HomeMy WebLinkAbout0153428 - HVAC (replace furnace) 0 CITY OF OSHKOSH No 153428
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1050 W SOUTH PARK AVE Owner GARY A GUETSCHOW ETAL Create Date 11/07/2012
Contractor BREWER HEATING Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel ✓ as Oil 0 Electric Solar E Solid
System ❑ New 1 0 Replace ❑ Other
Forced Air ❑ Radiant ❑ Steam I Er A/C I Vent
❑ Electric j ERlot Water ❑ Suppl. I ❑ Con. Burner 1
Chimney Type 0 ChimneyA O Chimney B • Direct Vent 0 Not Applicable
Heat Loss 10 As Approved O Existing • Not Applicable Value
BTU Rate • As Per Plan 0 Variable • Other 1 Value
Use/Nature SFR/REPLACE FURANCE AND A/C, ELECTRIC INSTALLED BY CUMINGS ELECTRIC **debit acct
of Work
Fees: Valuation $5,830.00 Plan Approval $0.00 Permit Fee Paid $98.50
Issued By: a Date 11/07/201-2
❑ Permit Voided I Parcel Id#1307350300
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.
1/07/2012 WED 7: 40 FAX 920 748 6520 Brewer Heating --•-' CITY OF OSHKOSH IZI001/001
City of Oshkosh
Division of Inspection Services 4.0§'A,P.O. Box 1130
Oshkosh, WI 54903-1 130 .3?,Y w,
Phone (920)236-5050
Fax (920) 236-5084 0/1 IKO.f1 I
ON THE WATFR
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 f,e Account System and have adequate funds, check here
if you want this processed through your account (yk
** Advisory -For applicable projects, an EIectrical 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 ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE //' 7 ' ( 2_
JOB ADDRESS lO 3NA 0�(�
OWNER S h P_ 6"u ei-s J4-D (.4.) 0,a)23C--Ooh
CONTRACTOR g 12tv4J6z /Je .TE /6 J 4C-
CHECK Q ALL APPLICABLE
USE CATEGORY
►. ngle Family ODuplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ras ❑Electric ❑Solid SYSTEM New emplace
Oil ❑Solar DOther
TYPE
?forced Air DRadiant ❑Steam.)/C ❑Vent /�t
❑Elle��ct/ ❑
DElectric Hot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED ONo ❑Yes - LINER SIZE AI, . & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B5irect Vent DOther
HEAT LOSS DAs Approved DExisting ONot Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
III 57'W/ Ate 44) •6ern4 u 4— !f'( L
VALUE (Including labor and materials) $ 61,0-'0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) ru vMw.,.
07/07
Received Time Nov 7. 2012 7 : 13AM No. 1546