HomeMy WebLinkAbout0156042-HVAC (furnace & a/c) � CITY OF OSHKOSH No 156042
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2800 STONEY BEACH ST Owner DONALD E/JOANN B LEWIS Create Date 06/06/2013
Contractor BREWER HEATING _ Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar Solid
System � New I �✓ Replace 'I � Other I
�/ Forced Air Radiant Stea� �A/C � Vent
Electric Hot Water (— Suppl. Con. Burner :
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApp�icable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature ISFR/installing new fumace and A/C unit per code/all work will meet state and local codes
of Work
I
�
Fees: Valuation $5,210.00 Plan Approvai $0.00 Permit Fee Paid $110.00 �
Issued By: ��- Date O6/O6/2013
❑ Permit Voided I Parcel Id#1414920000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address N8804 DOUGLAS ST RIPON WI 54971 -9702 Telephone Number 920-748-6494 866-8(
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
6/06/2013 THU 13: 11 FAX 920 748 6520 Brewer Heatinq ��� CITY OF OSHROSH �001/001
City of Oshkosh
Division of Inspection Services
P.O. Box ]130
Oshkosh, WI54903-I130
Phone(920)236-5050
Fax (920)236-5084 01HKO.IH
ON THF WATfR
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete appiications will not be processed.
o Application(s)and fee(s)can be brought to City Hali, Room 245 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wt 54903-1128. Commencing work without permit(s) will result in fees being doubled or$]00.00 plus the
normal permit fee, which ever is greater.
OR
1 ou are a contraclor artici Q11I1 i�� !he Permit e Account S stem and have ade unte unds check here
i ou N�ant [his rocessed th��ou h ou�• accoun[
**Advisory -For applicable projects, an Electrical Installation Verification (EI� form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the honieowner) must be submitted :
with the permit application. Applications siibmitted without an EN when such is required, wiIl not be
processed for Permit Issuance and will be rernrned for completion.
DATE �" �� � 3
JOB ADDRESS ��OV 57�,�ev� ,��G��
OWNER Lvn Zec�✓�`S •
CONTRACTOR �12���t/`l�IQ- �(�s?9'TL�'✓G .IY�G :
CHECK C'ALL APPLTCABLE :
US� CATEGORY
,�gle Family ODuplex ❑vlulti-Family ❑Rental ❑Commercial OIndustrial
FUEL �as OElectric ❑Solid SYSTEM ONew �eplace
❑Oil OSolar ❑Other
TYPE
�R'orced Air ❑Radiant ❑Steam�/C ❑Vent ❑Electric CJHot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED �No ❑Yes - LINER SIZE�_& MANUFACTURER
Note: All chimneys sha11 be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A OChimney B ,BDirect Vent OOther
HEAT LOSS ❑As Approved �Existing �Not�Applicable
BTU RATE ❑As Per Plan OVariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
Tn 5 n+i r /�l��.� r r.-a.c.- �-- �4-I �
VALUE (including labor and materials) � Sa�D �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) �- :
o�/o�