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HomeMy WebLinkAbout2011-HVAC (a/c) C i) CITY OF OSHKOSH No 146824 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1016 WASHINGTON AVE Owner WALTER J SCOTT JR Create Date 07/14/2011 Contractor DRUCKS PLUMBING & HEATING CO IN( Category 511 - Ind. & Comm -Air Conditioning Plan Inspector John Zarate Fuel U Gas u Oil I Electric I Solar U Solid System n New El Replace ❑ Other Li] Forced Air a Radiant u Steam u A/C Li Vent Electric I I Hot Water LJ Suppl. U Con. Burner Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate b As Per Plan O Variable • Other Value Use /Nature MULTI - FAMILY / INSTALL NEW SPLIT A/C SYSTEM WITH ONE CONDENSOR AND (3) WALL UNITS ""check #64569 of Work Fees: Valuation $8,927.00 Plan Approval $0.00 Permit Fee Paid $145.00 Issued By: ?)Yr Date 07/14/2011 0 Permit Voided I Parcel Id # 1100440000 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 314 APPLETON ST MENASHA WI 54952 - 2318 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. Di of ) Division o In of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 Oil IKED O FR 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 vou are a contractor participating in the Permit fee Account System and have adequate funds. check here if vou want this processed through your account n ** 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 EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE 7 -1 `i JOB ADDRESS I O 19 t 1}V e, OWNER Milk C t, t. ,r w1 1 ('. id C) 1J CONTRACTOR { . i Jc '� Sv Ca e r' Sec u c CHECK ® ALL APPLICABLE USE CATEGORY `Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial ❑Industrial FUEL Gas ❑Electric ❑Solid SYSTEM New :Replace ❑Oil ❑Solar ❑Other TYPE ❑Forced Air ❑Radiant ❑Steam /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 ❑Direct Vent ❑Other HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value \ 1 DESCRIPTION / SCOPE OF ALL WORK BEING DONE fl EA)3 '. nS� � ►c) CW\ 5� c \* 'A-- 1 c �A_ae,, vr-, 1- , Y, c-)n e C ©„A.er► 3 (A cA 11 l a n d VALUE (Including labor and materials) $ ( - 6 c1. c 1 ELECTRICAL CONTRACTOR (for projects not requiring an ETV Form) � 1'l 1-, m) (ID e 1� p' e owner) ner) COY+ ct lld elec l c' G ✓1 07/07 •