HomeMy WebLinkAbout0127726-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1665 VILLA PARK DR
CITY OF OSHKOSH
No
127726
HVAC PERMIT - APPLICATION AND RECORD
Owner STEVEN D/JILL SCHULTZ
Create Date 11/08/2007
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Contractor
DRUCKS PLUMBING & HEATING CO IN(
Category 502 - Residential-Both
Plan
U S~ar~=-..~ D~~~llsl_~::-_~.~-.J
D_()!h~~r_~
D~~nr-.-~:=~J
BTU Rate
l~LGa~ --1 0:9il_J U Ele.s:t.':.i~=J
OJ'J~~___.-__-~ 0~~~pl~~~__-- - --.. _.._J
~ F~~~d7\irl [[Radiant:.] DS}~~.ri1~~===J [~IAlC==:=::-]
OJ ~ 0 I D.. -s-_u.P_p__C_..~._~.:.-_-_-_--.-_l 0 '
~c.__~~~i:~~-1 _ _ _ __.~:-Con:J[~r-6e~f:i
rrg~~~-~_.-- () Ch_imn~ _:=.-==___ Diric:tV~rlt-=:::::~ 0 :tiofAp.eli~able_==J
[IAs Approved --.~~~=-==.=~==CI[q~~--:::J Value
(2 As Per Plan . Variable---U Other _ -~ Value
Fuel
System
Chimney Type
Heat Loss
Use/Nature SFR / REPLACE FURNACE AND AlC UNIT, EIV SIGNED BY TRIUMPH ELECTRIC **check #62554
of Work I
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______~__~___________ _________._.__~__.J
Fees: Valuation $7,700.00
Issued By: ~$
Plan Approval _--.-!Q.OO
Permit Fee Paid _~__.____~12li:50
Date 11/08/2007
o Permit Voided I
Parcelld # 1320380000
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.
Date
Signature
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.
~
OfH(OJ8
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-9-d5-07
JOB ADDRESS J/.;;loS 'U; lla rvA(~ pr
OwmR ~~\H~ Y\ ~-y..1~<-
CONTRACTOR 1)" ")( k~ Yl~. Cj. }-j-.t{t
USE CATEGO
DUPLEX
MULTI-FAMILY
COMMERCIAL
INDUSTRIAL
FUEL ~ OIL ELECTRIC
SYSTEM NEW (JREp~
TYPE ~ED iii> RADIANT
SOLAR SOLID
OTHER
STEAM ~ VENT
ELECTRIC
HOT WATER
SUPPL.
CON. BURNER
MANuFACTuRER
IS CHIMNEY BEJ:N'(';. .LJ:NED LINER SIZE. ;V(4
Note: All chimn~ys shall be sized per the BTU's being vented.
CHIMNEY TYPE
. .
. .
CHIMNEY A
CHIMNEY B
~~ISTI~
.~
~~~CT~
. NOT APPLICABLE
OTHER
HEAT LOSS
AS APPROVED
BTU RATE
AS PER PLAN
OTHER VALUE
NATURE OF WORK:
f4:-/M<'-~ ~r: jJ~o' AI c-
Sb
~\8b.
VALUE (Including . labor and materials) $ 7700 .Ot)
ELECTRICAL .Cm'l'TRACTO~ 'T1L(Ut4-1...(Jt.{ 6"?.L:'Z:fYU C-
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation
Fees
'$ 0 to $1, 0 0 0 . 0 0 ......................................_........................._._._.........._........................................-......':'::;; 2 0 . 0 0 . ~5.. 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
..' . \
$10,000.01 to $25,000. OO...................._.....~.................:~...........,........._.-.........._..........~.;..;~;;....$155. 00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25, 000 . 0 0 ....._...._......._......................................~;;,.;...:.;...........;;.-;;....:..-;.:.........-.............................$ 3'6" E;.O er plJi' $ 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 $100.00 plus 'the normal permit fee, which ever is
greater.
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at< '""! _~tl
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215 Chumlt A<mIW!
PO Stili. t!36
~ Wl S4!1(l;l.l130
ontcc ~~(\~G.sOS()
P~l': m.~'~-SO~4
Electric.Installation Verification
(I) (We) "Tr, M .""/2 h .e be. .f,',j't . k i'
f (BlectricaJ Contractor Name)
..:a 0 tv
, (Address)
IJ^1ll1'11r
have been oontracted to perform elecme installl1tion work fot'
(State) (Zip Code)
~.s. . it.. -.B ~. -+-. tJn:.y .
(Name of party eon~eted to)
at the following address: ILiV~ ,," l..l t\l. ~ds.. fk..
(Address where work will be perfOnned)
The nature of the work consists: of: (Check One or Describe the Nature of Work)
+-
Reconnection or new circuit for OOj.llacement Heating Plant and/or Ale Condenser,
Reoonnection or new circuit for ~lacElment Electric Water Heater.
RecoMection of the Scrvice'EntnTnce Cable; Mct~ Box. alterations too receptacles and
lighting fixtures due to Sidingl soffit installation. Note,; New Servioo Entrance
Cables win require a separa.te permit.
Reeonneeti~n"OT. new circuit: for other permanently wired appliances I :fixtures.
Otber
"
The value ofthis work, is.$ :5 e;O. 0.0
I hereby verify this work will be performed by an employee of this, company and funher ve~fy the
reconnection / installation will be done in compliance with manufireturel" and Electric code
requirements.
~..'; t I . 1. /lR....i .../;.....,.;')
.' "'l Cll.€it' . UT .
(Print Name of Officer)
<1"25-"'6'7
{Date,.