HomeMy WebLinkAbout0154071 - HVAC (furnace) C") CITY OF OSHKOSH No 154071
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2721 BOWEN ST Owner PORTSIDE APARTMENTS LLC Create Date 01/03/2013
Contractor BREWER HEATING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel U Gas Oil ❑ Electric aSolar ❑ Solid
System ❑ New 0 Replace ❑ Other
Forced Air 1 Radiant ❑ Steam J EC _j Vent
Electric D Hot Water U Suppl. D Con. Burner
Chimney Type p Chimney • Chimney B O Direct Vent O Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other 1 Value
Use/Nature DULPEX(UNIT 2721)/REPLACE FURNACE **debit acct
of Work
Fees: Valuation $1,720.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: a- + /(JAW Date 01/03/2013
❑ Permit Voided Parcel Id#1524880000
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.
ill1/03/2013 THU 12: 18 FAX 920 748 6520 Brewer Heating 0001/001
City of Oshkosh
Division of Inspection Services
P.O. Box l 130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfH<Of
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
I nu are a contractor •articisatin_ in the Permit -e Account S stern and have ade.uate rinds check here
if you want this processed through your account .
** 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 ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE / — 0 -/
JOB ADDRESS col 7 021 r27o t-"'e r'
OWNER 14-vtcka✓cl,c PAElownl
CONTRACTOR g gb,6JgR /-16-9-TThiG SYiG
CHECK Q ALL APPLICABLE
USE CATEGORY
ng1e Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL Kias OElectric ❑Solid SYSTEM New replace
❑Oil OSolar ❑Other
TYPE
•p`orced Air ❑Radiant ❑Steam ❑A/C OVent ❑Electric OHot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINEDMP4o ❑Yes - LINER SIZE & MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A 1rChimney B ODirect Vent ❑Other
HEAT LOSS EAs Approved ❑Existing ❑Not.Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
/ Z v'
VALUE (Including labor and materials) / 7
ELECTRICAL CONTRACTOR (for projects not requiring an MV Form)
07107
Received Time Jan, 3. 2013 11 : 50AM No. 2024