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HomeMy WebLinkAbout0131899-HVAC (furnace)OSHKOSH ON THE WATER Job Address 536 W 18TH AVE CITY OF OSHKOSH No 131899 HVAC PERMIT -APPLICATION AND RECORD Owner) PAMILLA L BURR Create Date 07/29/2008 Contractor DRUCKS PLUMBING & HEATING CO IN( Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil I Electric Solar Solid System ^ New ~ ^/ 'Replace ~ ^ Other / Forced Air Radiant Steam A/C Vent Electric Hot Water I, Suppl. Con. Burner Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existin I Not Applicable Value BTU Rate As Per Plan Variable '~ Other Value UselNature FR /REPLACE FURNACE, EIV SIGNED BY DRUCKS *'check #62789 of Work ~~ Fees: Valuation ;V $4,100.00 Plan Approval $0.00 Permit Fee Paid $71.50 Issued By: ~,> 1 ~ I~ Date 07/29/2008 U Permif Voided Parcel Id # 1405810000 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 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 performed 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 JUL 2 9 2008 (-1(I - ©N THE WATFR i l..' HVAC PERMIT APPLATION All information after bold categories must be provided. Incomplete applications will not be processed. 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 ** Advisory -For applicable projects, an Electrical Installation Verification (EIVJ 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 EIV when such is required, will not be vrocessed for Permit Issuance and will be returned for completion. JOB ADD ~~ l ~t~ _~ 4 CONTRACTOR ~Uli`~S ~l1/'f'1'~~~rJ DATE - ©l~ ~ i CHECK D ALL APPLICABLE. US CATEGORY ~ngle Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL ~ias ^Electric !]Solid SYSTEM ^New ^Replace ^Oil ^Solar ^Other TYPE ~JForced Air ^Radiant ^Steam ^A/C ^Vent ~~^,,E~~l``ectric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED~o ^Yes, -LINER SIZE!~~ & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B ~l~irect Vent- ^Other HEAT LOSS ^As Approved existing ^Not Applicable BTU RATE DAs Per Plan ~La~iable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~~~ ~ CQ ~Q~k ~~h1~n ~ VALUE (Including labor and materials) ELECTRICAL CONTRACTOR (for projects not 0', ~ . 3 ~"v ring an EIV Form) o~/o~ -29-2008 09:41A FROM:DRUCKS PLUMBING Jul, 29. 2008 9:44aM CId o~oaAkacs Dlrtito. of l~~eCdo4 Services 117 Clw~+e1, Arenas PO Bee ! 130 O~kos9 W! SI9DT.1130 OIRa q~D.2]bfOS0 a, rwe w~~e~ Pau 010.136.foe1 [920)722-0651 70:2365084 P No.282~ P. 3 Electric~Xastallation ~'er~ca~ion ~C) s ~l (Electrical gntract~ (Address) T ~~~ (Cit~j (Zip Code) have been contracted to perform electric installation work fox ~GL1tii l7 (~r~ , 'li ~ /~ ~,CQ(Namc of party contrracted to) at the following addn~s: 3 ~ t ~ ~/' " (Address where work will be performed) The nature of the work consists of : (Check' One ar Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A1C Condenser, Reconnection or nevti- circuit for replacement Electric Watar Heater. Reconnection of the Scrvice~)vntraace Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: Ne~uv Service Entrance Cables will require~a separate permit Reconnoctiori or nvw circuit ~'or other permanently wired appliances / iixturas. Other ~, 1 ~ ~ '~~- The value of this work is S Yhereby verify this work will be performed by $n employee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code n~quirements. ', (Signature of Company Officer) /~~~ ~~ (Print Nesrrc of Officer) ~ (Dace)