HomeMy WebLinkAbout0153751 - HVAC (new home ) C CITY OF OSHKOSH No 153751
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2378 SHORE PRESERVE DR Owner SCHMIDT BROTHERS CONSTRUCTION Create Date 08/02/2012
Contractor BRUSS HEATING&COOLING LLC Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil ErEfectric LiSolar Solid
System New ❑ Replace ❑ Other
Q Forced Air I❑ Radiant —I ❑ Steam A/C 1 H Vent
1 J Electric _ Hot Water ❑ Suppl. D Con. Burner J
Chimney Type • Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss js Approved ❑ Existing • Not Applicable Value
BTU Rate • As Per Plan 0 Variable 0 Other Value
Use/Nature NSFR(LATE PERMIT)/INSTALL NEW HVAC SYSTEM FOR NEW HOME **check#5169
of Work
Fees: Valuation $6,800.00 Plan Approval $0.00 Permit Fee Paid $224.00
Issued By: (977)/A J Date 11/29/2012
❑ Permit Voided Parcel Id#1281110000
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 W7626 MISTY SPRING CT GREENVILLE WI 54942 -8016 Telephone Number (920)740-2559
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
(41 1°.----siv\-1
Division sion of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O.f HKOJH
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
if you want this processed through your account fl
**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 J7) ~ 1
JOB ADDRESS 2-737)
OWNER
CONTRACTOR_ tikiklmis ca r S s ctli 0 S c)(/ Y
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CHECK 10 ALL APPLICABLE
USE CATEGORY
[Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL Was ❑Electric ❑Solid SYSTEM ❑New DReplace
❑Oil DSolar DOther
TYPE
, Forced Air DRadiant ❑Steam J/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B DDirect Vent DOther
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESC TON/ COPE OF AI L WORK BEING DONE N0 VV/
N .11601.
VALUE (Including labor and materials) $
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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