HomeMy WebLinkAbout0157569-HVAC (furnace) !
� CITY OF OSHKOSH No 157569
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1432 EVANS ST Owner GEORGE/SHIRLEY M BLECHEL FAMILY TI Create Date 09/05/2013
Contractor DRUCKS PLUMBING&HEATING CO IN( Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar —� �_Solid _ _
System �New I �✓ Replace i � Other
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✓ Forced Air ! Radiant i Steam � A/C � �Vent
Electric � Hot Water Suppl. � Con_Burner
Chimney Type �himneyA � Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing ____� Not Applicable__ _ � Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature FR/replace furnace
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of Work �
I'*debit acct**
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I
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Fees: Valuation 3,500.00 Plan Approval $0.00 Permit Fee Paid $78.00
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Issued By: <_/�1 ! 1 Date 09/05/2013
o-• - ___
� Permit Voided � Parcel Id#1508780000
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
AgenUOwner
Address 314APPLETON 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 Inspection Services � • ' �
P.O.Box 1130 �
Oshkosh;WI54903-]130
Phone(920)236-SO50
Fax (920)236-5084 � H
ON r:� WNTFR
HVAC PERMIT APPLICATION
All information nfter bold categorics must be provided.
lncomplete applicallons 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 SI00.00 plus the
nocmal permit fee,which ever is greater.
OR _
/f vou are a conlractor parl�cinat)ng in the Permlt fee Accor�nf Svstem nnd have ndenua[e tund.c. check h¢re
jtvou waxt this processed Ihrough vour accounr I-1
**Advisory-For applicable pmjects,an Electrical Installation VeriFcation(EI�form,sigacd by the Elcctrical
Contractor or Homeowner(for installations allowed to be perfonmed by the homeowner)masi be snbmiaed
with the permit application. App4cations snbmiKed withoat au EIV whrn snch is reqaired,will not be
processed for Pemut Issnance and will be retnrned for completion.
� DATE 9�s-�3
aoBaDnx�ss ly� Eva.►f s� " :
ownr�R Georye (3/«h�r
CONTRACTOR D�4 c Y,) `
1
CHECK�ALL APPLICADLE
USE CATEGORY
�Singte Family ❑Duplex OMulti-Family ORental .00ommercial Olndustrial
FUEL �Gas DElectric ❑Solid SYSTEM - �New �Repiace
�Oil ❑Solar ❑Other'
TYPE
�Forced Air DRadiant OSteam ❑A/C ❑Vent ❑Electric OHot Water OSuppl. ❑Con. Burner
1S CIiIMNEY BEIIVG LINED�No DYes -L1NER SIZE y�� &MAMIFACTURER Sr�pS�o,�n��rv,,,+
Note:All chimneys shall be sized per the BTLJ's being vented. T-
CHIMNEY TYPE OChimney A ❑Chimney B �Direct Vent OOther
HEAT LOSS OAs Approved OExisting C]Not Applicable
BTU RATE OAs Per Plan OVariable ❑Other Va(ue
DESCRIPTION/SCOPE OF ALL WORK l3EING DONE_ Rc p f�e� e�c�F►%�� r4 i�q c �
VALUE(lncluding labor and materlsls)$ ��lUa �
ELEC7'RICAL CONTRACTOR(for proJects aot requlriag an EN Form)
o�/o�
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