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Home My WebLink About2008-HVAC (furnace)CITY OF OSHKOSH No 131949 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1614 RIVER MILL RD Owner THOMAS PlKATHY J BECHER Create Date 07/31/2008 Contractor DRUCKS PLUMBING & HEATING COIN( Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas Oil ' Electric Solar Solid System ^ New ~ ^/ Replace ~ ^ Other I / Forced Air Radiant Steam i 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 Not Applicable ~] Value BTU Rate As Per Plan Variable ' Other ~ Value Use/Nature FR / Re lace furnace. EIV p si ned b Drucks 9 Y i __ of Work ~ ~ I i I~ I I i Fees: Valuation $4,300.00 Plan Approval I ~ $0.00 Permit Fee Paid $74.50 Issued By: L~~~'Yl~O I Date 07/31/2008 ^ Permit Voided ~ Parcel Id # 1224030000 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 ' ~i Date Address P O BOX 355 L Agent/Owner MENASHA! WI 54952 -355 Telephone Number 920-426-2654 I To schedule inspections please call the Inspection Request line at 238-5128 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 01HK0 H ON THE WATFR HVAC PERMIT APPLICATION 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 If you are a contractor participatin in the Permit fee Account System and have adequate funds, check here i you want. this processed through your account ^ ** 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 EN when such is required, will not be processed for Permit Issuance and will be returned for completion. ' DATE 6 ? O ~ OD JOB ADDRESS ~CJ 1 ~ K (~~~u ~~ nWNF,R ~OUV- R.~~il~~ CONTRACTOR .l~v_~~ `~ CHECK D ALL APPLICABLE- USE CATEGORY ', .,Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial ,,! FUEL ,~aS ^Electric IJSolid I SYSTEM ^New ^Replace ^Oil ^Solar ~ ~ ^Other TYPE ~orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ~o ^Yes, -LINER SIZE_1~ & MANUFACTURER Note: All chimneys shall be sized ptr the BTU's being vented. CHIMNEY TYPE ^Chimney A ', ^Chimney B C~irect Vent ^Other HEAT LOSS ^As Approved .f~Existing ^Not Applicable BTU RATE DAs Per Plan ~ariable ^Other Value ~~ ~. i '' ~ w ' DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~,,~ ~',~~ VALUE (Including labor and materials) $ ' ~ ?O ~ ~ INSPECT-IOC SI=w~~rit =F~ u f riy:~'~' I ~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) i o~~o~ I City of Oshkosh Division of lncpection Scrvices'~' 215 Church Avenue PO Box 1130 Oshkosh WI 54902-1130 Office 920.236-5050 ON THE WATER Fax 920.236-5084 (~ (We) s Electric Installation Verification (Electrical Contractor Name). (Address) ' ~ (City) (State) ~(Zi~~p Code) have been contracted to perform electric installation work for l~ ~ ~Cid'~ Q!~ , (Name of party contracted to) i at the following address: ~~ (/~~ ~ L ~ l ~~ The nature of the work consists of j (Address where work will be performed) j ~ (Check One or Describe the Nature of Work) 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`Entrance 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 I i The value of this work is $ j~Q I hereby verify this work will be perform d by an employee of this company and further verify the reconnection /installation will be done iri compliance with manufacturer and Electric code requirements. (Signature of Company Officer),. i (Print Name of Officer) (Date)