HomeMy WebLinkAbout0126822-HVAC (boiler/radiators)
o
OSHKOSH
ON THE WATER
Job Address 522 WAUGOO AVE
CITY OF OSHKOSH
No
126822
HV AC PERMIT - APPLICATION AND RECORD
Owner KYLE NTANYA M BUTCHER
Create Date 09/13/2007
T
Contractor DRUCKS PLUMBING & HEATING CO IN(
Fuel l!LGas _J UOil J
System D New ~
U Forced Air 0" Radiant
U Electric ~ Hot Water
Chimney Type . Chimney A () Chimney B
Heat Loss @s Approved . Existing
BTU Rate [) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U AlC ::J
i
~n. Burne~J
,
C) Direct Vent C) Not Applicable
C) Not Applicable ==J
-= Other I
U Electric :=J
o Replace_~__~
U Steam -==:J
I j Suppl.~
~~__~ U_ So_~i~_-----1J
D_Other ___.J
i
[DIe-ill----]
------r
Value:
Value
Use/Nature \DUPLEX / REPLACE BOILER & RADIATORS, EIV SIGNED BY TRIUMPF ELECTIRC
of Work
i I
------------T"---~--___r_------ --- ----------------------1----
Plan Approval _______$O.og Permit Fee Paid ________j180.00
,
Date 09/18/2007 I
Fees: Valuation $12,000.00
Issued By: ~ ~
D Permit Voided I
--
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^TER
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
R
IVE:D
SEP 1 3 2007
DEPARTMENT OF
COMIVlUNITY DEVELOPMENT
HVAC PERMIT APPLICATION INSPECTION SERVICES DIVISION
fields/information after bold categories must be provided. r
Incomplete applications will not be processed.
All
DATE
9- It -0 ?
JOB ADDRESS 52.2- WJ\iJ&OO AVE
OWNER <"'f1\.vl(}\. c;M- l('f Le f!JU~{fEL.
CONTRACTOR [)flLlc1CS 1t.fA......~,... #'16
CIRCLE ALL APPLICABLE
. I
USE CATEGORY
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
FUEL
~
SOLAR
SOLID
SYSTEM
OTHER
TYPE
STEAM
Alc
VENT
VALUE (Including labor and materials) $ (2., CoO ~
ELECTRICAL .CCln'RACTOrt<7R-iU",tPA ~i:-C:NL( C-
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
;..
$)qoce
$ 0 to $1, 0 0 0 . 0 0 ................................................................................................................,...................:..0:2 0 . 0 0 c;;.S.. DO
Fees
Valuation
$1,000.01 to $10,000. 00..................................._......._.............,............................,......................$20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
, \,
. i. I
$10 , 000 . 01 to $ 2 5 , 000 . 0 0 ......................................................................................,.................._..$155 . 00 for fir s t
$lrr,OOO.oO plus $1.00 per $100.00 valuation or part thereof
Ove r $ 2 5 , 0 0 0 . 0 0 ..............................................._...............................;.......~.........................;....................... $ 3 0 5 . 0 0 P I us $ 0 . 5;0
per $100.00 valua~ion 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.
!:i~1-' -11 - cklkl ( 08: 2?A FRnM: Dr.?UCKS PLUM8ING
(920 )722::-~~~1
TO: 73.IJ383S
r.c
\--..-/
~
Q7H1<O.rH
0'" TfoIE WATll~
CIty orOnhkO!h
OMlIion orlll~e,IOII SeMcr~
215 CIlI1l'l:~ A.w:nl/e
PO BIIx 1130
OBhko~h WI54~'J.'IIJO
Ofl'1C~ 92D,z36-S0SIl ~ ~
I'M 920.236-5084 _
5~"
Electric Installation Verification
(I) (We) '1R,u~ Pu. ~lC-
(Electrical Contractor Name)
7 () W ~ WfIL/.4'IUO
(Address)
fJI Vf. tJ t{-C
(City)
4P~LfrlJ tJ, vJ~ S c(Cj Ii
(State) (Zip Code)
lJlLLc.l'.{t..S P~"'-~t-4'.,.. ;,I'~ I
(Name of party contracted to)
have been contracted to perform electric installation work for
at the fonowing address; 522. W.AlJt')QO A.tJ~
(Address where work will be perfonned)
'-~'
The nature of the work consists of: (Check One or Describe the Nature of Work)
-p!.. Reconneetion or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replaoement Electric Water Heater.
Reconnection of the Service 'Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding I soffit installation. Note: New Service Entrance
Cables will require a separate pcnnit.
Reconnectiori or new circuit for other permanently wired appliances I fixtures.
Other
-
. .
The value of this work is $;d 0\1.0 L:>
I hereby verify this work will be perfonned by an employee of this company and further verify the
reconncetion I installation will be done in compliance with manufacturer and Electric code '
req uirements.
'111 .. . '~t4
(Signa~f Company Officer)
.r11C\r&,-e.&fhar-'1 III )~'7
(Print N e of Officer) ,~
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