HomeMy WebLinkAbout0123904-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 163 W 23RD AVE
CITY OF OSHKOSH
No
123904
HVAC PERMIT -APPLICATION AND RECORD
Owner SHARON A SCHELLER
Create Date 03/23/2007
Contractor DRUCKSPLUMBING & HEATING CO IN(
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
I I EleCtric U Hot Water
Chimney Type K:) Chimney A () Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate () As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
U Electric
ItJ Replace
U Steam
U Suppl.
. Direct Vent () Not Applicable
() Not Applicable Value
() Other Value
Use/Nature SFRI Replace furnace. EIV provided by Triumph Electric.
of Work
Fees: Valuation
$4,900.00
Plan Approval
$0.00
Permit Fee Paid
$83.50
Issued By:
~
Date 03/23/2007
o Permit Voided I
Parcelld # 1403010000
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
Agent/Owner
Address
POBOX 355
MENASHA
WI 54952 - 355 Telephone Number 920-426-2654
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.
~
OJ~OJH
ON HE WATER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 2 -z 7.--07
JOB ADDRESS i&?l tV Z3/lD ,Ate:
OWNER SbMfG:::,N ~H ELLelL
CONTRACTOR i'fiucr:- s lie., ~o r /0'3
CIRCLE ALL APPLICABLE
USE CATEGORy0"iNGLE FAM-=-V DUPLEX
FUEL ~ OIL ELECTRIC
SYSTEM NEW. ~~
TYPE ~~~ RADIANT
ELECTRIC HOT WATER
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
SOLAR
SOLID
OTHER
STEAM
AIC
VENT
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's
SUPPL.
;tJA
being vented.
CON. BURNER
MANUFACTURER
-
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
CnI.RECT vJlli'b
OTHER
HEAT LOSS
AS APPROVED
~~
crARIABLE=::>
NOT APPLICABLE
BTU RATE
AS PER PLAN
OTHER VALUE
NATURE OF WORK: iZcpl(,;4 C-LC
;:;;/&VI'9C;;-
RECEIVED
VALUE (Including labor and materials) $ c;9oo ~
ELECTRICAL .cCln'R.ACTO~ . ~UMf71-/ t::2-c'7.nl-{L
Electrical installation of new/replacement equipment shall be
contractors.
$ 0 to $1, 0 0 0 . 0 0 ....................................................................................................................................... $ 2 0 . 0 0
MAR 2 3-
done by JD~AgJcMENT OFa.~i
COMMUNITY DEVELOPmt.NT
;7"Q be{
I
Fees
Valuation
$1, 000 . 0 I to $10 I 00 0 . 0 0 .............................................................................................................~.$ 2 0 . 00 for fir s t
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10 , 000 . 0 1 to $ 2 5 , 000 . 0 0 .....................................................................................................~......$15 5 . 00 for fir s t
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25, 000 . 0 0................................................"......................~...............................................................$ 305 .00 pI us $ 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.
.;
U3/02/0r 1~:47 FAX 7220861
J>RUC1rS
..~* HERITAGE EJ..EPTRI
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Electric.lnstallation Verification
(I) (W~)
---n.!I~PI'ff ~(._
(Blootri~ COl'lttactol' Name)
I J (i tAl . W <-r let A...J At) -e.1\u(
"-(A.dd.te!s) (Ci:tY.)
a ~t'k-f (lqv } CJ-r S\{'{ (t(
(State) · (Zip Code) .
~;c.~ R"",,-:,4 .- ~~
(Name of party contr.Iloted to)
have been contracted to perform electrie instalJationwork for
1t.t3 W 2~tul'
(Address where work will be pedonned)
The :nature of the wm:k consists of: (Check One or Descn"be the N~ of Work)
at the fo~Iowing addres.~;
-'
--K
. .
Reco:onection or new circuit for replac~t Heating Plant and/or NC Condenser.
Reconncction or new circuit fbrreplac_mt Electric Water Heater.
Rec:onnection of the Service Bn.ttance Cable. Meter Box, alter.ations to reeeptac:1.os and
tigbtini UJCT.Ures due to siding I soffit itJstaIJaticm. Note: New Service Entrance
Cables wUl require a sapuate permit.
~eetion or new circuit for other perm~ wi1'ed 8.l'Pliances / .fixtu.res.
~
-
-
~l.'
The value of this work is $ t? 0 J.. 0 D
1 hereby VerifY this work wi) I be perfonned by an employee of tis c01':l3PanYand. further verifY Ihe
tecont'1ection I installation w:m be done in eompliatlee with maoufacturer and. Electric ~e
:requirements.
~~T ~.p-. ,
(St!>> of Company Officer)
ECEMD
MAR 2 :3 (
DEPARTMENT OF
COMMUNITY DEVELOPMENT