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Home My WebLink About0123827-HVAC (furnace) e OSHKOSH ON THE WATER Job Address 1230 HAZEL ST CITY OF OSHKOSH No 123827 HVAC PERMIT - APPLICATION AND RECORD Owner DANIEL J/DIANE E ZIELINSKI Create Date 03/16/2007 Contractor E C MERRILL INC Fuel ~ Gas UOil System o New ~ Forced Air U Radiant U Electric U Hot Water Chimney Type () Chimney A C) Chimney B Heat Loss o As Approved () Existing BTU Rate C) As Per Plan . Variable Category 500 - Residential-Heating & Ventilating Plan U Electric ~ Replace U Steam U Suppl. . Direct Vent U Solar U Solid o Other U AlC U Vent U Con. Burner () Not Applicable . Not Applicable o Other Value Value Use/Nature ~FR / Replace furnace. EIV provided by Witzke Electric. of Work Fees: Valuation $3,200.00 ~ Plan Approval $0.00 Permit Fee Paid $58.00 Issued By: Date 03/16/2007 o Permit Voided I Parcelld # 1513760000 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) a to e y neces :..approvals rting such activity. Date ]-Ib-O> Signature Address 1018W 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. 15. 2007 3: 50PM WITZKE ELECTRIC' , NO.168. P.l ',. , .', .. '. . ~ I, .~ ~ QIy of'OIb1coslI. ' PMsicm df'J.1l011 Serviees 215 ctnmI AvenllC! POBoxmO ' O5bkasIIWl S490S~H30 Of!"1CC ~"50S0 Fu: 9200:13'6-5014 , '. , , i .: ' Electric Installation Verification I(We)~~~ srecrn6'J:r.C' (Electrical Contractor Name) 155 E. 'Pa~ Avenue... Oshk.osh \tJ!. ~O ( (Address) (City). (State), (Zip Code) 'have been contracted to pekorm electric installation work for &, J.lt,illl (i /8/tIJ"sJil , (Name of party contracted to) at the following address: : /:L30 J-Jatel Sir~er ~ A ~ (Address where work will be perfonned) The nature of the work consists of: (~heck One or Describe the Nature of Work) -X- Reconnection 'or new circuit for replacement Heating Plant andlor Ale Condenser. Reconnection :or new circuit for replacement Electric Water Heater or power vented water heater. Reconnecuon bfthe Service Entrance Cable, Meter Box, alterations to' receptacles and lightmg fixtures due to siding I soffit installation. Note: New Serv~ce Entrance Cables will require a separate permit. Reconnection ~r new circuit for the replacement of other pennanently wired appliances I fixtures. ., . : ' New circuit for the addition of AlC to an mdividual dwelling unit (house or the individualsysterns in a duplex or condominium), inclUding required service electrical outlets. ' Other 15,OD I hereby verify this. work will be perfonnedby an e=ployee of this company and further yarify the reconnection I installation will be done in compliance with manufacturer and Electric: code requirements. ~~~ 6)O~ (Signature of COa)pany Officer) -r:'~ _.a\~ . (Print Name of Officer) 3-/5,01 (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 ~ OJHKOJH ON THE WATFR ! HVAC PERMIT APP,LICATION All infonnation 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 U28, OshkoshWI 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 . , If vou are a contractor oarticioatinf! in the Permit fee Account Svstem and have adequate funds. check here if vou want this processed through vour account n DATE 3,1,-(/7 JOB ADDRESS /;;( 'St) f4.:)l2 L $7--; OWNER ./)/CAJ'1l2 Jf}o. '"'. 2/ e LJ~ s /(/' CONTRACTOR Eo' C. /11&.,1'/ ~C .h-,c _ CHECK Ii'J ALL APPLICABLE USE CATEGORY ~ngle Family DDuplex DMulti-Family DRental o Commercial o Industrial FUEL ~s DOil DElectric DSolid DSolar SYSTEM DNew DOther paePlace TYPE (8:1Porced Air DRadiant DSteam DNC DVent DElectric DHot Water DSuppl. Deon. Burner IS CHIMNEY BEING LINED)!;!No DYes - LINER SIZE l./ "&}(?jSt~NUFACTURER FCa~ /" . Note: All chimneys shall be sized per the BTU's being vented. CmMNEY TYPE DChimney ~ DChimney B ~rect Vent DOther IlEA T LOSS DAs Approved DExisting ~~t Applicable BTU RATE DAs Per Plart ~ariable DOther Value DESCRIPTION OF ALL WORK BEING DONE I "'I' Ute"7 -(i./a e; (e- , .... .~ VALUE (lncluding labor and .n materIal, Including IIgbt fixtures) ~ 30(00, <>0 I'S <3' ' ELEC~. CAL CONTRACTOR/'f? . . or applicable projects, an ~lectric In: allation Verification orm, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required.