a/c)/~"~ CITY OF OSHKOSH No 131629
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1712 HAZEL ST Owner PAUL W/MARY KAY JENNERJAHN Create Date 07/17/2008
Contractor BREWER HEATING Category 502 -Residential-Both 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 Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
UselNature
of Work
~E FURNACE AND A/C DUE TO
CONTRACTING ""debt acct
LINER, EIV SIGNED BY SCHOMMER
Fees: Valuation
Issued By:
Plan Approval $0.00
^ Permit Voided
Permit Fee Paid $91.00
Date 07/17/2008
Parcel Id # 1525620000
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 866-8(
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.
07/02/2008 WED 15:50 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
Pax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
I~J002/003
• Application(s) and fee(s) cats be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 ]28,
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 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.
DATE 7-0~- V
JOB ADDRESS l ~7~0~ G~r Sf~
OWNER ,~aw t' ~
CONTRACTOR ~J~-u~`- 6 ~"-G
CHECK C~! ALL APPLICABLE
USE CATEGORY
~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Tndustrial
FUEL (~d'as ^Electric ^Solid SYSTEM ^New eplace
^Oil ^Solar ^Other
TYPE
~orced Air ^Radiant ^Steam ~/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ~TYes -LINER SIZE ~ h & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B
HEAT LOSS ^As Approved ^Existing
BTU RATE ^As Per Plan ^Variable
^Other
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
~ p wt.~ w~-c - /~' f G °+1- ~l'i< 5 61o~t 1 ~ ~ ~.vri~ti
VALUE (Including labor and materiats) ~ ~~yT/
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
^Direct Vent
^Not Applicable
^Other Value _
o~/o~
JUL-17-2008 16 00 SCHOMMER ELECTRIC
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Electric ~tstaliation V'erificetio
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920 P.03i03
(Electrical Cotttractor Nata~ or Homeowner's Name)
(Address) (City) (Slats) (Zip Code)
accept the responsibility to perform the electric work ~s sbted below, at the following address:
~T.
(Address where work wi116e performed)
The nature of the work consists of (Check Oyu or Describe the Nature of 1XTork)
Recopbcctioa or new circuit for replacement Heating Plant and/or A/C Condenser.
Reca~tion or new circuit for replacement Electric Water Hooter or povror vented
wales heater,
Rt:cannoction of the Scrvic~ Entrance Cable, Mater Hox, alterations to receptacles
and lighting fixtures due to siding / Soffit installation, Note' New Service
Entrance Cables will require a separate permit,
Recoanectioa or new circuit far the raplacetaant of other Detmanently wired
appliancc~ /fixtures.
~, New circuit far the addition of A1C to an i»dividual dwelling unit, including
required service clcctrical outl~s. Note: hlomeownenr can only do their own
elecrrrc on a si><gle jor»r1y owner occupied hvme, Work on a condominiaam,
duplex, rental, or multi-use building would require a licensed Electrical
Co++-rocror.
Other
The value of this work is ~ J • ~
I horoby verify this work will he performed is compliance with the License roquirements of
Section 11-22 Qf the Oshkosh Municipal code and fuirtlser verify the reconnection /installation
will be done is compliance with manufaeturor and Electric code requirements,
c3rvLT y¢vyt~tna fs ~ /G dry'
(Signemr~ of Coa~r OtCtcer or Hoan:nwncr) (Print Ndm~) (Oatc)
01,07
TOTAL P.03