HomeMy WebLinkAbout0125551-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1927 OHIO ST
CITY OF OSHKOSH
No
125551
HV AC PERMIT - APPLICATION AND RECORD
Owner ANTHONY/BARBARA RESOP TRUST
Create Date 06/25/2007
Contractor DRUCKS PLUMBING & HEATING CO IN(
Fuel l!J Gas UOiI
System ~New
l!J Forced Air [JRadiant
U Electric U Hot Water
Chimney Type [2 Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate IT As Per Plan . Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
() Not Applicable
C) Not Applicable
() Other
Value
Value
Use/Nature SFR / Replace furnace & a/c. Install 3" chimney liner. EIV signed by Drucks Plbg, Htg, Electric
of Work
Fees: Valuation $7,600.00
Issued By: 'Z5mS
Plan Approval
$0.00
Permit Fee Paid
$124.00
Date 06/28/2007
o Permit Voided I
Parcelld # 1409120000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
POBOX 355
MENASHA
WI 54952 - 355 Telephone Number 920-426-2654
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~
OIHKOJH
ON THE W^TEl?
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
phone (920) 236-5048
HVAC PERMIT APPLICATION.
All
fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE &}(;)7/07
JOB ADDRES S I q 2-7
o (..fIO
c:::.
':;;t/
OWNER lO10i ~oP
CONTRACTOR iJuet$S: A?<-t-$ r~
CIRCLE ALL APPLICABLE
USE CATEGORY @LE
FUEL ~
FAMI0
OIL
DUPLEX
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
ELECTRIC
SOLAR
SOLID
SYSTEM
NEW
~D~P
ELECTRIC
~P~
RADIANT
OTHER
TYPE
STEAM
Cl!9
VENT
HOT WATER
SUPPL.
f
:3'KZ$""
being vented.
~ECT ~0
CON. BURNER
MANUFACTURER tli<!-
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
OTHER
HEAT LOSS
AS APPROVED
NOT APPLICABLE
BTU RATE
AS PER PLAN
OTHER VALUE
NATURE OF WORK: ().:.r..,Ar,.,..-. r."A,Ar,,,".A AI
/'frVOOl..f; r-u.uv~ 1'T'1J~ . Co-
VALUE (Including labor and materials) $ ~~~
ELECTRICAL ~CI~RACTO~ ~~~4S
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
.~\\ C\
$ 0 to $1, 000 . 0 0........_.........._._._._...._._._.........._._.........._............._...._._.........._........................._..$ 20 . 00
$1 , 000 . 01 to $10, 000 . 0 0........_._............._...._.........._......................_................_.........._...........$ 20 . 00 for firs t
$1,000.00 plus $1.50 per $109.00 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
Ove r $ 2 5 , 000 . 0 0 ................................_._._................._............._............._._._._......._...._._._._...._._.....$ 3 05 . 00 plus $ 0 . 50
per $100.00 valuation or part thereof
.
Submit payment with application. Failure to pay within 30 days
fees being doubled or $100.00 plus the normal permit fee, which
greater.
tu,-
will result in
ever is
/ ,< y. I)tP
"
06/28/07 08:19 FAX 7220651 DRDeKS
Jun. 1.1. J.IJUI ~: IIJAM Inspection services
No. 3430 P.l
I4J 02
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Electric Installation Verification
1 (We)
\':)ru.-c.lL 5
R-~ H72..~---
.
(E1cctricaJ Contractor Name)
">1'< AYJlury't)...) Sr-
(Address)
M~s~
(City)
Wr
(State)
tJR4~~
~~eofp~coruxactedto)
$LlPfJ-
(Zip Ce>de)
have been contractoo to perform electric mstal1ation wor-k fer
at the following ad.dre9S:
/12.7 0 toft 0 S-,-
(Address whS"e work will be performed)
The.natme of the work consists of (Check One orD~he tbeNatu.re ofWorlc)
1 R.ecanuection or new circuit for replacement Heating Plant and/or Ale Conde.nSCl'.
Reconnectio.n Q1' new circuit for replacement Elcetric Water Heater or powu vented
water heater.
Reco.nnecti.o.n. of the Service Entra.nce Cabl~ Mct.erBQx., alterations to reccptaclc.s
and lighting t'ixn1ros due to s:id.i.ng J soffit in.stallation. Not~~ New Service
Entrance Cables will require 9. separate permit.
Reconnection or new circuit for the replacement (}f other permanently wired
appliances / .fi.xtIlrcs.
New circuit for the addition. of Ale to an indiviclual dwelling untt (house or the
individual systems in a duplex or condom;n;um.)" including required savice
electrical outlets.
Other
?~~
The value of th:is work is $ ~
1 h~cby verify this work will be pcrfo.rm.cd by an employee ofmis. company and fUrt:ba' verity
the reconne<;tion I iDBtallation will be done in complia.nce with manufactmer and Electric code
requirements.
#~YOffic.r)
~~or
(Print Name of fficr:r)
J;,-~-u;
(Date)
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