HomeMy WebLinkAbout0123774-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 303 SCOTT AVE
CITY OF OSHKOSH
No
123774
HVAC PERMIT - APPLICATION AND RECORD
Owner THOMAS L WEBER
Create Date 03/12/2007
Contractor E C MERRILL INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate [) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
.U Con. Burner
C) Not Applicable
o Not Applicable
. Other
Value
Value
Use/Nature ~FR / Replace furnace. EIV provided by Witzke Electric.
of Work
Fees: Valuation
$2,400.00
Plan Approval
$0.00
Permit Fee Paid
$46.00
Issued By:
~
Date 03/12/2007
o Permit Voided I
Parcelld # 1006210000
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
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.
MAR. 8.2007 9:28AM
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WITZKE E~ECTRIC'
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Di\li.rioJ1 tlfJmpei:dcm ServIce!:
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0dlk0sIs WI 54903':1130
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.flu 92a-236-S~4 :
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Electric Installation Verification
l(We)~ fS{eofriu' Inc.
: (Electrical Contractor Name)
l55 E.t>ad:.er Avenue., Osh~sh
(Address) (City)
\Al:C stkto ( .
(State) (Zip Cocle)
1:>~t. ~ti - B.. r7d~:l{
(Name 'of party contracted to)
have been contracted to perform electric installation work for
at the following address:
: 3e~' s'e.-It W
.~ ~ ~
(Address where work will pe perfomed)
, .
The nature of the work consists of: (qheck One or Describe the Nature of Wark)
'. "'4ecoonection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnecnon or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter BoxJ alterations to recePtacles
and lighting fixtUres due to siding I soffit installation. Note: New Semce
Entrance Cables will require a separate pennit. !
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures. .' i
New circuit for the addition orAle to an individual dwelling unit (house or: the
inc;Uyid:ua) systems in a duplex or condominium), including required service
electricaf6i.1tlets~' . .
Other
..,-
The :value of this work is $~ I a ~
I hereby verify this work will be perfonned by an employee of this company and furth~riYe,rifY
the reconnection / installation will be done in compliance with manufacturer and Electrlc.:'codfl
; :requirements.; . . ,. '.L,,~-
"': "--.- - ~
~ ~ 0GK
-
(Signature of Company Ofticer)
-;-;~ r'\ a \ 'c-
(print Name of Officer)
3-870 7
I
(Date)
5102
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
An information after bold categories must be provided.
Incomplete applications will not be processed.
Ct)
OfHKOfH
" ON THE WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
J vou are a contractor artici atinO' in the Permit ee Account S'stem and have ade uate unds check here
if yOU want this processed through your account n
DATE
3-lg/~ry
. I
JOB ADDRESS 303 5e-orr '7T
OWNER 1'01--1 U/ E 8 G' /Z-
CONTRACTOR 13. , L. pVJ tZ. (l.../U t.. L
CHECK ~ ALL APPLICABLE
~ CATEGORY
~ingle Family DDuplex
DMulti-Family ~ental
o Commercial
OIndustrial
FUEL
1aGas
DOil
DElectric .DSolid
DSolar
SYSTEM
DNew
DOther
~eplace
TYPE
~orced Air DRadiant DSteam DAlC DVent OElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per theBTU's being vented.
CmMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
OChimney B
~xisting
DVariable
~rect Vent o Other
DNot Applicable
OOther Value
DESCRIPTION OF ALL WORK BEING DONE 7?fZ,P?pfG iZ F-vll f./I4L iZ. bV I r 1-1-
.qfi'.-.I4-t.... e./J (!oW1l3v$r/6A.J Ft..--I2IV/I!LL
VALUE (Including labor and all mat~rials including light fixtures) $ '2'100
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ELECTRICAL CONTRACI'OR 11/ J r2, f.-IL
..l!or applicable projects, an Electri~ Installation V erificati~n form, s~~ed by ,the Electrical Contractor, must be
,attached. If not attached or not appl.,cable, a separate Electncal Pernllt IS requIred. (~. .' . fj L..
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