HomeMy WebLinkAbout0123591-HVAC (furnace)
r.. '
OSHKOSH
ON THE WATER
Job Address 16451647 LIBERTY ST
CITY OF OSHKOSH
No
123591
HVAC PERMIT -APPLICATION AND RECORD
Owner DANIEL J/KRISTINE L SIEHR
Create Date 02/22/2007
Contractor E C MERRILL INC
Fuel l!':J. Gas UOil
System D New
l!':J Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved '. Existing
BTU Rate o As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.'
. Direct Vent
U Solar U Solid
D Other
U NC U Vent
U Con. Burner
D Not Applicable
o Not Applicable
. Other
Value
Value
Use/Nature Duplex (1647) - Replace furnace and add lines for water heater. Add 3" chimney liner. EIV provided by Witzke Electric.
of Work
Fees: Valuation
$2,900.00
~
Plan Approval
$0.00
Permit Fee Paid
$53.50
Issued By:
Date 02/22/2007
D Permit Voided I
Parcelld # 1207630000
In the performance ofthis work, I agree to perform all work pursuant to rules governing the described construction.
While the Cjty of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described Ifl..this.perplit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to .~~6~~~o/'.J1ecess~~pProvals be~e..::~~!~.~.~UC;:h activity. .., _
S. " , // ,. .~ ~ ----- D t :::2.~ ._./1 )
Ignature.' (/..(...Cl...e. ./ / ~..t:-<:' a e. .-:---' v.
>/ (J,::. -~ Agent/Owner ';;'>'
Address
1018 W SOUTH PARK AVE
OSHKOSH
WI 54902 - 0
Telephone Number (920) 235-3600
------
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.
0&
Clly otOsllkasll , I
J'JiviJicm ot~ll~
:m CIlm:II Avenue
POBox 1130 I
0sbkllslI WI 54!I03-1130
Offit:le 9200336-50$0
Fu 9.311-236-5084'
NO.942, \ P .1/,1 c9 Q. ".CJ, ,...,
fA.. It - cJ "" ,. . I
(; c., Mc.f ~ ~,' :
~~lI:.",~':'Of\ \b'6\~
r....,. a J$' .. .3~O'
j
-1("
FEB.,22. 2007 8: 44AM WITZKE ELECTR IC. ,
Electric Installation Verification
I(We)~ EAet*riC) Ine,
(Electrical Contractor Name)
l55 E, l'adc:.er AVeJ)l1e-. Oshkosh
(Address) (City)
we. 51#0 f:
(State) (Zip Code)
t..~~: It ' ~: I~~.\.~t~,
(Name of party contracted to) .
) ~ '+1 '-;~'Q.~ ~ .. s,~(..
· (Address where work will be perfonned)
have been con1TaCted to perform electric installation work for
at the following address: I
. i; :
The nature of the work consists of: (Check One or Describe the Natu.t;e of Work)
, ~econnection or new circuit for replacement Heating Plaut and/or Ale Condenser.
Reconnection' or new circuit for replacement Electric Water Heater or power vented
water heater. '
ReconnectiOI1'ofthe Service Entrance Cable, Meter Box, 'alterations to receptacles
and lighting fixtures due to siding I.soffit installation. Note: New Service
Entrance Cable~ will require a separate pemrlt., !
Reconnection 'or new circuit for the replacement of other permanently wired
appliances I fi~es.. ! ,', : .
___ New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required sefvice
electrical outlets.
Other '
,,-
The value oftbis work is $. I ~ j)
I hereby verify this work will be performed by an emploYee of this company and furtheF verify
the reconnection I installation will be done in compliance with manufacturer and Electrib code .
, t \
requirements. "
~~~ &~
(Signature of Company Officer)'
1:' M.. () \ ~
(Print Name of Officer)
~ .. Q~" O~
(Date)
S/02
",..1
City of Oshkosh
Division of Inspection Services
P.O. Bolt 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OJHKOiH
ON THF WATFR
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Setvices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit ee Account S stem and have ade uate unds. check here
if vou want this lJrocessed throuf!h vour account 0
11.t Cf[;.j re V 7 DATE ).. - ;;2,.tt> 7
JOB ADDRESS It '-17 L-/'h~,..f-1 STII"'...J
OWNER I{ r J: l ~ / e-h I(,
CONTRACTOR ~. L.. ~r/(C .rJr,L.
,
CHECK &1 ALL APPLICABLE
USE CATEGORY
OSingle Family ~uPlex OMulti-Family
DRental
o Commercial
DIndustrial
FUEL
~as
DOH
DElectric DSolid
o Solar
SYSTEM
DNew
o Other
~eplace
ltYPE
}DForced Air DRadiant OSteam DAlC OVent OElectric DHot Water DSuppl. DCon. Burner
IS CIDMNEY BEING LINED DNo Ifryes - LINER SIZE 3 II & MANUFACTURER rLe~;~~
Note: All chimneys shall be sized per the B'fu's being vented.
CHIMNEY TYPE DChimney A DChimney B ~irect Vent DOther
IlEA T LOSS DAs Approved ~xisting DNot Applicable ~.
BTU RATE DAs Per Plan DVariable 'gIother Value _/2 (}tJf/
I n
DI},SCRlPTION OF ALL WORK BEING DONE I< ey t.L~ hu-,. &U'.. I <!<~ (.L~\ ~ \0 A l
..::jk: Ur/.q-Ib- M ~. ff \~ 1J VJ
\1'
e!!
V ALUE (Including labor and all materials including light fixtures) $ ;;. tj~{).
'" ~3 . <;0
ELECTRICAL CONTRACTOR l~
~For applicable projects, an Electric In allation Verification form, signed by the Electrical Contractor, 'must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
^ ,^"