HomeMy WebLinkAbout0131898-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 1503 LIBERTY ST
CITY OF OSHKOSH No 131898
HVAC PERMIT -APPLICATION AND RECORD
Owner, LYLE F NELSON Create Date 07/29/2008
Contractor DRUCKS PLUMBING & HEATING CO IN( Category 500 -Residential-Heating & Ventilating Plan
Electric Solar ~ Solid ',
Fuel / Gas ~
-- _ -
System ^ New ~ ^/' Replace ~ ^ Other
~---1 __
/ Forced Air Radiant ~ Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type
Heat Loss As Approved Existin ' Not Applicable Value
BTU Rate As Per Plan Variable ', Other ~ Value
UselNature FR /REPLACE FURNACE, EIV SIGNED BY DRUCKS **check #62789
of Work
i
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I~i
Fees: Valuati~ $4,305.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $76.00
Date 07/29/2008
^ Permit Voided
Parcel Id # 1205690000
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 wort
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easemen~
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
I
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.
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City or 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
OlHKO1H
~~ ~~~ ,~y ~. - ON THE WATFR
HVAC PERMIT ~rP~P=LICAT(ON
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 I
** Advisory -For applicable projects, an Electrical Installation Verification (EIS 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
processed for Permit Issuance and will be returned for completion.
I~ DATE d
JOB ADDRESS i~ ~ L 2./'~ J~~~
OWNER Q~1JI~I ~ lVe~ 50 h
CONTRACTOR DI~y~~S ~r(Uwl~ln ~l!
CHECK Q ALL APPLICABLE.
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL ~fas ^Electric !]Solid j SYSTEM ^New ^Replace
^Oil ^Solar ^Other
TYPE
~rorced Air ^Radiant ^Steam ^A/C ^Vent ^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 .,f~-Direct Vent ^Other
HEAT LOSS DAs Approved Ja.Existing ONot Applicable
BTU RATE ^As Per Plan ~dariable ^Otnher,,V/ alue
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ICYa/l ~l. G2 ~~'r~ ~t C~2
VALUE (Including labor and materials) $ ~ ~ ~ ~ ~ ~~,~~~"
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~io~
JUL-29-2008 09:41A FROM:DRUCKS PLUMBING
,lul.ly. LUUtl Y;44HNI
cuyoro~oQn
elr~. of I~spaaliarr Swlui
ZIS G1imeA Aue~ue
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D~kol~ 1Y151901.1 WO
Otlb~ 910-~763oS0
ON rwE raTEq Fur 910.2)b5091
C920)722-0651 70:2365084 P.2
N0. Ltll~ C. L
~lect~rfic~Ynstallation VeriScatfon
(~ fie)
(.4.ddress) --- - - ~, (City) (State) (Zip Cade)
have been contracted to perform electric installation work for _ /J~IXJI'~ /~! ~d~! ,
(Name of party contrracted to)
at the following address: lJ,~ ~ ~!!G`C/'
(Address
work will be performed)
The nature of the work consists of : (Check One or Deseribe the Naiuro of Work)
a,
s'C./ lteeonaection or uew circuit for replacement Treating Plant and/or A/C Condenser.
Reconnection or new circui6 for replacement Electric Vlrater heater.
Reconnection of the Service'~ntrance Cable, Meter Hox, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service >rntrance
Cables will roquire~a sepatato permit.
Reconnection or new circuit for other permanently wired appliances 1 fixtures.
Other ', .
The value of this work is $ f7 D
Y hereby verify this work will be performed by an employee of this company and further verily the
reconnection / i>RStE-Ilation will be dons in compliance with manufaclumr and Electric code
requirements. '~
(Signature of Company Officer)
/Ll,-s~- ~r~-
(print Namo of Offcor)
7-2P o8
(Date)
3l~ ~il~nn s~' ~'lr~a~t t~/C _ ~~1~ ~