HomeMy WebLinkAbout0126510-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
126510
HV AC PERMIT - APPLICATION AND RECORD
Job Address 30 W SOUTH PARK AVE
--~--~~~
Contractor DRUCKS PLUMBING & HEATING CO IN(
-~--- ~~-
Fuel ~as __= UOil
System ~w ~_~J
~ ~orced Airi U Radiant
U}lectric ~ U Hot Water ~
Chimney Type ITChimney A ~himney B
Heat Loss [) As Approved . Existing
BTU Rate O_As Per Plan . Variable
Owner RANDY R MAAS/SUZETTE M SCANLON
Create Date 08129/2007
Category ~~sJc!.ential-Both ~
U Electric :=J
o Replace____~
[]Stearni
U SuppL_=:J
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner,
1
~
J
--.------or;:ectvent=~ 0 Not Applicable :=J
() Not Applicable I Value
() Other .-J Value
Use/Nature !SFR 1 REPLACE FURNACE AND AlC, EIV SIGNED BY DRUCKS PLUMBING & HEATING **check #62325
of Work !
l
Fees: Valuation $7,500.00
~ ~--~-----~
Issued By:
Plan Approval ________~~_~9:00
Permit Fee Paid
___!~~2:~0
Date 08/29/2007
O_,=-~mit Voided I
Parcelld # 0303680000
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 (Le. 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.
~
OJHKoJR
ON THE "W^TER
Division of Inspection Services
215 Church Avenue
P.O. Box .1130
oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
RECEIVED
AUG 2 9 2007
All
HV'AC PERMIT APPLICATION DEPARTMENl Of
fields/information after bold categories mustc~~~€LOPMENT
Incomplete applications will not be proqfqg~'lON SERVICES DIVISION
DATE '8 <'- /'1-07
JOB ADDRESS ~
tv
,S,<-i-n.... ~M.\.L- A."i!"
OWNER S~ u,...,,-r ~L=~J
CONTRACTOR ~ ~ Pu.....- a' r Un.,.
CIRCLE ALL APPLICABLE
USE CATEGORycs:iNGLE
~
FAM~
OIL
DUPLEX
ELECTRIC
MULTI-FAMILY
SOLAR
COMMERCIAL
INDUSTRIAL
FUEL
SOLID
SYSTEM NEW
TYPE ~._~
ELECTRIC
~piA~.
RADIANT
OTHER
STEAM
~ VENT
HOT WATER
SUPPLe
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE. ,v(cIJ
Note: All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
~R~CT ~ OTHER
NOT APPLICABLE
BTU RATE
AS PER PLAN
OTHER VALUE
HEAT LOSS
AS APPROVED
NATURE OF WORK:~
fZ;&,;.4-a.1: . . . AJ> tI 4- / C-
o' I (C
~
VALUE (Including labor and materials) $' 7<;;DG>
fj 1Lu..(f:..~ fSLt*.:i'Yt-Ul...
of new/replacement equipment
f
ELECTRICAL CCliTRACTO~
Electrical installation
contractors.
shall be done by licensed
.... .
Valuation
Fees
$ 0 to $1, 000 . 0 0........_.................."......................-.............................................................................:..:;;:2 0 . 00 . c;J.S.. 00
$1, 000 .01 to $10, 000 . 0 0............................................-.................................................................$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 $.25, 000 . 0 0 ..............................................._................._....................................................................$ 3 05 . 00 plus $ 0 . 50
per $100.00 valuation or part thereof
. Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
ON THE WATER
City of Oshkosh
Division ofinspection Services
215 Church Avenue
POBol<.1130
Oshkosh WI 54902-1 130
Office 920-236-5050
FlIJ{ 920-236-5084
RE
EIV
~
OJHKOfH
AUG 2 9 2007
DEPARTivJENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Electric. Installation Verification
(I) (We)
D~5 (J,,-<-i-f,/);,I'",v<;,,:; 't'-L,.It~A~
(Electrical Contractor Name)
"S ['f ~ C. f.:'5C;>...I ~:.r
(Address)
4-MJ St4\
(City)
v-rr
(State)
SYPOZ-
(Zip Code)
have been contracted to perform electric installation work for ~. '/4An..vCt
(Name of party conttacted to)
at the following address: 30
w S....;>-r P~lI::.' A.(./c?-
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/o(jfI' AlC Condenser.
Reconnection or new circuit. for replacement Electric Water Heater.
Reconnection ofthe Service 'Entrance Cable, Meter Box, alterations to receptacles and
. lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables will require:a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
f
-"""'It,
~
.
The value of this work is $ '3oD <~
I hereby verify this work will be performed by an employee of this company and further verify the
\
reconnection / installation will be done in compliance with manufacturer and Electric code '
requirements.
.~~~I
(Print Name 0 fficer)
g ~/-o(
(Date)