HomeMy WebLinkAbout0157229-HVAC (a/c) /� CITY OF OSHKOSH No 157229
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 517 WAUG00 AVE Owner TERRY W BARTMAN Create Date 08/15/2013
Contractor DRUCKS PLUMBING&HEATING CO IN( Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas j Oil ✓ Electric Solar Solid �
System ❑ New 0✓ Replace � Other I
Forced Air � Radiant 1 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 � Variable � Other Value
Use/Nature SFR\Replacing mini-split A/C system
of Work
;
�
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: ���� Date 08/15/2013
� ❑ Permit Voided � Parcel Id#0202250000
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 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.
-15-z013 08:00A FRDM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1
Ciry of Oshkosh •
Division of lnspection Services - . • �
P.O. Box 1130 �
Oshkosh;WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 H
� ON iaF \'JAT'FR �-
HVAC PERMIT APPLICATION
A(I information after bold categories must be provided.
[ncomplete applicaGons 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-]128. Commencing work without permit(s)witl result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
1 vou are a conrractor narriciparing in the Permit tee Account Svstem and have adeguate fund.r check here
If vou wan� �hls processed lhrough voar account n
**Advisory-For applicable project�, an Elec4rical installation Verification(EI�form,signed by the Elecboical
Conoractor or Homeawner(for installadons allowed to be perfo:med by the homeowner)mnst be snbmitted
with the permit application. Applicadons snbmitted without an EN when snch is reqnired, w�l not be
prneessed fot Pemiit Issnance and will be retnrned for completion.
� DATE � �S I3
JOB ADDRESS S�� �I � ��-
OWIYER � V �"'�A
CONTRACTOR ��t U � �
�
CAEC BI ALL APPLICAI3LE
U CATEGORY
Single Family ❑Duplex �Multi-Family ORental _�Cornmercial OIndustrial
FUEL C�Gas �Electric ❑Solid SYSTEM ONew C3fteplace
DOif DSolaz OOther '
TYPE
DForced A'v ❑Radiant ❑Steam A/C ❑Vent ❑Eleciric �Hot Water ❑Suppl. OCon.Burner
IS CHIMNEY BEING LINED�No OYes -LINER SiZE &MANUFACI'URER
Note:All chimneys shall be sized per the BTU's being vented. .
CHIMNEY TYPE �Chimney A ❑C�jmney B ODirect Vent ❑Other
HEAT LOSS OAs Approved @�xisting ❑Not Applicable
BTU RATE OAs Per Plan ❑Variable ❑Other Value
DESC ION/SCOPE OF ALL WORK BEING DONE � (4 �1 �— 1�� G
S �,
VA1.UE(Including IAbor aad materlals)$ �,���
ELEGTR[CAL CONTRACTOR(for proJects not rcquiring an EIV Form)
b�/o�