HomeMy WebLinkAbout0157849-HVAC � CITY OF OSHKOSH No 157849
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 900 906 W 9TH AVE Owner RAY REINDERS Create Date 06/11/2013
Contractor BREWER HEATING Category 510-Ind.&Comm-Heating&Ventilating Plan AA3-3774-0513-
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric � Solar Solid
�
System ❑ New _� ✓ Replace I ❑ Other j
✓ Forced Air Radiant � Steam A/C � Vent—�
Electric Hot Water Suppl. � � Con. Bumer
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing _ � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature COMM/LINK COMPUTER SOLUTIONS/LATE PERMIT/Tenant alteration.
of Work ,
,
,
�
—
Fees: Valuation $5,430.00 Plan Approval $250.00 Permit Fee Paid $220.00
Issued By: ��/ Date 09/20/2013
❑ Permit Voided I Parcel Id#0605810000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perForm the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address N8804 DOUGLAS ST _RIPON WI 54971 -9702 Telephone Number 920-748-6494 866-8C
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
7/19/2013 FRI 9: 32 FAX 920 748 6520 Brewer Heating ��� CITY OF OSHROSH �J001/002 '
City of Oshkosh �
Divisio�i of Inspeccion Services � Z �;:� ,.'
1'.O. 13ox 1130 �
Oshkosh, WI 54903-1130 �s`'�
Phone(920)23G-5050
Fax (920) 236-SOS4 �Jf HKOf I --�
� ON THF WATfF
HVAC PERiV1iT �P6�LICATIO�d
/1!I inforrnation after bold categories must be provided.
Incomplete applications will not be processed.
� Application(s) and fee(s) can be brought to Cit�� I�all, Roam 205 or mailed to Inspection Services, PO Box 1128,
Ushlcosh WI 54903-1128. Commencing wort< without pecmit(s) will result in fees being doublcd or$]00.00 plus the
nonnal pennit fee, which ever is greater.
OR
If You are a con[ractor par[icipating in the Permit ' e Accounl S slem and 1�ave ade uate unds check here
i �ou r��an! lhis rocessed lhrou h our accoun[
�,
**Advisoxy-For applicable projects, an�lecrrical IiistalIatioii Verification (FI'S� form, sig�ied Uy the ElectYical •
Cor�tracCor or T3omeowner(for installations allowed to be performed by tlie Iiomeowuer) miist be submittcd
witIi tlie per2nit ap�Iication. Applications submittecl wiihout an EN whcn such is reqiiired, wilI not bc
pi�ocessed for Permit Tssiiancc and will be rettxrncd for completion.
DAT� 7 �/!•'��_
JOJ3 ADBRE�S 7UU (,{J, ��`
OWI�ER G /�L� �»�-D�v�✓ � Iwt�vn S
CONTRACTOR l,�l��CrJ`l�Y�- �-7'/�s1'`t�"�G .1�ZtG
CI�ECK Q ALL APPLICABL�
USE CAT�GOI2Y
❑Sinale Pamil}� ❑Duplex ❑Multi-Family ❑Rental �om.mercial OIndustrill
�UEI� f,5�2�as L11�lcctric OSolid si��s't"Lt+� ❑?�Te�v ClReplace
❑o�� nso�a�� aocn��-
TYl'L
[�orced Air ❑Radiant ❑Steam ^�A/C OVent ❑Electric ❑Hot Water ❑Suppl. ❑Coi�, Burner
IS CHIMN�Y BEING LIN�D ❑No ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A ❑Chimney B ❑Direct Vent OOther
HEAT LOSS ❑As Approved ❑Existing ❑Not�Applicable
BTU RAT� ❑As Per Plan �Variable � ❑Other Value
D�SCI�IPTION/SCOPE Or ALL WORK B�ING DON�
Z/L 'ri(r/ ✓l� �•l- /4 i .' lM�C✓�
.Q.t���'�'��
u� :
VALU�(Including labor and materiflls) $ -� �30
GLECTRICAI..CONTRACTOR (for projects not requiring an EIV rorm)
o�/o�