HomeMy WebLinkAbout0154471 - HVAC (furnace) Ci) CITY OF OSHKOSH No 154471
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1345 ONTARIO ST Owner KAY M STUART Create Date 02/15/2013
Contractor DRUCKS PLUMBING&HEATING CO IN( Category 500-Residential-Heating&Ventilating Plan
Inspector Adam Krause
Fuel 112 Gas
— DOil---- - � Electric-- —,' jSolar— -- 1 aSolid
System I ✓f Replace J ❑ Other
✓I Forced Air Radiant
-------J �-- _. Ell Steam--- 1 1111PJC ------ ❑ Vent J
❑ Electric ❑ Hot Water ❑ Suppl. ] 1_Con. Burner 1
Chimney Type C Chimney A C Chimney B • Direct Vent C Not Applicable .
Heat Loss 0 As Approved C Existing
• Not Applicable i Value
BTU Rate ---- --
As Per Plan C Variable • Other I Value
Use/Nature SFR\Replace furnace - - -- -- —- i
of Work
Fees: Valuation 3,500.00 Plan Approval $0.00 Permit Fee Paid _ $78.00
Issued By: . Date 02/15/2013
❑ Permit Voided Parcel Id#1210590000
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 6�`'/�-.
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.
B-15-2013 01:42P FROM:DRUCKS PLUMBING C920)722-0651 TO: 19202365084 P.1
City of Oshkosh
Division of Inspection Services ,
P.O.Box 1130
Oshkosh;WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 n HKOJH
�JJON-T-IFF WATFR I�
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds. check here
If you want this processed throus h your account it
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned for completion.
DATE 2 --12". 13
JOB ADDRESS 13 15 on f'q r.'o S*1
OWNER 1147 St V art
CONTRACTOR Dr►,c to
1
CHECK®ALL APPLICABLE
USE CATEGORY
E.1Single Family ❑Duplex ❑Multi-Family [Rental .❑Commercial ❑Industrial
FUEL aGas ❑Electric ❑Solid SYSTEM - DNew OReplace
DOil OSolar ❑Other '
•
TYPE
($Forced Air ❑Radiant OSteam ❑A/C OVent ❑Electric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED IFJNo ❑Yes -LINER SIZE &MANUFACTURER
Note:MI chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A OChimney B LS'Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ONot Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE Ref►4cc 1i.en«c
VALUE(Including labor and materials)$ -35-09 •
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
Received Time Feb. 15. 2013 12: 43PM No. 2335