HomeMy WebLinkAbout0131897-HVAC (furnace)CITY OF OSHKOSH No 131897
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1224 EASTMAN ST Owner DEBRA J SCHALL Create Date 07/29/2008
Contractor DRUCKS PLUMBING & HEATING CO IN( Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil I Electric Solar Solid 'I
System ^ New ~ ^/ 'Replace
I ~ ^ Other
/ Forced Air ~ Radiant II Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable i Other Value
UselNature ~SFR /REPLACE FURNACE, EIV SIGNED BY DRUCKS "*check #62789
of Work
Fees: Valuation $5,175.00 Plan Approval $0.00 Permit Fee Paid $88.00
Issued By: '~ Date 07/29/2008
^ PermiEVoided ~ Parcel Id # 1507050000
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
Address P O BOX 355
Agent/Owner
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.
i
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 Z00
HVAC PERMIT APPLICA~~i~t3
All information after bold categories m~~t be~prov.I~~d:.
Incomplete applications will not be~processed.
i
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 (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.
DATE ~ '~ d~
JOB ADDRESS ZZ CC S ~-V 1. ~~I ~~
OWNER
/~ f~ / ~
CONTRACTOR ~J(~(/Gl~- IS .~G (JAI ~`~? 5_f _~~
CHECK D ALL APPLICABLE.
USE CATEGORY
single Family ^Duplex ^Multi-F
~.
FUEL ~as ^Electric ^Solid
^Oil ^Solar
E
iced Air ^Radiant ^Steam ^A/C
^Rental ^Commercial
SYSTEM ^New
^Other
^Industrial
^Replace
ent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes, -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ~d.Direct Vent ^Other
HEAT LOSS ^As Approved ~J.Existing ^Not Applicable
BTU RATE ^As Per Plan _~lariable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~-e%~I ~~-'e ~~~- li- C`e
4A a~ ~{,
VALUE (Including labor and materials) $ ~ I~' ..,
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~~o~
JUL-29-2008 09:41A FROM:DRUCKS PLUMBING (920)722-0651 70:2365084 P.3
JuI, ~y, ZUUri y:44RM ' No, Ztl'L5 Y, I
i~
as son
nr,~. ort~y«~n s«.~la~
21 S (7xreA Are~e
P08o~ 1120
~ ~ ~~~ n ~ Oshkosh H1154902-1110
IJJ~ TJ" Oma 91D.236~.3050
off two WATEII Fu 910.736-SOE~
Electric~Ynstallatlon 'Velr~fication
(n (we>. ~~~ s U ~ln ~ ~Pr,~r~c~ r
(Electrical Contractor Name).
(Address) ~, (City) ~ ~ (/State) ~~^^ ~ (Zip /Code)
have been contsacted to perform electric installation work for .~~ir~ JC~`I ,
~ - (l~sme of party contiactcd to)
~'
at ihd fbIlO'QVing addre$S: ~ f/1/t ti-I~1
( ddress where work will be performed)
The nature of the work consists of : (Check One or Describe the Nature of'VVork)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service')rlltranee 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 .
o .
7116 ValU6 Of 11118 work lS $ `OCR r,
Y hereby verify this work will be performed by an employeo of this company and filrthcr veri fy the
reconnection ! installation will be done iu compliance with manufacturer and Electric code
requicaments. ',
(Signature of Company Officer)
/,~- ~~~ 7 2Q X08
(Print Name of Officer) ~ (bate)