HomeMy WebLinkAbout0156818-HVAC (furnace) � CITY OF OSHKOSH No 156818
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 929 EASTMAN ST Owner KJM CAROLINE LLC Create Date 07/22/2013
Contractor DRUCKS PLUMBING&HEATING CO IN( Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New � �✓ Replace ' � Other
✓ Forced Air Radiant Steam A/C I Vent �
Electric � Hot Water Suppl. Con. Burner I
—
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate � As Per Plan � Variable � Other I Value _
Use/Nature 'SFR\Replace fumace
of Work �
I
�
� — --.
Fees: Valuation $5,000.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: �� Date 07/22/2013
�
❑ Permit Voided I Parcel Id#1002350000
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.
City of Oshkosh •
Division of lnspection Services � � �
P.O.Box 1130 �
Oshkosh;WI 54903-1130
Phone(920)236-SO50 � � �
Fau (920)236-5084
QN THF\VA7�FR �
HVAC PERMiT APPLICATION
All informution ofter bold categories must be provided.
Incomplete applications will not be processed.
• Applica6on(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Secvices,PO Box 1128,
Oshkosh Wl 54903-1]28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR _
(�vou are a con�ractor par[rclnating in �he Permt�fee Accoun/ Svslem and have ade�uale (unds, chcck hcre
if vou want lhis nrocessed through vour account I-1 :
**Advisory-For applicable pmjects,an Electrical Installation Yeri6catio`n(EI�form,sigacd by the Electricai
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the petmit applicadon. Applications snbmitted withont aa EIY when sach is reqa3red,will not be
pmcessed For Pe�t Issnaace aad will be retamefl for completioa.
� DATE 7r�+Z'1 3 ;
JOB ADDRESS �.�� �qS��q� S�'
OWNER �CVi�n /��SS
COIYTRA,CTOK I�!`w c I�S �
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CHECK�ALL APPLICABLE
USE CATEGORY � �
�Single Family ❑Duplex ❑Multi-Family �Rental .�Commercial OIndustrial
FUEL �Gas OElectric ClSolid SYSTEM ONew �Replace
�Oil OSolar �Other '
TYPE
�Forced Air ORadiant ❑Stesun DA/C ❑Vent OElectric �Hot Water ❑Suppl. OCon.Burner
IS CHIMNEY BEING LINED�No �Yes -L1NER SiZE 8c MANUFACTURER
Note:All chimneys shull be sized per d�e BTU's being vented.
CHIMNEY TYPE OChimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS OAs Approvcd OExisting ❑Not Applicable
BTU RATE ❑As Per Plan �Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK 13EING DONE�1�v// /1c i✓ Fv�n��c
� VALUE(Includiag labor and materlsls)S,Oo�
ELEC'TRICAL CON7'RACTOR(tor proJects not requiriog ao E1V Form)
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