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Home My WebLink About0134247-HVAC (furnace)CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1842 OHIO ST Owner JOSHUA S HARDEL Contractor Fuel System Chimney Type Heat Loss BTU Rate Use/Nature ~ of Work No 134247 Create Date 12/03/2008 DRUCKS PLUMBING 8~ HEATING COIN( Category 500 -Residential-Heating & Ventilating Plan / Gas Oil Electric Solar Solid ^ New ~ ^/ Replace ~ Other j / Forced Air Radiant Steam A/C Vent Electric Hot Water Suppl Con. Burner imne A Chimney B - - -- - - -, Direct Vent _ _~ Not Applicable _ ~ s pproved Existing - - -- ~ Not Applicable i Value As Per Plan -- Variable - _ ~_Other Value AND REMOVE BOILER, EIV SIGNED BY DRUCKS PLBG, HTG 8 ELEC '"check Fees: Valuation $4,1 Issued By: Plan Approval $0.00 Permit Fee Paid $71.50 ^ Permit Voided Date 12/03/2008 Parcel Id # 1407560000 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 DEC 0 3 2008 Oshkosh, WI 54903-1130 Fhone (920) 236-5050 DEPARTMENT OF Fax (920) 236-5084 COMMUNITY DEVELOPMENT 01HK0 H INSPECTION SERVICES DIVISIO ON THF. 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 $100.00 plus the normal permit fee, which ever is greater. OR If you are a contractor narticitiatinQ in the Permit fee Account Svstem and have adequate funds check here i,~you want-this processed through your account ~l ** Advisory -For applicable projects, an Electrical Installation Verification (EIS form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application. Applications. submitted without an EN when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE__ ~ ~ j 4 ° ~ ~ JOB ADDRESS f~ ~l L DN D S OWNER ~2)St~(- / (/-~I~~~n CONTRACTOR ~ ~ UPS ~ wt +t ~- ~i t, CHECK Q ALL APPLICABLE USE CATEGORY l~Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL Gas ^Electric :!].Solid SYSTEM ^New 6$'Replace ^Oil ^Solar ^Other TYPE 'Forced Air ^Radiant ^Steam ^A!C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ^No~''Yes, -LINER SIZE ~x LS '& MANUFACTURER !~f-G Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A ^Chimney B direct Vent ^Other HEAT LOSS DAs Approved Existing ^Not Applicable BTU RATE ^As Per Plan OVariable ^Other Value DESCRIPTION /SCOPE OF ALL WORK BEING t-1% ~ %71" t`c..Jl~. ivl~ !~. C' ,~/`/~ I ~iilti....~. tti VALUE (Including labor and materials) $ 71U0 ~ ~ 1 ~ ,S ~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) a~/o~ Ciry of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI $4902-1130 OIHKOIH Office 920-236-$0$0 ON THE WATER Fax 920-236-$084 Electric Installation Verification (Electrical Contractor Name) (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for ~,~ ~c~eli'i-mac, , (Name of party contracted to) at the following address: /gy2 ©~ o ST (Address where work will be performed) The nature of the work consists of : (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant . 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 The value of this work is $ ~'Sv''` I hereby verify this work will be performed by an employee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. i~~~ Gfi~~f.~7c?~-L- / /9 (Signature of Company Officer) (Print Name of Officer) (Date)