HomeMy WebLinkAbout0122539-HVAC (furnace & a/c)
(,;) .4'
OSHKGSH
ON THE WATER
Job Address 1345 BISMARCK AVE
CITY OF OSHKOSH
No
122539
HVAC PERMIT -APPLICATION AND RECORD
Owner ROBERT E POllAK
Create Date 11/14/2006
Contractor DRUCKS PLUMBING & HEATING CO IN(
Fuel I "'1 Gas ~ UOil
System D New
~ Forced Air U Radiant
U Electric -l U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate o As Per Plan . Variable
Category 502 - Residential-Both
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
D Other
~ AlC U Vent
U Con. Bumer
C) Not Applicable
C) Not Applicable
o Other
Value
Value
Use/Nature SFRlReplace fumace and AlC. Install 4" chimney liner. EIV provided by Triumph Electric.
of Work
Fees: Valuation
$7,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$122.50
Issued By:
Date 11/14/2006
D Permit Voided I
Parcelld # 0610400000
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.
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Electric Installation Verification
(l) (lNe)
Jr;c,..~yLh rE/ec.J..,Ic- :t;.,-
(Electrical Contra~tot' Name)
?;:Z.O W lA.u; I c.-.,.J A V. ~(~~1y1l) .l.d....
(Addra~) (!.{
Wi
(State)
Or\Ac./ts
(Name of partY l;:ontracted to)
S"Cf 1 I t(
(Zip Code)
bav~ b.ee.n contracted to pm'OIm electric insta.llation work for
at the following ~d~s: J ~r} 6 t'~JW-C {eo.
(Address. where work will be performed)
The natUTc of the work consists of; (Checl<: One O'r Describ4t the Nat\.l:re of Work)
.....!L- Reconn~ion or new ciTCuit for -replacement Heating Plmt a:ndl..A1C Condenser..
Reeonnection or new circuit for repl",eemet1t Electric: Water Heater.
Reeonneetion of the Service Entrance Cable, Meter Box, alterations eo receptaGlelf and
lighting :fixtures dU,e to siding I soffit installation. N(!t~; New Service Entrance
Cables will requite a separate permit, .
Reconncction or new' circuit for other permanently wired appliances I fixtures.
Otha:r.
The value o(this work is $ .200. c.'I ~
I hereby verify this work will be pmonned by an employee oftbis company and further 'Verify the
reconnection I installation will be done in compliance with manufacturer and Eledric code
rcquirc:ments.
~~ffied)'
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NOV 1 4 2006
DEP/~rnMENT OF
COMMUNITY DEVELOPMENT
~.
r\~
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 /0 -/9 ~o(p
JOB ADDRESS I':>l{s" LV .0::>l S '~Lk AIlV'
OWNE~ ~I)~r P6L(4(<.
CONTRAC1'OR btu..tc.(G-":> R<<Vf1A-6 .{ (..(rc-
CIRCLE ALL APPLICABLE
~SE 'CATEGORY~E FAMIL~ DUPLEX t-lULTI-FAMILY
FUEL ~ OIL ELECTRIC SOLAR
COMMERCIAL
SOLtD
INDUSTRIAL
SYSTEH NEW ~P~ OTHER
'l'YPE ~D A20 RADIANT STEAM (f!0 VENT
EtECTRIC HOT WATER SUPPL. CON. BURNER
r~S CHIMNEY BEING LINED LINER SIZE tj"X2-5' MANuFACTURER ti/C
~ote: All chimneys shall be sized per the BTU's being vented.
CH:wNEY 'l'YPE
HEAT LOSS
BTU' RATE
CHIMNEY A
AS APPROVED
AS PER PLAN
CHIMNEY B
~ECTVE~ OTHER
NOT APPLICABLE
~
0Z~
OTHER VALUE
NA1'Olm OF woroc: 0._
. ~il1A<.C
~1L,V.4.C 0" -{ d{ c-
o<e>
l \.. ~~J:. .
b-t' q f('(
.VALUE (Including labor and materials) $ 75t::x::J ~
ELECTRICAL CONTRACTOR
Electrical installation of
contractors.
.-".0
(~2 '"-,
Valuation
~ \1) ~ f
NOV 1 4 2006 Fees \\\ \ if ~~ q
$ 0 to $1, 000 . 0 0.---.-.-.-.-.-.............-.-.-....-.....r:rEP7fRl'MtN't".Or............-.__._._........$ 2 0 . 0 0 }.~
$1,000.01 to $10,000. OO.._._._._._._.~41M.U-t\~:r.V..g.E\l~~.gP.MeN:.f.-.-._...._._.....$20. bo for first \
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
r..~
i
be done by ~icensed
..('~<
$10, 00.0 . 01 to $25, 000 . 0 0.._._._._._......._._....___.........................................................._._........$155 . 00 f oJ:; firs t
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
(\ ,~,
, ;er $25, 000 . 0 0..__._._._._._._._._.........._._._._._......._............................................................._...._..$ 3 0 5 . 00 plus $ 0 . 50
per $lOO.O~ 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
gre~ter.