HomeMy WebLinkAbout0125552-HVAC (a/c)
o
OSHKOSH
ON THE WATER
Job Address 2525 SHOREWOOD DR
CITY OF OSHKOSH
No
125552
HV AC PERMIT - APPLICATION AND RECORD
Owner ERCHANG C PING JR
Create Date 06/25/2007
Contractor DRUCKS PLUMBING & HEATING CO INC
Fuel U Gas ~ U Oil
System o New ~
U Forced Air U Radiant
U Electric LlJ::Iot Water
Chimney Type D Chimney A () Chimney B
Heat Loss o As Approved () Existing
BTU Rate D As Per Plan () Variable
Category 501 - Residential-Air Conditioning Plan
l!J Electric
o Replace
U Steam
L I Suppl.
() Direct Vent
U Solar U Solid
o Other
l!J NC llient
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace ale. EIV signed by Drucks Pig, Htg, Electric
of Work
Fees: Valuation $2,850.00
Issued By: ~---
Plan Approval
$0.00
Permit Fee Paid
$53.50
Date 06/28/2007
o Permit Voided I
Parcelld # 1524300000
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.
~
OJHKOJH
ON THE W^TEIl
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 MAy
3// Zr::c>?
,
JOB ADDRESS ''ZS 2S- '5~tob D(L.
OWNER IJ lVJoy ~(Nb
CONTRACTOR f:::>UIC-lc.S. A-u. vIA ~ r"''- .,. I'ff:W'i71'{)1;"".
CIRCLE ALL APPLICABLE
-:::-~
USE CATEGORY ~L~!,AMILb DUPLEX MULTI-FAMILY
FUEL GAS OIL CELEC~ SOLAR
SYSTEM NEW ~P~-- OTHER
COMMERCIAL
INDUSTRIAL
SOLID
TYPE
FORCED AIR
RADIANT
STEAM
~
VENT
ELECTRIC
HOT WATER
SUPPL.
,vIA
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
DIRECT VENT
OTHER
HEAT LOSS
AS APPROVED
EXISTING
NOT APPLICABLE
BTU RATE
AS PER PLAN
VARIABLE
OTHER VALUE
NATURE OF WORK:
RgA.A.(E AI c-
VALUE (Including labor and materials) $ 2!6SO e
ELECTRICAL .cC1{T~CTOrt lJ ~u.. cf?-S
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
4'1'i'l ~n
.>1' ""l \) ,-...,.;Jv
$ 0 to $'1, 0 0 0 . 0 0 .......................................................................................................................................$ 2 0 . 0 0
$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 . alto $25, 000 . 0 0..................................._................................................................:......$155 . 00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $ 25 , 000 . 0 0 ..............................................._.......................................................................................$ 305 . 00 P I 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 $100.00 plus the normal permit fee, which ever is
greater.
A 5.3.GO
.!'
06/28/07 08:19 FAX 7220651 DRUCKS
J u nil i U U I ';: \ l) I\M Ins pee t Ion s e r V Ice s
No. 34:JU
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Electric Installation Verification
r (We)
~(JCIC-&
Plt" f- /--In-
(EleetricaJ COrttractorNamc)
S,i f{ AP(JLl?~ 9""
(Address)
dtMfJ S$J
(City)
4J (
S"W'r L
(Zip Code)
have been contracted to perform electric installation work for
(State)
D<r-u c.c;
(Name ofp:aty contx'acted to)
at the following address: LS- zr S'/fot<C~.o IJ".-
(Address \l"here work will be perfor.med)
The nature ofthe work consists of:. (Check One or Describe the Na.ture ofWo.tk)
~
Reconnecticm or new circuit for:n:placement ~Gt.t~ .P'lu.t =~.r Ale Condenser.
RecoImection or new circuit for replacement Electric WatCl' .Heater o.r power ventod
water heater.
Rcconnection of the Service Entrance Cable, Metc:r Box, alteratio.D.& to receptacles
and lighting ~s due to siding I soffit installatioll. Note: New Servi~
Entrance Cables will require a separate pmnit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit mr the liWdition of Ale to an il'ldivi'wa! dwelling writ (holIse or the
individusl systems in a. duplex or coDdcifTl1nfuro). including required service
electricw outI~.
Other
The value of this won: is S ~ ~
I hereby verify this work will be performed by all employee oftbis company and further verify
the reconnection I installation win be done in compYiance with manufactu.rer and Electric code
~ents.
#~Y6fficer)
:fi/1 ~ff:/
(Print Name 0 fficer)
/;:?-~g'-o --:7
(Dafe)
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