HomeMy WebLinkAbout0133646-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1239 W 5TH AVE
No 133646
Create Date 10/22/2008
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
UselNature FR /REPLACE FURNAC E, EIV SIGNED BY SC HOMMER ELECTRICAL CONTRACTING "debt acct
of Work
i
Fees: Val
Issued By:
Plan Approval $0.00 Permit Fee Paid $52.00
^ Permit Voided
Date 10/22/2008
Parcel Id # 0609770000
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.
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner DAVID M WEBER
/25/2008 THU 8:53 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-SOS4
HVAC PERMIT APPLICATION
A11 information after bold categories must be provided.
Incomplete applications will not be processed.
I~J001/002
o Application(s) and fee(s) can be brought to City HaII, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-] 128. 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 Verif cation (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 g ~ Z r" D'~
,IOB ADllRESS~.A ~~ w~~
OWNER I~z~ `? tN, ~ -w•
CONTRACTOR '~Y ~~~ ~ Pw'~^~" •S ,Ll~ a
CHECK Q ALL APPLICABLE
USE CATEGORY
~ingle Family ^Duplex ^Muiti-Family ^Rental ^Commercial ^Industrial
FUEL bias ^Electric ^Solid SYSTEM ^New place
^Oil ^Solar ^Other
TYPE
~'1;`orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes - LINER SIZE_1C~ /4. & 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 Pet• Plan ^Variable
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
^Other
VALUE (including labor and materials) $ a-~W
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) .5' e. 1~.,u-w.-.r.-~.,,-
Direct Vent
^Not Applicable
^Other Value
07/0
OCT-22-2008 16 43 SCHOMMER ELECTRIC
Cuy of OaMoo~
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2t5 CiY~ AMCiWe
lOBaat 1110
tly~h all i~~-1uo
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Electric installation verification
920 P.02i02
1 (We) _~ ~ !r /~' C ~irr C Q Lb.~ i^aa.~! •f
C 0~1m /'
(Electrical Contractor Name)
~ ~ w0 ~r { ~ t1w~'1 w
(~~) (it}') (State) (Zip Codc)
have beta eoaeraeled to perform eltxtric installation work for ~ ma of party eontraa~eted ta)
at the following address: 2 3 W' `~ ~ `~ ~
(.Adtirt:ss vl-hcrc work will be ptrftnmed)
The nature of the work consists of: (Chock Ono or Describo the Nature of Wozlc)
_ Y~ Recanaccti r new circuit far repiact~ent Hosting Plant andlor AIC Candeas~r.
Reco~aecdoa or new cvcuit for replaxmant Electric Water Heater oT power vented
water hcatcr.
Rxoaluctiozl of the Senrice 1!?rltr~cG Cables Meter Box, alterations to tfeceptaeles
and lighting fiztwes due to sitting / soft installation. Note: New Service
Entraaco Cables will require a scpata'te Permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances ~ fixtures.
New circuit fvr the addition of A/C to an individua! dwelling ,n~ir (house or the
individual systems in a duplex or condaminiusa), iac~ut3irlg required service
clcctrical outlets.
Other
a
'I he value o f this work is S ~S • -
T. hereby vc[lfy this work will bE perfonaed by an employee of this company and further verify
tha rocoimeCtivtr I installation will be done is cotttpliante with maaufacturcr and Electric code
rt:CluirGt:xlents.
(Signature f Company Offict:r) (Print Nam of Officer) (D~)
s~u~
TOTAL P.02