HomeMy WebLinkAbout0155652-HVAC � CITY OF OSHKOSH No 155652
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2410 SHORE PRESERVE DR Owner SCHMIDT BROTHERS CONSTRUCTION Create Date 04/12/2013
Contractor KRAMER PETERSON HEATING 8�COOL Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas � Oil Electric � Solar Solid j
System �✓ New I � Replace � � Other I
✓ Forced Air Radiant Steam � ✓ A/C �, Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
HeatLoss � AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature NSFR/NEW HVAC SYSTEM FOR NEW HOME "*check#5907 �
of Work I,
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Fees: Valuation $6,000.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: � Date 05/15/2013
❑ Permit Voided I Parcel Id#1281080000
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 pertorm 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
AgenUOwner .
Address 300 W FLORIDAAVE LITTLE CHUTE WI 54140 -1156 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 othervvise,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.
IYiC!, G� LJ I� IV• LJrilvl �t i * vi v�i�nv�n iiovi �v� iv�r �.� � �. � . „ ,
City oPOslilcosh ti �' �/o � �, �
Aivisibn of InSpeCtion Services �
P.O.�u�c 1130 �
os�costr,�ur sa4a3-i i3o
�hona(920)236-5454
�ex (92Q)236-5084
N H A c
HVAC PERMIT APPLICATIC3N
wll infarmation after bold categorics mast be pra�ded.
[acomplete appliCations wili nak be processed
• Applicetian{s)and�'ee(s)can be i�raught ta City Hail,Rpom 205 or mailed t�lnspecuon Services,PO Box l 128,
�shkosl�WY 54943-1128. CQmmencing work without p�amit(s)wili result in fees being cloubled ot$100.00 pins the
normal pcnnit fec,which ever is gi�eater.
Okt
I��u are a conlractor a� rilcfpalin,g !n �he 1'erm�t �ee rlcco�►nr SvJtem and have ader�uaFSfunds. aheex hsre
(�you wa�� rhis Frocessad thros�gh vour acaoanl�
**Advi�ory-For applicabk�rojerts, an Electrical Inst�lladon`�erifiea►ti�vn(��form,sxgnttl by the Electcieal
Coturactar or Homeowne�r(for instatlatfons allowed to be perfoxxe►ed by the homeowner)must be s�tbtn�tted
with tbe pernuC applicadvn. Applicaddns sabmitCed without an EI'V'when aneJe is xoqaixed, will not be
�rocessed far Permit Issuance and will be returned for campletfun.
DATE � �y /3, a.d��
JOBADDRESS�YIa s�,�r� p�e��� Dr���� ����IVEia
OWIVER �c:.��,;�Q�. �{�o s
co�c�.�ra�. �r4,n�r ��-�-�a.. �-��-,�.�a����1;�y MAY 15 2013 :
CI�'+�.`�.�AC�'.Ap'PY�YCAHLE DEPART11E:v"a�JF
co��tu�rr�ne4��:�.or�»�T
t75E CAT�GOYt'Y 'l1�15PECTIOti SE�1'3r£S DI�'ISIOV
�ingle Family ODu�lex QMu1ti-Family ❑Rentai ❑Commercial ❑Industrial
�'�� �as ��lec�ric; ❑Solid S'i''BT�Pv1 ��eFV DReplace
❑bit CJSolar ❑Other
TYP�
�orced Air ❑?�taadiar�t ❑Steam ❑A/C ❑�'exrt ❑Blectric ❑�Tnt 1Nater ❑Suppl, ❑COn.$unle�r
IS CHIIIZNEY BEING LL�'ED ❑No 0'�"es -LINER SIZE &MANL'�ACTURER
Note:Alf chimneys s1�a11 be sized per tho B']'U's bein�vented. -
CHA►�N�X x'X�+E ❑Chimney A ClChimney B CJDirect Vant C14ther
$EAT LO55 �As Approved []Existing C1ATot Applicable
BTU RA.TE �s Per Plan ❑Variabte ❑pther Va(ue
DESCRIPTY4N!SCOPE OF ALL WOkT�BETN�UONE_ 1ff�^-t� �h s�-r �_ : ��,
_�t�r'e,s�c�'_ Qc�►- 1�u-r��� d— ,�}l� �-c.n;��-S �
V'A�CTE(Ynclading lebor s�nd m�terials)$ �� c-��v- � �
ET.EC'T'RTCAL CONTIUCTOR(fur pro�ec�s not requlrin��c�EYV'Form)
D7/07