HomeMy WebLinkAbout0157148-HVAC (furnace & a/c) � CITY OF OSHKOSH No 157178
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER '
Job Address 1617 HAZEL ST Owner JOSEPH S/KATHLEEN M SCHMITZ Create Date 08/12/2013
Contractor BREWER HEATING Category 502-Residential-Both Plan
Inspector John Zarate '
Fuel ✓ Gas Oii Electric Solar Solid i
System Q New i 0✓ Replace I � Other �
✓ Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con.Burner 'I
Chimney Type Chimney A 0 Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Pfan � Variable � Other -� Value
Use/Nature SFR/replace fumace and A/C
of Work
I**debit acct" �
,
�
Fees: Valuation $5,200.00 Plan Approval $0.00 Permit Fee Paid $110.00
Issued By: ��� Date OS/12/2013
❑ Permit Voided � Parcel Id#1511230000
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.
8/12/2013 MON 12: 30 FAX 920 748 6520 Brewer Heating �001/001
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, W154903-1130 `��,.
Phone(920)236-5050
rax (920)236-5084 OfHK01H
ON THP V�/ATFF �
HVAC PERMIT APPLIC�lTION
All information after bold categories must be provided,
Incomplete applications will not be processed.
� Application(s) and fee(s) can �e brought to City Hall, Room 205 or mailed to Iiispection Services, PO Box 1128,
Oshlcosh WI 54903-1128. Conirnencing work witllout permit(s) will result in fees being doubled or$100.00 plus tlle
normal pei•mit fee, which ever is g►•eater.
OR
I ou are cr contractor artici atrn in 117e Permi[ e Account S slen? and have ade :aate zrnds check here
r �ou r,�anr rhis rocessed tl�rou h �our acco:�nr
**Advisory -For applicabte projects, an Elecn•ical Ins�allatioi�Veri�cation (EI� forin, sigxied by the E1eci�•icaI
Contractor or fIorneowner(for installations allowed to be perforzned by the homcowner) miist be submittcd
with the pei�nit a��Iication. Applicatiolis siibmztted witlxout an EN w�ien sucl� is req��ired, wi11 not be
px•ocessed for Permit Issuance and will be retiir�ied for completion.
DAT� � � l2�13
,TOB AI�I�RESS�(o�/ ��Z� � ST.
OWNER .JGe .� �� JG�G�rrci��
CONTRACTOR f,�12��Cr/�1�IQ- ��Uf19`��✓G .L�L
CHECK L�1 ALL APPLICABL�
USE CAT�GORY
�ingle Famil}� ODi.iple� ❑Multi-I'amily ❑Rental ❑Commercial �Industria]
L'U�L �1as ❑Electric �Solid y,���'��� ❑Ne��� �.eplac:;
❑Oil OSolar OOther�_ . _
TYPL
�-Foi•ced Aii- ❑Radiant C7Steam �/C ❑Vent ❑Electric ❑Hot �Vater ❑Suppl. ❑Con. Biirner
IS CHIMN�Y B�ING LINED ONo ❑Yes - LINER SIZE NN-� & MANUPACTURER
Note; All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A OChimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved OExistiiig t7Not�Applicable
BTU RATE CJAs Per Plan ❑Variable ❑Other Value
D�SCRIPTION/SCOPE OI+ALL WORK BEING DONE
� D �A r i' ^t-w!.n d `1" ✓�-� �
✓
VALU� (Including fabor and materials) $ -SaOQ �
�LECTRICAL CO1`ITRACTOR(for projects not requiring an EIV �'orm)
o�/o�