HomeMy WebLinkAbout0156802-HVAC (a/c) � CITY OF OSHKOSH No �5sso2
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 375 379 S WESTFIELD ST Owner JAMES E MOLINSKI Create Date 07/19/2013
Contractor BREWER HEATING Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas I Oil Electric � Solar i �Solid �
System New I �✓ Replace �i � Other I
Forced Air � �Radiant Steam j ✓ A/C �i Vent
Electric �, Hot Water � Suppl. [ Con. Bumer '
Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value _
BTU Rate As Per Plan � Variable � Other Value
Use/Nature 'SFR!replace A/C -�,
of Work ,
"debit acct" �
�
— --- —
Fees: Valuation $2,100.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: '�"V.�. Date 07/19/2013
❑ Permit Voided ; Parcel Id#0615240000
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.
07/19/2013 FRI 9: 32 FAx 920 748 6520 Brewer Heating ��� CITY OF OSHROSH �002/002
City of Oshi<osh '
Division of Inspection Services >;�' "
P.O. Box 1130 "
Oshkosh, WI 54903-1130 '��,'.�
Phone (920)236-SO50
Fax (920)23G-5084 01HKO.IH
ON THF WATFF
�avAC �E��ne-r A�P�oc�r�a�
All information after bold cate�ories must be provided.
Incomplete applications v��ill not be processed.
� Application(s) �.nd fee(s)can be brought to City Hall, Room 2U5 or mailed to Inspection Services, PO Box 1128,
Oshkosh W1 54903-1128. Comrnencing worlc without permit(s) will result in fees being doubled or$100.00 plus the
normal pei•mit fee, which ever is greater. :
012
If vou are a contractor• partici atin in Ihe Permil e Accozu�t ,S stenr �nd have ade uale :�nds check here
if>>ou tiaant [hi,s rocessed thror� h our accoun[
**Adviso�y -For applic�Ule projects, aYi Electrical vistallation Vcrification (FT�� form, signed Uy the Electrical
Contractor or Homeowner(For installations allowed to be perforined f�y the Iiomcowner) yntist be submitted
witli the pennit application. A�plieations submitted witl�out an EIV when si�ch is required, will not be
processed for Perniit rssuancc anci will be retz�rned for coinpletion.
llAT� �� /P--/3
30B AllLZ�tESS .379 S• GtJL�T�i Gsf I.�_
OWNER Qv�'!cS ,/�v5 �n•S
CONTRACTOR I�l2L'l,�l•�JQ. f�U�`TLytJG .�G
CI3�CIC Q ALL APPLICABLE
USC CATLG�I2Y
�Single Fainily ❑Du�le� ❑Ylulii-I'ainil�� ❑Re�1ta1 L�Commercial �Inclustrial
:E�UFL ❑Grs LaElectric OSolid s'`�;�'�'ri�%� U�'��v ?'�Repiace
❑Oil ❑Solar ❑Other :
tYP�
❑Porced Air ❑R�diant �Steam �1/C ❑Vent ❑�lectric ❑Hot V>>ate►• ❑Suppl. ❑Con, Burner
IS CHIMNEY B�ING LINCD ❑No ❑Yes - LINER SIZE & MANUFACTURER
Note:Al!chimneys shall be sized per the BTU's being vented.
CHIMN�Y TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Otl�er
HEAT LOSS ❑As Approved ❑Existing ❑Not�Applicable
BTU RAT� ❑As Per Plan ❑Variable � ❑Ot11er Valtae
DESCRTPTION/SCOPE,�O`F ALL ORK BEING DQN�
Rr?.��OCG H-�+' yY' ,"�'?l��
VALU� (Including labor a�id m�terials) $ `�o�,(Jt� � .
�L�CTRICAF.C01`ITRACTOR (for projects not requiring an �IV rorm) '
07/0�