HomeMy WebLinkAbout0102897-HVAC (furnace; a/c; chimney)OSHKOSH
ON THE WATER
.lob Address 1824ALASKA ST
Contractor DRUCK'S PLBG & HTG & CLG
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner EDUARDO G/JULIE CORPUS III
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan O Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102897
07/17/2003
Other
Vent J
Use/Nature SFR/Replace furnace, a/c and line chimney. *EIV form from Heritage Electric.
of Work
Fees: Valuation
Issued By:
$4,948.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$80.00
Date 07/17/2003
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
JUL 1 7 2005
HVAC PERMIT
All information after
Incomplete applications will not be processed.
.ZHKO./H
ON THE WATER
JOB ADDRESS
ow R
CONTRACTOR
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, winch ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, .check here
if you want this processed through your account [~
CHECK [] ALL APPLICABLE
USE CATEGORY
~Single Family F1Duplex [2Multi-Family
[]Rental I~Commercial []Industrial
FUEL ~[Gas [3Electric F1Solid SYSTEM i"lNew ~.l~Replace
[]Oil F1Solar F1Other
TYPE
~Forced Air [3Radiant F1Steam [3AFC F1Vent . F1Electric
IS CHIMNEY BEING LINED F1No ~[Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
[3Hot Water []Suppl.
& MANUFACTURER
~Con. Burner
CHIMNEY TYPE ~Chimney A []Chimney B FIDirect Vent []Other
HEAT LOSS [3As Approved l~Existing []Not Applicable
BTU RATE [3As Per Plan ~lVariable [3Other Value
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR///~/'~//~,~:dff' Z"'/ff'~-//~'
[] For applicable projects, an Electric Installation Verification form, signed by the ElectricaI Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
2003 12:32 ~207343838 HERITAGE PAGE
Elec~ ~ric Installation Verification
lzip
The nature of the work co~ists of: (Ch~ck O~e or De~m~ee tl~ l~al~re of Wo~)
TI~ value of this work is $ ....
I hereby verif~ lhls work v~ill be p~ by ~ ~plo~ of~ comply ~ ~ v~ ~c
~ti~ / ~ta}l~ will ~ ~ m ~li~ ~ ~~ ~ EI~ ~e
~Si~a~ of Comply Offs) ~nt N~c