HomeMy WebLinkAbout2013-HVAC (furnace & a/c) � CITY OF OSHKOSH No 156621
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 625 REICHOW ST Owner KARL ULOIS J REISCHL Create Date 07/08/2013
Contractor DRUCKS PLUMBING&HEATING CO IN( Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas j Oil Electric Solar Solid �
System � New j �✓ Replace � � Other �
✓ Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan 0 Variable � Other Value
Use/Nature SFR/replace fumace and A/C
of Work I
"debit acct'*
i
Fees: Valuation $8,000.00 Plan Approval $0.00 Permit Fee Paid $142.00
Issued By: '�'"1iy` Date 07/10/2013
❑ Permit Voided � Parcel Id#0611300000
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 activiry.
Signature Date
AgenUOwner
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.
-3-2013 03:57P FROh1:DRUCKS PLUMBING C920)722-0651 T0:19202365084 P.1
Ciry of Oshkosh ,
Division of[nspection Services - . - �
P.O.Bqx 1130 �
Oshkosh;W154903-1]30
Phone(920)236-5050
Fax (920)236-5084 u
II
N -�F �vFTFR
HVAC PERMIT APPLICATI�N
All information ofter bold categories must be provided.
lncomplete 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 54903-1 128. Commencing work without permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
Uvo�� are a conrractnr nartfcinating ln �� Permi� fee Accounl Svslem and have adeguare tunds check here
rf vou wan! �bls nrocessed through vour accor�n� I�l
**Advisory-For applicable projects,an ElecGrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be peiformed by the homeowner)mnst be snbmitted
with the permit appiicadon. Appiications sabmitted without an EIV when sach is required,will not be
processed for Pernut Issuance aad will be retarned for completion.
DATE C� 6 �
r
�oB,�D�� G 5 .
�
OWNER r e
CONTRACTOR �J� ln�i
CH.ECK�ALL APP.LICABLE
U�S�C'ATEGORY
�'Single Family ❑Duplex ❑Multi-Family ORental IJCornmercial Oindustrial
FUEL �Gas �Electric ❑Solid SYSTEM ONew
❑Oil �dKep�ace
❑Solar ❑Other
TY
orced Air ❑Radiant ❑Steam C ❑Vent ❑Electric OHot Water ❑Suppl. OCon.Burner
1S CHIMNEY BEING LINED ONo OYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall bc sized per the BTU's being vented.
C9[MNEY TYPE �Chimney A OChimney B 98irect Vent OOther
HEAT LOSS OAs Approved �sting ❑Not Applicable
BTU RATE ❑As Per Ptan �riable �Other Value
DESCR�PTTON/�COPE OF L WORK BETN DONE '— ��
0 T v '� y�,�c,1 ea•� ,
VAI,UE(includfog lebor and materiels)$ �,��D �r
ELECfRICAL CONTRAC7'OR(for projects not requtring An EIV�orm)
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