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Home My WebLink About0158802-HVAC (furnace & a/c) � CITY OF OSHKOSH No 158802 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1625 VILLA PARK DR _ Owner WARREN P/E A KRAFT Create Date 11/19/2013 Contractor DRUCKS PLUMBING&HEATING CO IN( Category 502-Residential-Both Plan Inspector Nicole Krahn Fuel ✓ Gas _� Oil ; Electric _ _' Solar Solid System � New I � Replace ___ I � Other _� ✓ 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 70,000 Use/Nature SFR/Furnace and A/C replacement � of Work Paid with debit account �--- — Fees: Valuation $6,500.00 Plan Approval $0.00 Permit Fee Paid $126.00 Issued By: Date 11/19/2013 ❑ Permit Voided ; Parcei Id#1320420000 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. -19-2013 08:31A FROM:DRUCKS PLUMBING C9z0)722-0651 T0:19202365084 P.1 City ofOshkosh . Division of Inspection Services • . • � P.O.Box 1130 � Oshkosh;WI 54903-1]30 Phone(920)236=505a Fax (920)236-5084 u�/ u I�r� �� 0� �-IF\Vl�TFR HVAC PERMIT APPLICATION All informntion after bold categorles must be provided. (ncomplete npplications will not be pmcessed. • Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wl 54903-1'128. Commcncing work without permit(s)will result in fees being doubled or$100.00 plus the nonnal permit fee,which ever is greater. OR /f vou are a conlractor nar�lclnalrnP in !he PermJ[ fee Accor�nt Svstem and have adeguate tundc check here rrvou want �h�s nroces.red throurh vour accoun! n **Advisory-For applicable projects,an Electrical installation Verif cation(EI�foriu,signed by the Electrical ConOractor or Homeowner(for installations alIowed to be performed by the Lomeowner)mast be snbmitted with the peimit application. Applical�ions sabmitted withoat an EN when sach is reqnired,wiIl not be pmcessed for Pennit Issnance and will be retnrned for completion. � DATE I JOB ADDRESS_ 1�Z� V l� _4� �G��('�Z (��• : OWNER �(��(�'�� 1.�� CONTRACTOR D r u G k.� CHECK�ALL APPLICABLE USE CATEGORY �Single Family ❑Duplex ❑Multi-Family ❑Rental DCommercial OIndustrial FUEL �AGas OElectric ❑Solid SYSTEM ❑New ❑Replace ❑Oil ❑Solar " ❑Other TYPE �1Forced Air ORadiant ❑Steam �A/C ❑Vent OElectric OHot Water �Suppl. �Con. Burner IS CHIMNEY BEING LIN.ED J�No OYes -L1NER S]ZE &MANUFACTURER Note:All chimneys shall be si2ed per the BTU's being vented. CHIMNEY TYPE OChimney A ❑Chimney B QdDirect Vent ❑Other ,, HEAT LOSS DAs Approved �Existing ONot Applicable BTU RATE ❑As Per Plan OVariable ❑Other Value_ �?D� D o0 (3 T� DESCRIPTION/SCOPE OF ALL WORK BEIHG DONE__ �U��211J AG� �. Q � : ��I r�L P_vr��.v�'T�" VALUE([ncludine tebor and materials)� __/�crvo_� �U�.�"'�. ELECTRICAL CONTRACTOR(for projects not requiriog ao EIV Form) �p V C� S o�io� -19-z013 08:30A FROM:DRUCKS PLUMBING C920)722-0651 T0:19z02365084 P.1 � Ciry of Oshkmh � Divisioa of lnspecuon Scrvices 215 Chmeh Avenue PO Box 1170 j ry�' osnko�n w�sa9ox•i i�o �.t� r�v..,��r-i oe5ee s1a2s�soso � ON TML WATFR g.� 920-2)650M �� Electric Installation Verif cation m cWe� t7 2vc,K S (Electrical Contractor Name) ��.I�-}- A,o,�l�e�I-�a 5Z- �Y1P nasha �,�,� � .�y.�Z (Address) (City) (State) (Zip Code) have been contracted to perform electric instal lation work for C,t'Q r Y�N �"�r e+t,,,,�7— , (Name of pariy contracted to) �" ,, L � . at the following address: ��_Z 5 � �,�,c�. t�, �, p � (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) � Reconriection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrancc Cable,Meter Box, alterarions to receptacics and lighting fixtures due to siding/soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanendy wired appliances/fixtures. Other � ' 00 ' The value of this work is$ �p d�� I hereby verify this work will be performed by an employee of this company and further verify the reconnection/installation will be done in compliance with manufacturer and Electric code rcquirements. ��L�.��!� /.�,�J .��a�,�1 � s � , (Si�ature of Company Officer) (Print Name of Officer) � ( ate)