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Home My WebLink About0159135-HVAC (furnace) � CITY OF OSHKOSH No 159135 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 114 MILL ST Owner WEST POINTE BANK Create Date 12/20/2013 Contractor DRUCKS PLUMBING&HEATING CO INC Category 500-Residential-Heating&Ventilating Plan Inspector John Zarate Fuel ✓C] Gas �Oil Electric j Solar Solid System New � �✓ Replace _�� Other � �✓ Forced Air Radiant � Steam � A/C Vent Electric �Hot Water j SuppL —1 Q Con. Burner � Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable � HeatLoss � AsApproved � Existing � NotApplicable Value BTU Rate As Per Plan � Variable � Other Value 70,000 Use/Nature �R/REPLACE FURNACE, ELECTRICIAN IS DRUCKS *'debit acct — of Work � I i _ Fees: Valuation _ $2,950.00 Plan Approval $0.00 Permit Fee Paid $62.00 ' � 1 – Issued By: V� Date 12/20/2013 ❑ Permit Voided Parcel Id#0801900000 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 AgenbOwner 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. DEC-19-2013 04:27P FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.2 City ofOshkosh . I)ivision of inspection Services - . • � P.O.Box 1130 � Oshkosh;WI54903-1]30 Phone(920)23fr5050 Fax (920)236-5084 LJV �J I II\ 1 1 ON �-IF�VATFR � HVAC PERMIT APPLICATION All information atter bold categories must be provided. lncompletc 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 1]28, Oshkosh W1 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 / n nre a onlrnclor a rici 1in 1 he P rnr [ ccou l �e an v adeguare tunds check here rLYOU wan� lhls processed through , our accounl **Advisory-For appl�ca.blc projects, an Electrical Installation Veti�3cation(EI�form, signed by the Electrical Conbractor or Homeowner(for installations allowed to be perfoaned by the homeowner)mnst be sabmitted with tlie peimit application. Applicatioas snbmitted without an EIV when snch is reqnired,w�l not be pmcessed for Permit Issnance and will be retarned For completion. . DATE ! a - I 9 -ao�3 JOB ADDRESS ; // ! / //�! S • . OWNER CONTRACTOR CHECK 6J ALL APPLICABLE U�S. CATEGORY IdSingle Family ❑Duplex ❑Multi-Family ORental ❑Commercial ❑Industrial FUEL �Gas ❑Electric ❑Solid SYSTEM QNew 012eplace ❑Oil OSolar � ❑Other TY�E 6�orced Air ❑Radiant OSteam ❑A/C OVent OElectric ❑Hot Vizater OSuppl. OCon.Burner IS CHIlViNEY BEING LINED�No�Yes -L[NER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE OChimney A ❑ imney B �Direct Vent DOther ,; HEAT LOSS �As Approved [�xisting �Not Applicable BTU RATE ❑As Per Plan ❑Variable ❑Other Value b0 DESCRIPTION/SCOPE OF ALL WORK BEING DOIYE 4.[c x� �r� Ur��+-�� p ov VALUE(locluding la6or nad mAterials)� � _I S�' ELECTRICAL CONTRACTOR(for proJects not requiring au EIV Form) ��J e..�.s o�/o� C-19-2013 04:26P FROM:DRUCKS PLUMBING C920)722-0651 T0:2365084 P.1 � CiryofOihkosh � Divuioa of Iropccpon Serviees 21 S Chutoh Avenue PO Box 1130 ' � OshkosA W1 5�902-1170 Office 92P�2765050 � Qp TNC WATlR FUI 920-276-SOB� Electric Installation Verification (��e) �C �S (Electrical Contractor Name.) . � �, �. � 9s-? (Addre (City) (State) (Zip Code) have been contracted to perform electric installation work for wQcJT �eiA r[ �Dci1K„_, (Name of pariy contracted to) �� /!��/ � .L at the follov�nng address: , � , G((?/14�/'/� G� .�/��D� ' �nuuress where work will be performed) The nature of the work consists of: (Check One or Describe the Naturc of Work) V Reconnection or new circuit for replaccmcnt Heating Plant and/or A/C Condenser. Reconnection or new circuit for rcplacement Electric Water Heater. Reconnection of the Service Entrance Cable,Meter Box, alterations to receptacles and ' lighting fixtures due to siding/soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances/fixtures. Other ' " The value of this work is $ ��• � I hereby verify this work will be performcd by an employee of this company and further verify the reconnection/installation will be done in compliance with manufacturer and Electric code requirements. � �GN� MArLG<fol.1 Iz 19, (3 (Signature of Company Officer) (Print Name of Officer) ( ate)