HomeMy WebLinkAbout0152784 - HVAC (interior remodel) 0 CITY OF OSHKOSH No 152784
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1703 NORTHPOINT ST Owner DANIEL F HICKEY Create Date 09/24/2012
Contractor BREWER HEATING Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric 1 U Solar 1 fSolid
System E New g Replace J ❑ Other -
Q Forced Air L Radiant [Steam j A/C FI Vent
L. Electric 1 rot Water j 1 J Suppl. Eon. Burner
Chimney Type 0 Chimney A 0 Chimney B O Direct Vent • Not Applicable 1
Heat Loss 0 As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable 0 Other Value
Use/Nature SFR/Interior Remodeling to include furnace and a/c replacements and ductwork **debit acct
of Work
Fees: Valuation $6,800.00 Plan Approval $0.00 Permit Fee Paid $112.00
Issued By: 2020 W Date 10/05/2012
Permit Voided Parcel Id#1514570000
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.
0/04/2012 THU 15: 00 FAX 920 748 6520 Brewer Heating CITY OF OSHKOSH
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City of Oshkosh
Division of Inspection Services ; . r,...
P.O. Box 1 130 ;M,y'.
Oshkosh, WI 54903-1130
Phone (920)236-5050 ':''
Fax (920) 236-5084 O/- /O]I
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
o 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 f e Account System and have adequate funds, check here
if you want this processed through your account ( '
**Advisory- For applicable projects, an EIectrical 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 ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 70 •,3_ /z
JOB ADDRESS (7 v3 AicA -k`pd,,,, r
OWNER La r, /-4:‘c.-key .
CONTRACTOR g f2 Ct1 Pen-7-17116 _LW_
CHECK Q ALL APPLICABLE
SE CATEGORY
hVO-STigle Family ❑Duplex ❑Multi-Family ❑Rental DCommercial ❑Industrial
FUEL Gas ❑Electric ❑Solid SYSTEM ❑New triZcplace
❑Oil ❑Solar ❑Other
TYPE
prorced Air ❑Radiant ❑Steam /C OVent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED(ino ❑Yes - LINER SIZE & MANUFACTURER
Note: A11 chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B pffirect Vent ❑Other
HEAT LOSS DAs Approved DExisting ONot Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
♦u.0,-J ru✓"4.-tom //9/C d— Lat.C.?fuze,/�
VALUE (Including labor and materials) $ 0U�
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)'= ."�"�'=� .—:a�%=
(A..) ;r Y.e, �t 0
,A de 1 pcii oe ✓.5 ? 07/07
Received Time Oct, 4. 2012 2: 34PM No. 1116 / ve /vet-�e.