HomeMy WebLinkAbout0098946-HVAC (furnace & a/c)Gas I
[] New
OSHKOSH
ON THE WATER
Job Address 1020 S SAWYER ST
Contractor DRUCK'S PLBG & HTG & CLG
Fuel
System
Forced Air J
Electric J
Chimney Type ~ Chimney A
Heat Loss ~ As Approved
BTU Rate ~ As Per Plan
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
~--Oil
L--J Radiant
U Hot Water
Chimney B
~I Existing
~1~ Variable
Owner LEO R SCHMUDE
Category 502 - Residential-Both
~J Electric I. U Solar
[] Replace
Steam J ~J NC
Suppl. I M Con. Burner
Direct Vent Q Not Applicable I
~ Not Applicable I Value
~ Other I Value
No
98946
Create Date 12/05/2002
Plan
[] Other I
Vent
Use/Nature SFR/Install a replacement furnace and a new NC. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$5,900.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided I
$93.50
Date 12/05/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 504 3RD ST P O BOX 355 MENASHA WI 54952 - 0 Telephone Number
(920) 426-2654
ECEIVED
DEC O 5
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, wi 54903-I130
Fax # (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT
All fields/information after bold-dategories must be provided.
Incomplete applications will not be processed.
CIRCLE ALL APPLICABLE
/r~ O I L
FUEL
SYSTEM
DUPLEX
ELECTRIC
ELECTRIC HOT WATER
MULTI-FAMILY
SOLAR
OTHER
STEAM
SUPPL.
COMMERCIAL
SOLID
TYPE
F~) VENT
CON. BURNER
MANUFACTURER
NOT APPLICABLE
OTHER VALUE
INDUSTRIAL
OTHER
IS CHIMNEY BEING LINED ~/Z9 LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A ~ DIRECT VENT
HEAT LOSS AS APPROVED
BTU RATE AS PER PLAN ~-'~_~
NATURE OF WORK:
.VALUE (Includin~ labor and materials) $ ~/&~-~)~
ELECTRICAL CONTRACTOR ~Z,/t','/~ ~6/-~/L
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00 ........................................................................................................................ $20.00
$1,000.01 to $10,000.00 ...................................................................................... $20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000.00 .............................................................................................. $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000.00 ........................................................................................................................ $305.00 plus $0.50
per $100.00 valuation or part thereof
Submit payment with application. Failure to pay within 30 days will result in
fees being, doubled or $100.00 plus the normal permit fee, which ever is
greater.
11/06/02 15:08 FA~ 920 236 ??25 Solar Electric ~0~
Electric Installation Verlfw, agon
(Nanm of party contracted to)
(Addro~ wh~'~ wu~ wR1 b.
The uat'urc of thc work consist~ of: (Check One or De_ _~ibe ~N~ of W~
R~o~o. Or n~ c~ for ~~m ~ W~ ~r,
Cabl~ ~il ~ a ~
The value of'this work is $ ....
I hereby veriffy *~';- work will be performed by ~n c~nploy~c of this company and fur21er verify thc
recounecti0n / insmllaiion wiIl be done in compliance wi~ m~mt'~zer ancl Elcclric code
(~il~ of Compatly