HomeMy WebLinkAbout0134267-HVACOSHKOSH
ON THE WATER
Job Address 646 GRAND ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner THOMAS/BARBARA J EDWARDS
No 134267
Create Date 11/19/2008
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
---
imney Type Chimney A Chimney B Direct Vent ~ Not Applicable
eat Loss
As Approved
Existing - -- ----
~(Vot Applicable
'', Value
BTU Rate
BAs Per Plan ---
Variable __
i Other
Value
___
se/Nature FR /City rehab /Remove & replace furnace and new ductwork throughout house.
of Work
Fees: Valuation $5,840.00 Plan Approval $0.00
Issued By:
^ Permit Voided ~ Parcel Id # 0405330000
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 866-8C
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.
----~
Permit Fee Paid $98.50
Date 12/04/2008
12/02/2008 TUE 14:01 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.
IaJ002/002
• Application(s) and fee(s) can be brought to City Hall, Room 20S or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 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
! ou are a c ntractor arttci atin in the Permit a Account S stem and have ade wale z:nds check here
i ou want this rocessed throw h our accoun
** Advisory -For appIicable 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 ~2' 2 ' ~~
JOB ADDRESS !0`7 to ~rLl.~ri/ D S`~ -
OWNER :hP~~4~ S/9~t3"- 'S~~°-~rZ~s __
CONTRACTOR ~~ ~
CHECK L~1 ALL APPLICABLE
USE CATEGORY
~ingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL bias OElectric ^Solid SYSTENI ^New ~epiace
^Oil ^Solar ^Uther
TYPE
J~F'orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: Alt chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS DAs Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
~r/A-~ ~ v Dt37.GYt k ~
VALUE (Including labor and materials) $ `~~7-. ~~i ~6- D O
/~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) /" / ~ t
o7io~