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Home My WebLink About0123778-HVAC (furnace) cD OSHKOSH ON THE WATER Job Address 505 PYLE AVE CITY OF OSHKOSH No 123778 HVAC PERMIT -APPLICATION AND RECORD Owner SHELLY K ORTIZ Create Date 03/13/2007 Contractor E C MERRILL INC Fuel ~ Gas UOil System D New ~ Forced Air I U Radiant U Electric r U Hot Water . Chimney Type K:) Chimney A () Chimney B Heat Loss () As Approved () Existing BTU Rate KJ As Per Plan o Variable Category 500 - Residential-Heating & Ventilating Plan U Solar U Solid D Other U AlC U Vent U Con. Burner . Not Applicable U Electric ~ Replace U Steam U Suppl. () Direct Vent . Not Applicable . Other Value Value Use/Nature SFR / Replace furnace. Install 3" chimney liner. EIV provided by Witzke Electric. of Work Fees: Valuation $3,400.00 (:{~ Plan Approval $0.00 Permit Fee Paid $61.00 Date 03/13/2007 Issued By: D Permit Voided I Parcelld # 1108950000 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 h~lder(S) and~:It:JreAY ~ry ap~? starting such activity. Signature _~ ~<-~ DateJ-./Y-~ . AgenV 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 atthe 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. WITZKE E~ECTRIC. NO. 131 P.l MRR.13.2007 8: 05RM .~ ~ > . Chy of'OdlcO!h DiYmon ofl~ Servleea 21S Chun:b A~1lf! PO Dca ]1.10 QdJktmb WI 54903.1130 0fIlce 92043d-5QsO fl\ll 920-236-5014 . , .. . ; > > Electric Installation Verification ,1 :'l I(We)~+-zKeJ f;(~u Inc. ! . (Electrical Contractor Name) 155 E.'l'acWAveJ)ue.. ~K.oSh (Address) (City) (State) (Zip Code) have been contIacted to pehormelectric installation wor~ for e. C. Uuril/ (SA/It 0tI7~). i" . . (Name of party contracted to) I ..,... ;. , at the following address: : 505 Pyle: A VtIll.te"... (Address where.work will "e perfcmned) 'WI'.. &f1o ( . , i, : , ' The nature of the work consists of: (qheck One orI?escribe the Nature of Work) .x - Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. > . > Reconnecnon of the Service Entrance Cable~ Meter Box, ~terations to receptacles and lighting fixtures due to Siding I soffit installation. Note: New Service Entrance qables will require a separate permit. ' Reconnection Or neW circuit for the replacement of other permanently wired appliances I fixtures. .' . New circuit for the addition orAle to an individual dwelling unit (hoUse or the individual systems in a duplex or condominium), including required setvlce electrical outlets. . Other The value of this work is $ : ?5.()tJ I hereby verify this work will be performed by an employee of this company and further verify the reconnection I installatiop will be done in compliance with manufac~r and Electri~ code requirements. ,. : ,-;' r'\ 'D \ '\:.. (print Name of Officer) ,. '':L~ &Q~ (Signature of Company Officer) ~3"'/~~O?< (Date): SI02 ~ - "-'._.~""-..- .-- ,IJ 1&tc/ City of Oshkosh . Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ~ OfHKOfH 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 Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $lOO.OOplus the normal permit fee, which ever is greater. OR Ifyou are a contractor participating in the Permit fee Account System and have adequate funds. check here if yOU want this processed through your account n JOB ADDRESS S" 0 ~ OWNER ell (!, c,(, y ; CONTRACTOR z. t:.1 ~t~ tf1:ve. 'A+iJ J11 tJ,,"r; Lt ~/f, c. . DATE /)3 -/3.t? 7 CIlECKIi'J ALL APPLICABLE ~E CATEGORY ~ingle Family o Duplex DMulti-Family DRental o Commercial o Industrial FUEL t!Jaas bail OElec1ric OSolid o Solar SYSTEM ONew o Other ~eplace TYPE ~orced Air ORadiant OSteam DAlC DVent o Electric DHot Water DSuppl. DCon. Burner IS CmMNEY BEING LINED DN~ l}lYes - LINER SIZE 3 II & MANUFACTURER ~Ct-)6,' (;~ Note: All chimneys shall be sized per theBTU's being vented. CIDMNEY TYPE IlEA T LOSS BTURATE DChimney A DAs Approved OAs Per Plan DChimney B o Existing o Variable ODirect Vent o Other DNot Applicable OOther Value DESCRIPTION OF ALL WORK BEING DONE R" fJ W"l -f:. r" " ....e.. 0'0. f\q- 1\ .~) \ VALUE (Including labor and all materials including light fixtures) 1-'3 'It?tl. ELECTRICAL CONTRACTOR / + Cl CA-c...fl{ r c.. por applicable projects, an Electric Insta lation Verification form, signed by the Elec1rical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required.