HomeMy WebLinkAbout0151546 - HVAC (replace AC) (1) CITY OF OSHKOSH No 151546
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 822 W 6TH AVE Owner DANIEL R FASHINGBAUER Create Date 08/06/2012
Contractor DRUCKS PLUMBING&HEATING CO IN( Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel D Gas H Oil Electnc 1 ❑ Solar H Solid J
System New ✓j Replace ❑ Other
Er Forced Air Radiant Steam A/C
- -- --- �- - ------� =I - ✓� ] D Vent
Electric 1 ❑ Hot Water ❑Suppl. i Con. Burner
Chimney Type 0 Chimney A ❑ Chimney B ❑ Direct Vent • Not Applicable
Heat Loss 0 As Approved ❑ Existing Not Applicable J Value
BTU Rate ❑ As Per Plan 0 Variable • Other i Value
Use/Nature SFR\Replace A/C unit - - -,
of Work
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $70.00
Issued By: 1,� Date 08/06/2012
❑ Permit Voided Parcel Id#0604230000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address 314 APPLETON ST MENASHA WI 54952 -2318 Telephone Number 920-426-2654
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
---"O'er - _7 VlI_#UIll GA I IIV -II n I1..1.. 5 5 I ___. • �_
C920)722-0651
T0:19202365084 P.1
G-6-2012 10:23A FROM:DRUCKS PLUMBING
City of Oshkosh •
Division of Inspection Services
P.O.Box 1130 0
Oshkosh,W1 54903-1130 '
Phone(920)236-5050 �j
Fax (920)236-5084 ON--iF WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed toh,nsspecbtio g Services,Pro$Box 1128, the
Oshkosh WI 54903-1128. Cotnmeneing work without permit(s)
normal permit fee,which ever is greater.
OR
/ ou are a contractor ,artici,afinf in the Permit "e Account S stem and have ado uate unds check here
if you want this processed throur v our
** For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Advisory- pP o the homeowner)must be submitted
Contractor or Homeowner(for installations allowed to be performed by
with the permit application. Applications submitted d for completion.IV when such is required,will not be
processed for Permit Issuance and will be DATE _ a3�.h
JOB ADDRESS zZ W
C5Ttk A v C.
OWNER 1��T`?'`Gt., -"1 FA SNi N(7 PE2.—
CONTRACTOR
CHECK RI ALL APPLICABLE
USESATEGORY
alSingle Family °Duplex °Multi-Family °Rental °Commercial °Industrial
°Electric °Solid SYSTEM °New °Replace
❑Oil
FUEL °O °Solar °Other
TYPE l ❑Con.Burner
reed Air °Radiant °Steam DA/C °Vent °Electric °Hot Water DSu p .
IS CHIMNEY BEING LINED C3i<-°Yes -LINER SIZE
&MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE °Chimney A °Chimney B ODirect Vent °Other
HEAT LOSS DAs Approved ❑Existing ONot Applicable
BTU RATE DAs Per Plan OVariable °Other Value
'�� �— VNI�.
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE(Including labor and materials)
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) __.____
07/07
Received Time Aug. 6. 2012 10: 18AM No. 0334