HomeMy WebLinkAbout2007-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 22102220 BROOKVIEW CT
CITY OF OSHKOSH
No 123312
HVAC PERMIT - APPLICATION AND RECORD
Owner JDF ENTERPRISES
Create Date 01/26/2007
Contractor MERWIN OIL CO LLC
Fuel ~LGas UOil
System o New
~Forced Air U Radiant
D~t=lectric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 510 -Ind. & Comm-HeatinQ & Ventilating Plan
I
~
J
I
U Solar I J Solid
o Other
U AlC U Vent
U Con. Bumer
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent () Not Applicable
() Not Applicable I
. Other .=:J
Value
Value
Use/Nature COMM (MULTI-FAMILY AT 2220) / REPLACE FURNACE, EIV PROVIDED BY WITZKE ELECTRIC **check #4335
of Work
I
L
Fees: valuation. ~400.00
Issued By: -~
Plan Approval
$0.00
Permit Fee Paid
$46.00
Date 01/26/2007
o Permit Voided I
Parcelld # 1615110000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it isnot a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 68
FOND DU LAC
WI 54936 -68
--
Telephone Number 920-273-0044
,----
To schedule inspections please call the Inspection Request line at 236.5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
No. .457 B
PAGE 02
p, 2
01/24/2007 08:36 9202730270
Jan. 5.2006 12:36PM illspedion services
MERWIN HEATING
City ofo.bkoIb
DiYmon ofbdpcction setVtces
~.o. Box 1130
Qallkosb, WI 54903-1130
Pbone (920) 2)6-SOS0
Fax. (920) 23~S084
~
~
-HV AC PERMIT APPLlCAnON
All i'ufulfnation after bold caI2IOries must be provided.
Incomplete appJie.tiODli wiD DOt be proccssod.
· AppHcatl<m(a) and fee($) ~ be broughth' City Hall, Room 205 or mailed. to lDspceti.oo Services, PO Box 1128.
Osbkosb. WI S4903-1128. CoDUJlCD.Cmg'Work witham pennit(s) will m;ultin fees being doab'ed 01'$100.00 plus the
noonal permit.fee. which em' is greater.
OR.
c( ti
ou
, _,' _ _ _ ',' DATE f- nip 7
JOB ADDRESS '?;;..:?~ D /3 f 00/6 U / ~ .:,./ c7 oS h kos 1,,-
. OWNER /-1 a/ 60 I /-Lc.?DG's_c'.
CONTRAcroR. rfl P..! t,),.'1. 0 I . )
CHECK IfJ ALL APPUCABLE
USE CA1'.EGORY
DSinglc Family CDupICJc. QiMulti-Family ClRental
DCommerciaJ. , DIndnstrial .
FUEl. fitGas
COil
DElC<ltric OSolid
CSoJsr
SYSTEM
CNew
IJ<>thet
"BRep1s.ce
TYPE -Ci
1JPoroedAit IJRadiant DSteem eNe. DVent OBIeetric DHotWater OSUpp1. CCon. Burner
IS CHIMNEy BElNG:L'JNm) BNo eYes - LINER SJZE &. MANUFACl'VR.ER.......
Note: AD. c~ sbaI1 be sfzIcd. pe'lt the 8TU's beilta VCDtcd..
CBlMNEY TYPE CClDamey A OChinmey 8 r21Direct VlZt 1J0t1:u!l"
,HEAT LOSS OAs ~ IiIExisling ONot Applicable
BTU RATE CAs Per Plan CJVariable []Otbet Value
nESCRD'TION Olr ALL WORK BEING DONE ~ ./J.-f-I (L~ ~ Y1l JJ'td'.ac( F-v- ,. /) ~_ c. .e.
V ALUK $ ~ C; 0 0
ELECTIUCAL CONTRAcrOR /;J If ~ k....l.. f 1-'2 (:;j.-(i~
o For applicable projects, an Blectric InstallalionVerification fonn. signed by the Eleo1rical Conhctor, must be
atf4chcd. ICnot atDtcbed or !lOt applicabl.e.. a seperate Electrical Permit i$ rcqWrcd. .
-iJ
9/02
01/24/2007 08:36 9202730270
JAN. 24.2007 8:24AM WITZKE ELECTRIC'
MERWIN HEATING
PAGE 03
NO. 634 P,g
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tIMidan efJlllpealicm fiIcrvbs
215 0slaU A~
PO Da 1110
OIIIlblIbWt .....1130
om. "ICI4a$o$050
"m4J~ Vl\'2i
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Electric Installation Verification
I(We)~ ~(ecrric, In~. .
(Electrical Contractor Name)
155 E. l'a~ A'JeJ)u~ Dsh'(oSh 'Wi: &f.'9o (
(Address) (City) (State) (Zip Code)
have boOl1 COIl1zacted 10 podb!m e1eetriolaatallslion Wllli<; !Or!1J. 'trMn ~ ..fkliML.
- . (Name of party t:ruiteti~
_ at. the following a4dress: ; ~ ao t:mot.v/&,) ~rf-
(Addrea where work will be performed)
The nature of the work consists of: (~eak One or Descn"be ~e Nature ofWod;:)
L RecoDnection or new cifocuit for replacmnent Heating Plant and/or Ale Condenser.
- Reconnection or new Qircuit for replacement Blectric Water Heater or power Vented
water heater.
Reconnect:lon of the Smice Rn~ce Cable. Meter Box~ aIterations to recept:ac1as
and lighting fixtures due to aidingl soffit i.t3sta1lation. Note: New" Service
Entranoe Cables will require Q. separate pennft.
Reconnection or new ci~uit for tJ;e re:placement of other pen:canent1y wired
appIimces I fixtures.
- New circuit for the addition of Ale to 8l\ tndividu.q.l dwelling unit (house or the
individual8ystema in a duplex or condomini=)! inaludi.ng t'equU-ed service
el~ctricat outlets.
Other
The :value oftbis 'M)rk is S /~~OlJ
I hereby verify this work Will be performed by an employee of this oompanyand further verify
the reconnec:t:fon I iDstaIlation will be done in compliance with manufacturer and Electric oode
nq~~m. .~-
'3.:~ ~a~
(Sigaature of Compiny Officer) ,
1]M..~\ ~
(Print Name of Officer)
1-';"~7
(Date)
$101