HomeMy WebLinkAbout0134255-HVAC/~'~ CITY OF OSHKOSH No 134255
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3805 SHOREBIRD CT Owner CLASSIC HOMES BY KUBA Create Date 12/03/2008
Contractor BREWER HEATING Category 502 -Residential-Both Plan
Fuel / Gas Oil ^ Electrc ,~ ^. Solar ^ Solid
System ^/ New ~ ^ Replace __~ ^ Other
/ Forced Air Radiant Steam / A/C ~ ^ Vent
Electric Hot Water Suppl. ~ Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
Fees: Valuation $8,340.00 Plan Approval $0.00
Issued By:
^ Permit Voided
Parcel Id #
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.
Permit Fee Paid $136.00
Date 12/03/2008
/02/2008 TUS 14:01 FAX 920 748 6520 Brewer Heatinq ~~~ CITY OF OSHKOSH
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, W154903-1130
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.
001/002
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. Cotnmencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
!,[,vou are a contractor participating in the Permit 1'ee Account System and have adequate funds. check here
if you Ivan[ this processed throu~,~ot~r account ~"
** 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) mast be submitted
with the permit appiieation. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE /Z-Z..--J rt3
JOB ADDRESS 3~c~ ~ S~~2c ~3.t-'lei
OWNER ~/ ~Z f~v~~ ~~~ ~~~,~
CONTRACTOR ~JrC.t~.-+~ ~~.~tJG .~,
CHECK Q ALL APPLICABLE
USE CATEGORY
~ilgle Family ODuplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL t~s ^Electl•ic ^Solid SYSTEM ~ew ^Replace
^Oil ^Solar ^Other
TYPE
~rced Air Radiant ^Steam ~/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Bu-•ner
IS CHIMNEY BEING LINEll ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
VALUE (Including Iabor and materials) $ ~ 3 t l7
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~io7