HomeMy WebLinkAbout2012-HVAC (replace air handler and AC) CDCITY OF OSHKOSH No 152686
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 908 WASHINGTON AVE Owner ANTHONY E/JEAN D BLANDO Create Date 10/02/2012
Contractor DRUCKS PLUMBING&HEATING CO INC Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas
I Oil ❑ Electric - Solar F olid
System ❑ New I2 Replace J ❑ Other ❑
-- --J Q A/C Vent
Forced Air 1 Radiant ❑ Steam I _ —_
Electric j E-Hot Water 1 ❑ Suppl. ❑ Q Con.Burner
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent • Not Applicable
- - -- Value
Heat Loss 9 As Approved O Existing • Not Applicable
BTU Rate As Per Plan O Variable • Other Value
Use/Nature SFR/REPLACE EXISTING AIR HANDLER AND A/C COMPRESSOR **debit acct
of Work
Fees: Valuation $5,0.0.0.00 Plan Approval $0.00 Permit Fee Paid $85.00
Issued By: ani Date 10/02/2012
❑ Permit Voided Parcel Id#1101240000
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.
Date
Signature
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.
OZOI '°N WdSZ nH 8Z 'dS panic D
•
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh;WI 54903-1130
Phone(920)236-5050 OJHKOJH
Fax x (920))236-5084
ON TNF \VnTFR
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
If you want this processed throutzh your account Ft
**Advisory-For applicable projects, an Electrical Installation Vcrificatitin(ETV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 9-?c- ot1.
JOB ADDRESS g o V45I r'n yto n 1'✓t'
OWNER Tony 014 Ao
CONTRACTOR 0 r k cK(
CHECK®ALL APPLICABLE
USE CATEGORY
giSingle Family ❑Duplex ❑Multi-Family ORental .❑Commercial ❑Industrial
FUEL i °Electric ❑Solid SYSTEM :New gIReplace
0011 ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam ,1A/C ❑Vent ❑Electric ❑Hot Water DSuppl. ❑Con.Burner
IS CHIMNEY BEING LINED DitNo❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE 12 Chimney A ❑Chimney B ODirect Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan 0 Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE Replo Ce c°.K,544n y Gip kom,1 Icr
11 J 14/c. Cop+Pr s•r
VALUE(Including labor and materials)$ SHOP
ELECTRICAL CONTRACTOR(for projects not requiring an ElV Form)
07/07
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