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Home My WebLink About0131630-HVAC (furnace)OSHKOSH ON THE WATER Job Address 1530 DEERFIELD DR CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner T THOMAS NUSTAD/LORI J CARRELL No 131630 Create Date 07/17/2008 Contractor BREWER HEATING 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 Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value selNature FR /REPLACE FURNACE AND INSTALL 3" LINER DUE TO FLOOD DAMAGE, EIV SIGNED BY SCHOMMER ELECTRICAL of Work ONTRACTING **debt acct Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50 Issued By: Date 07/17/2008 ^ Permit Voided ~ Parcel Id # 1320170000 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. /02/2008 WED 15:48 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. 001/003 • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1 128, Oshl<osli 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 ~- Z` `~ JOB ADDRESS /~3J ~/~~ ~'~ OWNER ~?7WL N~5 ~~'~ CONTRACTOR ~j~2~tNP/i ~`~~C' ~~ CHECK Cd ALL APPLICABLE USE CATEGORY ~ingle Family ^Duplex ^iVlulti-Family ^Rental FUEL ~as ^Electric ^Solid SYSTEt~'i ^Oil ^Solar ^Commercial ^New ^Other ^Industrial emplace TYPE ~orced Air ORadiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl, ^Con. Burner IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE ~ ~ & 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 Ptan ^Variable DESCRIPTION /SCOPE OF ALL WORK BEING DONE ,,.~.c~ ~- ~ w l~t~rtlti VALUE (Including labor and materials) $ ~~ ~ ~~ ' ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ^Direct Vent ^Other ^Not Applicable ^Other Value JUL-17-2008 15 59 SCHOMMER ELECTRIC 920 P.02i03 f~ ~!'o~Na~,h Diri~ioa of lo~isctian 5avicu 11~ CS1neh ArenYo b Ooa 111 01uMo~11 ~ 1~9D3.1110 o~. no.susoso ----ate M ~ ~xo_»~soN Electric Installation Verification 8G~i0D~R~C1'RICAL CONTRAC~'II~1~, MILE RD. 1 ~w~) ~'~..__ WI 5196 (Electrical Contractor Nye or Hotneov-rncr's Natac) (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work ~ stated below, at the following address: /,530 ~~~~2~/~~r.~ ~~2 (r-ddress whezc work vrill be per£vrfxled) The nature of the work consists af: (Cheek Ono or Describa tho Nattue of Work) •~ Recotmection or near circuit for reptaceaieat Heating Plantand/or A/C Condenser. Reeonrreetion or new circuit for replaeemeat Electric Water Hasler or power vented water heats, Recornoction of the Service Entrance Cablo. Meter Box, alterations to receptacles and lighting $xtures due to siding / soffit instslladoa. Note New Service Entrance Cables wi]1 require a separate permit, Reconnection or new circuit for the replacatnent of other permanently wired applisn~es / fixturts. New circuit for the addition of A/C to an irld~-idual dwelling Vn,7, including required service clcctrical outlets, Notc; Homeowners ccn only do lherr own electric on a rirgle family owr~r occupied home. Work on a condominium, duplex, renal, or multi-use building would regvira a (fcensed Elccerical Contractor. Other -~ _ __ ~ W ~z~c_ ~h+~tGf.A 1Cu rz,J-c-c,~. The value of this work is S 5 r 1 hereby verify this work will be performed in eo>ztpliarice with the Taceaae roquiro:aenis of Section 1 I.22 of tha Oshkosh Municipal code and f~ttlcz verify the reconaaction /installation will be done in complietsce with manufacturer and Electric code roquiramcnts. o awe ~ (c og' (5ieffsfure of Company Ofheer or Noafeowoer) Print Kane) (Dalc~ %`.;i-S?-2008 I I ~ 41 a~ro~ 9sx a ~]: