HomeMy WebLinkAbout2011-HVAC 0) CITY OF OSHKOSH No 146312
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 606 E MURDOCK AVE Owner MUZA METAL PRODUCTS LLC Create Date 04/28/2011
Contractor BREWER HEATING Category 512 - Ind. & Comm -Both Plan U1- 3288 -0511
Inspector Brian Noe
Fuel U Gas U Oil U Electric U Solar U Solid
System 0 New n Replace 1 n Other
u Forced Air u Radiant u Steam u A/C _f Vent
Li Electric U Hot Water Li Suppl. Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 10 As Per Plan 0 Variable 0 Other Value
Use /Nature Install new furnace, a/c and ductwork for new offices. * *debit acct
of Work
Fees: Valuation $5,600.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: 3-n--)5--- V Date 06/13/2011
Permit Voided Parcel Id # 1519310000
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 (Le. 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.
■4/28/2011 THU 11:13 FAX 920 748 6520 Brewer Heating -•-• CITY OF OSHKOSH I�J001 /001
• City of Oshkosh
Division of Inspection Services'```
P.O. Box 1130 `` k: :'
Oshkosh, WI 54903 -1130 406
Phone (920) 236-5050 O.JHKOJH
Fax (920)) 236-5084
ON THE WATFR
HVAC PERMIT APPLICATION
K j- All information after bold categories must be provided.
Incomplete applications will not be processed.
® 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
1 ou are a contractor •arlici•atin: in the Permit -e Account S stem and have ade•uate unds check here
if you want this processed through your account
** Advisory For applicable projects, an Electrical Installation Verification (ETV) 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 7 — l/
JOB ADDRESS ( C. t. /Wei p2,0 ' �/<
OWNER /4 219 Sfil ---7-- )4'f 7
CONTRACTOR B 12*�Ct16 {Q. Pen" rpt/G .lvt.G
CHECK Q ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex DMulti-Family DRental commercial ❑Industrial
FUEL as ❑Electric ❑Solid SYSTEM (Blew DReplace
❑Oil ❑Solar ❑Other
TYPE
ieorced Air DRadiant ❑Steam -/C ❑Vent DElectric ❑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 DChimney A ❑Chimney B ❑Direct Vent DOther
HEAT LOSS DAs Approved ❑Existing ❑Not
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE / j1
/f e .j .r.- � ✓✓t G c We_ d " D 6, r�vt�vv k 0 —1^`f�zze- S
/
`45
VALUE (Including labor and materials) $ / f
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
Received Time Apr. 28. 2011 10:56AM No. 5411