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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 nb oPOrhkorh Rviwn of Svviee~ 21J Rerep Mende POtisa l170 OINraJI wt-1 l~Ym.ll]C OlFQ 970.]1~ddS0 --~-r.-warn ~ no.2~asow I (w~) Electric ~tstaliation V'erificetio 8C~i0~fTRtCAI. CONT,~ACTII~, ..,` ~~TOH~ W154~f6 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