HomeMy WebLinkAbout0159167-HVAC (furnace) Y
� CITY OF OSHKOSH No 159167 �
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2471 NEWPORT CT Owner MICHAEL J SCHAEFERS Create Date 12/30/2013
Contractor BREWER HEATING Category 500-Residential-Heating&Ventilating Plan }
Inspector Nicole Krahn
Fuel ✓ Gas �'�, Oil � Electric__ - Solar � (— Solid
; System �New _� � Replace � Other I
✓ Forced Air Radiant_] Steam ! A/C ' Vent
� Electric Hot Water � Suppl. Con. Bumer , �
Chimney Type ChimneyA � Chimney B � Direct Vent 0 NotApplicable I
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value
Use/Nature SFR/replacing existing furnace with new
of Work ,
I
�-- — ---- -- li
Fees: Valuation ___ $2,830.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ��^ Date 12/30/2013
❑ Permit Voided ,' Parcel Id#1322130000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
Agent/Owner
Address N8804 DOUGLAS ST RIPON WI 54971 -9702 Telephone Number 920-748-6494 866-8(
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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. _
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12/30/2013 MON 9: 16 FAX 920 748 6520 Brewer Heating ��� CITY OF OSHROSH �001/001 �
Ciry of Oshkosh
Division of Ins��ection Services >'�'A '
P.O. Box 1130 �'
Oshkosh, WI 54903-1130 "�"��<� ;
Phone(920)236-5050
Pax (920)236-5084 O.lHK01H :
ON THF V�/ATfR �
HVAC PERMI� A�'PL.ICe4Tl01�
All information after bold categories must be provided.
�
Incomplete applications v��ill not be processed.
a Ap��lication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box I 128,
Oshl<osh WI 54903-1128, Commencing worlc without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
1 ou are n conh•actor ar•tici ali�a in the Pern:i[ e Accozrn! S s•tem crnd l�ave ade ua[e irncts check i�ere
i �ou ivant lhis rocessecl throu /� vour accozrnl �
**Advisozy-For applic�ble projects, an Elecri�ical Installation Verificatioii (ETV) form, signed Uy the Elect�rical 4
Contractor or�3omeowner(for installations allowed to be ��erformed by thc Iiomeowner}must be subnzitted ;
with tlie permit application. Applications snbmztted ��vitl�ottt an EIV wheri si�.ch is required, will not be
processed for Permit Issuance and wi11 be reri�rned for completion.
DATE / �,/��/�.�
JOI3 AI3DI2�SS a`��7/ /1/P�.�,/,�Ur�
owrr�� /�?. �� S c�G�c e ��-S
CONTRACTOR f,�12��C�/1�Y�- ��(a�9"�G .��.G
CHECIC Q ALL APPLICABL�
US� CATEGOk2Y
�nble I'amily CJDup].e� �?vlul�i-Pamily ❑Rental C�Commercial C1Industrial
FUEi:. �a5 ❑Elcctric ❑Solid :�;'�;:'E�;'I C7�`e�v ��5t�ei�lace
❑Oil OSo{ar ❑Ucher
'TYP�
�rced Air ❑Radiant �Steam ❑A/C �Vent ❑Electi�ic ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMN�Y B�ING LTN�D ❑No ❑Yes - LINER SIZE l`� ""' � & MANt1FACTURER
Note: Al!chimneys shall be sized per the BTU's being vented.
' CHIMN�Y TYPE ❑Chimney A ❑Chimney B �?f3irect Vent ❑Other
H�AT LOSS �As Appi•oved ❑E;cisting ❑Not�Appiicable
BTU RATE ❑As Per Plan �Variable ❑Other Va(ue
D�SCRIPTTON/SCOP� OI+ ALL WORK BI:ING DQNE
1�-?� �Gr Gf •ti�wL'�'
VALU� (Including labor and materials) $ .�-„��'_'�i.l��
�L�CTRICAL CONTRACTOR (for projects not requiring an ETV I'orm)
o�io�