HomeMy WebLinkAbout0151893 - HVAC (new system) 0 CITY OF OSHKOSH No 151893
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1713 ELMWOOD AVE Owner DENNIS P BREHMERNVENDY S GENETT Create Date 06/20/2012
Contractor ALL SEASONS QUALITY HTG& CLG Category 502-Residential-Both _ Plan
Inspector John Zarate
Fuel U Gas ❑ Oil U Electric J I I Solar I I Solid
System n New 1 n Replace 1 n Other
U Forced Air ❑ Radiant ] Steam u A/C Li Vent
Electric Hot Water ❑ Suppl. 7 f Con.Burner
Chimney Type 0 Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss !le As Approved 0 Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use/Nature NSFR/NEW HEATING AND COOLING SYSTEM FOR NEW HOME **check#2617
of Work
Fees: Valuation $9,150. 0 Plan Approval $0.00 Permit Fee Paid $148.00
Issued By: Date 08/22/2012
❑ Permit Voided Parcel Id#1200670200
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 secuIany ssary app efore starting such activity.
Signature L, Date GUAi ,27, j
Agent/Owner
Address 7394 LIBERTY SCHOOL ROAD OMRO WI 54963 -9623 Telephone Number 920-426-8090 or 68E
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
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
4611r..11
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE WATER
HVAC PERMIT APPLICATION
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
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
ifyou want this processed through your account n
**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)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 aim 22 1L
JOB ADDRESS 1 e 13 . 54'-
OWNER a
CONTRACTOR COQ S +. .� cs5
CHECK H ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL gas ❑Electric ❑Solid SYSTEM *New ❑Replace
❑Oil ❑Solar DOther
TYPE
Forced Air ❑Radiant CI Steam J26/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE (fJlt &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B , Direct Vent ❑Other
HEAT LOSS IFAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Ot1her Value^
DESCRIPTION/SCOPE OF ALL WORK BEING DONE L - =t
VALUE(Including labor and materials) $ � 1
1 ,60
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07