HomeMy WebLinkAbout0102801-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1780 CLIFFVlEW DR
Contractor DRUCK'S PLBG & HTG & CLG
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner TIMOTHY J/SHELL MEYERS
Category 501 - Residential-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102801
07/14/2003
Other J
Vent J
Use/Nature SFR/Replace air conditioner. *EIV form from Heritage Electric.
of Work
Fees: Valuation
Issued By:
$1,900.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 07/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 504 3RD ST P O BOX 355 MENASHA WI 54952 - 0
Telephone Number
(920) 426-2654
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEtVE .
JUL 1 ! 2005
DEPARTMENT or O/HKO/H
COMMUNITY DEVELOPMENT
HVAC PERMIT APPLICATION
All infomfion a~er bold categories must be provided.
~complete a~cafiom ~11 not be processed.
Application(s) ~d fee(s) can be brought to CiW Hall, Room 205 or roiled m ~spechon S~ces, PO Box 1128,
Os~osh ~ 54903-1128. Co~encing work ~out p~it(s) will reset in fees being doubled or $100.00 plus the
noml p~it fee, which ever is ~eater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if Fou want ~his processed through your account ~
DATE
JOB ADDRESS
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
~]Single Family DDuplex
FIMulti-Family [ZlRental
ElCommercial
D Industrial
FUEL I~Gas [DElectr/c nSolid SYSTEM [~New [llReplace
l~Oil U]Solar [2Other
TYPE
I~Forced Air ORadiant F1Steam ~A/C [~Vent r'lElectric r'lHot Wat~ F1Suppl. [~Con. Burner
IS CH IMNEY BEING LINED F1No [2lYes - LINER SIZE
Note: All ckinmeys shall be s~ed per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
F1Chimney A
EIAs Approved
I~As Per Plan
DChimney B
ElExisting
I~Variable
[2Direct Vent
I~Not Applicable
F1Other Value
DOther
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ l q cO. c3o
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Pen~t is required.
9/02
' ~ 0G72~/2003 09:81 920?343538 HERITAGE PAGE 82
Electric Installation Vertflcatfou
(I) (we) _ ~-/~.~A~- ~ga~'~.~ c_
('El~n.i=al Contractor Ns.ms)
(altd~} (Ci~) (Sm~) (Z~ Code}
have b~n ~omract~l to perform electric installation work for ~.aae-.s ,g.~.~ ..- ~¥~,. ,
(Acldre~ wb~s work will b~ l~a~0nn~d)
Tl~e namrs of~ work ~atsisls of; {Check On~ or D~rib~ the Nn.~'~ of Work)
~'~ Rex:orm¢~lion or new circuit for replncem~nt ~ and/~
, __ R~o~o. ~ ~ ~m~t for ~ ~ W~.
C~ ~[I ~uir~ a ~pMntc p~g[.
~ ~t~ ~ n~ ~rc~t for o~ ~y ~d ~1~ / ~x~_
I h~rsby Ym~i~' this work will be performc~t by ~,n ~mploye~ oflilis ~omp~r~ ang f-m'~her re'Jif'./the
r~r~nne~.mon / installation will be done in compliance witll
(Print N~ne of Oilier)