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Home My WebLink About0133647-HVAC (furnace)OSHKOSH ON THE WATER Job Address 1041 BOWEN ST CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner HELEN S GINSBERG REV TRUST No 133647 Create Date 10/22/2008 Contractor BREWER HEATING Category 500 -Residential-Heating & Ventilating Plan Fuei / Gas Oil Electric Solar Solid _ __ _~ System Q New ; / Replace '; ~ Other / Forced Air Radiant ~eam ~ ~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 Use/Nature of Work Fees: Issued By: Plan Approval $0.00 Permit Fee Paid $52.00 Date 10/22/2008 Permit Voided Parcel Id # 1109460000 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 AgenUOwner 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 performed within two business days from the time the project is ready. FR /REPLACE FURNACE, EIV SIGNED BY SCHOMMER ELECTRICAL CONTRACTING **debt acct i 09/25/2008 THU 8:53 FAX 920 748 6520 Brewer Heatinq ~~'~ 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. ~ooz/ooz • Application(s) and fee(s) can be brought to City Hall, Room 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 Veril:'ication (EIV) foxm, 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 fox Permit Issuance and will be xeritrned for completion. DATE ~` ~ =V~ JOB ADDRESS ~Dy~ ~O l~t°N S/' OWNER ~f_ ~z~~~2Yt5~"YLG CONTRACTOR rJy'Gt.~li~ t-~~.y~-r ~ .~- ~ CHECK Q ALL APPLICABLE USE CATEGORY Dingle Family ^Duplex ^Multi-Family FUEL ,bias ^Electric ^Solid ^Oil ^Solar TYPE ~orced Air ^Radiant ^Steam ^A/C ^Vent IS CHIMNEY BEING LINED ^No Wes -LINER S Note; All chimneys shall be sized per the BTU's being vented. ^Rental ^Cominercial ^Industrial SYSTEM ^New ~eplace ^Otlier ^Electric ^Hot Water ^Suppl. ^Con. Burner IZE 335 ~ & MANUFACTURER CHIMNEY TYPE ^Chimney A ^Chimney B ,~'Birect Vent ^Other HEAT LOSS ^As Approved ^Existing ^Not Applicable BTU RATE ^As Per Plan ^Variable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE P(~ w.ww GG ~SC~4-t l ~ti. VALUE (Including labor and materials) $ fog g~y' ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) Sv~Y'~^' o7io~ OCT-22-2008 16 43 SCHOMMER ELECTRIC ' ~CDI _ . :. 7:59AM inspectl~~; ao~.l.~~ C11Y U~C/IIk01a t~l~tilll O{T'-- .~`11CG 2lS CYwel Ao~cA~e pOloalt I t]0 OsLImfN Wl S/yW-1l30 plGce vto-zi~~asu w. ga374~s0~ y. .yl rAIL~ Electric Installaxion Verification 920 P.01i02 I (Wc) ~a a/~ ~ ~ ~r.CQ/ a ro ~a'n (F.lectrieal Contractor Name) (Address) (Stela) (Zip Cvde) have been ~ntrar~ed to perform electric installation work for (Na~mec of party contraetcd to) at the Inllow~ittg addt~s: 4 `~ ,Bowes ~S (Addc~ss where wozk wi11 bC performed) T1~e nattue of the work consists of (Chrxk Ono or Describe the Na1vr~ of Work) ,~ Rao now oireuit far replacement Hastin$ Plant and/or A/C Condenser, Reeoaaeetioa or new circuit for nplacanent F.lcctric Waiarr geatet or power vmtcd water heater. ReroAlaectiou oFtho Service Brttraaaa Cable, Meter Box, alterations to receptacles and iightaag ftxttues due to siding / soft in~allat~°n. Note: New Scrvico Eauance Cables will require a sepazaze p~.it. ltecoaneetioa ox new circuit for therEplacanctrt of other pemtarterrtly wixcd appliances / fi~ctures. New circuit for the addition of A/C to an individual dwelling unit (house or tht individual systems in a duplex or condominiums iaeluding ~uirvd scavicc electrical outlets. Other d~~ The value o f chic work is $ ~ S thereby verify this work will bE performed by art employme of this company end f~~' verify the rr,GOrmeCCiott ~ installnttvn will be done +n complianco with maaufacturcr and Elattrie code reyuirements. (Si,~,~c f Cotnpaay Officer) (Peat Name oFOfhe r) SlOl 97:: F . 0: 19202365984