HomeMy WebLinkAbout0151865 - HVAC (replace Furnace) i, CITY OF OSHKOSH No 151865
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 830 MONROE ST Owner JOHN P PIEPER/KATHLEEN C LAMARCHE
Contractor DRUCKS PLUMBING&HEATING CO INC Category 500-Residential-Heating&Ventilating Pay ate Date 08/21/2012
Inspector John Zarate
Fuel U Gas I U Oil J I 1 Electric I U Solar
Solid
System [] New Q Replace
_ ❑ Other
4 Forced Air 1 Li Radiant Steam
— U 1 Li A/C I u Vent
U Electric ❑ Hot Water - Su I.
U PP I ❑ Con. Burner
Chimney Type • Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss As As Approved • Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other
Value 60,000
Use/Nature SFR/REPLACE FURNACE **debit acct
of Work
Fees: Valuation $2,575.00 Plan Approval $0.00
3-Yr)CA_ \ Permit Fee Paid $49.00
Issued By: 1
Date 08/21/2012
❑ Permit Voided i Parcel Id#1107460000
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.
AUG-17-2012 02:03P FROM:DRUCKS PLUMBING 0920)722-0651 TO:2365084 P.3
City of Oshkosh
Division of Inspection Services
P.O. Box 1 130
Oshkosh;WI 54903-1130
Phone(920)236-5050
Fox (920)236-5084 OIHKOJH
ON '-1F \YAM?
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 participatinff in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account El
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the EIectrical
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.
Os t% ���7' a"
JOB ADDRESS (630 M au ru O
e S I sL to sL
OWNER �01vx eie-Y
CONTRACTOR Ur KS �lvw�4j'iv t N
L1 C. eati
CHECK El ALL APPLICABLE
USE CATEGORY
Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ►%Gas ❑Electric ❑Solid SYSTEM ONew Replace
■ oil ❑Solar ❑Other
TYPE
Forced Air ❑Radiant OSteam ❑A/C OVent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED�`No❑Yes -LINER SIZE & MANUFACTURER
Note:All chimneys shall be sized p r e BTU's being vented.
CHIMNEY TYPE Chimney A 4lChimney B ODirect Vent °Other
HEAT LOSS As Approved Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable glOther Valuer (2,0100O
DESCRIPTION/SCOPE OF ALL WORK BEING DONE e.X(S4,,n5 ( 4 c.Q. ref Igce,t t
VALUE(Including labor and materials) $ 5 7`J.O b
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
Received Time Aug. 17. 2012 1 : 58PM No. 0483
AUG-17-2012 02:03P FROM:DRUOKS PLUMBING
0920)722-0651 T0:2365084
P.2
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
( ^ �HK Oshkosh W154902-1130
W 1 11Vr(! I-I Office 920-236-5050
ON THE WATER Fax 920.236.5084
Electric Installation Verification
•
(I)(We) f u Ucs PD; ' a ec,-k
(Electrical Contractor Name)
3) p .k� S-4 . Mena kkq UJ �- 5(4q 5 a-
(Addres�
(City) (State) (Zip Code)
have been contracted to perform electric installation work for IC.IA
(Name of party contracted to)
a t the following address: tJ C Mov■roe, S4-y CSIn Kc i,, o- w Z 5(9 c
(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 Reconnection or new circuit for replacement Electric Water Heater.
Condenser.
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 $ 4 (sa .00
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.
SS ---.1-4 Z2 — &1 LciteL l
S�(Signature of Company Officer) (Print nt Name of Officer) ( e)
Received Time Aug, 17. 2012 1 : 58PM No, 0483