HomeMy WebLinkAbout0154670 - HVAC (new furnace) CCITY OF OSHKOSH No 154670
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2460 SHORE PRESERVE DR Owner SCHMIDT BROTHERS CONSTRUCTION Create Date 0.1/17/2013
Contractor KRAMER PETERSON HEATING&COOL Category 502-Residential-Both Plan
Inspector John Zarate
Fuel I✓) Gas Li Oil ❑ Electric u Solar I ❑ olid
System g New I ❑ Replace 1 ❑ Other J
[A-Forced Air 1 J Radiant I J Steam ✓ A/C J ETN.T6nt
rifElectric ❑-Hot Water J ❑ Suppl. [icon. Burner)
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent O Not Applicable
Heat Loss • - -
As Approved 0 Existing O Not Applicable I Value
BTU Rate - - - - - - -
As Per Plan 0 Variable • Other J Value 60,000
Use/Nature NSFR(LATE PERMIT)/INSTALL NEW FURNACE AND A/C FOR NEW HOME **check#5833
of Work
Fees: Valuation $6,800.00 Plan Approval $0.00 Permit Fee Paid $126.00
Issued By: �J 1 r iW Date 03/08/2013
❑ Permit Voided Parcel Id#1281030000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address 300 W FLORIDA AVE LITTLE CHUTE WI 54140 -0 Telephone Number 920-687-2665
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Ma,.. E. 2113 10: 210 :ITY OF C HKO$H INSPECTION D 2433
City of Oshkosh
Division of Inspection Services / b
P.Q.Box 1130
Oshkosh,WI 54903.-1130
Phone(920)2365050
Fax (920)236-5084 O
ON TrE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete..kpplicatic ns 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you area contractor., articipating in the Permit fee Account System and have adequate fun . check here
if you want this processed through your account Jj
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an ETV when such is required, will not be
processed for Penatit Issuance and will be returned for completion.
DATE
JOB ADDRESS` '6 c, SAo 7)rrvc,;S
OWNER •.ScJ,>r.;ci . { —
CONTRACTOR kr-c.e ter `E" w , • C oca //,‘,9
CHECK la ALL APPLICABLE
USE CATEGORY
tS-Single Family DDuplex DMulti-Family DRental ❑Commercial ❑Industrial
FUEL . SGas DElectric OSolid SYSTEM --(New DReplace
❑Oil OSolar DOther
TYPE
orced Air ORadiant OSteam !C
DVcnt DElectric O)Flot Water ❑Suppl. ❑Cou.Burner
IS CHIMNEY BELNG LINED DNi Yes -LINER SIZE &MANUFACTURER.
Note:All chimneys shall be sized per the BTU's being vented. ---
CHIMNEY TYPE DChimney A DChininey B ' Direct Vent DOther
HEAT LOSS igAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan °Variable DOther Value t Uv
DESCRIPTION!SCOPE OF ALL WORK BEING DONE - Co,.s tr-‘z c ;
I 52 r C." 2B' 1 Y' 4 c "t' ,f/L
VALUE(Including labor and materials)$ goo oo -G e
ELECTRICAL CONTRACTOR(for projects not requiring au EIV Form)
07/07