HomeMy WebLinkAbout0131566-HVAC (furnace)CITY OF OSHKOSH No 131566
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 619 W 10TH AVE Owner RONALD S/MARSHA K O'BRIGHT Create Date 07/16/2008
Contractor DRUCKS PLUMBING & HEATING CO IN< Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ~ New ~ Q/ Replace ~ ~ Other
/ Forced Air Radiant Steam A/C Vent
Electric-~ Hot Water Suppl. Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Appligble
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
will do electrical reconnect.
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $55.00
Issued By: ~iE~ Date 07/16/2008
Permit Voided
Parcel Id # 1303500000
In the pertormance 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 P O BOX 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 pertormed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920)236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
01HKOlH
ON THF. WATFR
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor narticitiatinQ in the Permit fee Account System and have adequate funds check here
rf you want. thrs processed through your account n
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
f DATE_ C.a` ZS -c~~
JOB ADDRESS (~? (~ Ct,) I(~r~~v,~
OWNER ~•~ C7 fJ~ltt.~r'+ ~--
CONTRACTOR t2.c,~, t~ P~v r- l-1 TG.
JUL 1 1 2008
CHECK Q ALL APPLICABLE. DEPARTMENT {JF
USE CATEGORY COMMUNITY DEVE~.OP SENT
INSPECTION SERVTt;;E~ I~IVI.SION
®fiingle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL L~Gas ^Electric !],Solid SYSTEM ^New (Replace
^Oil ^Solar ^Other
TYPE
.Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINEll ~No ^Yes, -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ]~81Direct Vent ^Other
HEAT LOSS DAs Approved Existing ^Not Applicable
BTU RATE ^As Per Plan Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~`IoCAC.tr^ ~-.v,.a c.e~-
VALUE (Including labor and materials) $ 3CX~3 `-= ~ ~ ~t'~-'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) {,R.kCfcs
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