HomeMy WebLinkAbout0124383-HVAC (condensing units)
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OSHKOSH
ON THE WATER
Job Address 210 N MAIN ST
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No 124383
Owner GIL TEDGE OFFICE CONDOMINIUMS
Create Date 04/24/2007
Fuel ~ Gas__:=J U Oil
System D New______J
U Forced AIrI U Radiant
U Electric U Hot Water
Chimney Type D Chimney A ___~_-=-a: Chimney 8
Heat Loss KJ As Approved -_______0 Existing
Category 511 - Ind. & Comm-Air Conditioning
I-.J Electric
o Replace
U Steam
I J Suppl.
Plan
Contractor
E C MERRILL INC
1
.-J
U Con:~,:!mer I
() Direct Vent
. Not Applicable ]
. Not Applicable
. Other
Value
--~=_O Variable
Value
BTU Rate
o As Per Plan
Use/Nature OMM (NORTHWESTERN MUTUAL) / REPLACING 2 CONDENSING UNITS AND EVAP COILS, EIV SIGNED BY WITZKE ELECTRIC
of Work
Fees: Valuation $8,000.00
Issued By: ~ W ----
Plan Approval
$0.00
Permit Fee Paid
$130.00
Date 04/24/2007
D Permit Voided I
Parcel Id #
-
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.
'<' APR.23.200?
9:22AM
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WITZKE :ELECTRIC
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, :: (Electrical Contractor ~ame) " ! I
l55 E~ "Pa~ ,AvenLl~ QShtosh i we 5410(!
(Address) ','. i (City) i " . .' i, (~tate) ! ~ip co~e~ i
have been contracted to perfOIIll electric blstanation w~k for Ee IItrrd / HId. (l'(/)tflJ~1') /{~
, i (Name of party contrac~ed to)! ' ,
, at thol'ol1owing address: ~(O Al . J,/piJ Sfr~' . I; i, .
" ... (Address where w9rk will :be petfonned)
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The nature of the work consists of: (qheck One or Describe the Nature ofW ork) , ,
! ' ! ; I
,L ReconnectioJ or new circuit ~or replacemJ,t Heating Pl~t and/or Ale C~nd.ensJ.
Reconnection or new circuit for replacem.m;rt Electric Water Heater or power ven~e~
water he~ter. " ' ,j i,' r" , I !
Reconnection of the Service Entrance Cabl~, Meter Box, alterations to re~ptacles
and lighting :ti~tures due ~o siding I so~t instal1ation~ Note; New Ser1nce I
B~trance Cables will require a separate ~ennit. .' . ,!
Reconnection or new circuit for the replacement of other pennanently wi~d
appliances I fixtures.. ' . . i
New circuit for the addition of Ale to an i~dividua1 dwe~ling unit (house dr the
individual systems in a duplex or conddminium)~ inoluding required sEhvice
electrical 'outlets." ·
Other
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City,or.~' i . :
DiWriDftdn~ SeMen
:115 Chlil'ch A~ue
poBox 1130' :
08blc0!1l WI S4!JCl3.t130
0il"1C:1C f2Il.23~
Fall 920-236-5084
....;
The value oftbis work is S
p,so,(JO ,
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I hereby verify this work will be performed by an employee of this company and further ven~
the reeonnection I installation vvil1 be done in complianc~ with manufacturer and Electric code!
requirements. ' ' ! ' '! i
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(Print Name of Officer)
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OfHKOfH
ON TH~ WATFR
HVAC PERMIT APPLICATION
All information after hold categories must be provided.
i Incomplete applications will not be processed.
":::':~<"'~'
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
· 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 $100.00 plus the'
normal permit fee, which ever is greater.
OR : . .,
lfvou are a contractor particiTJatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n
DATE 'I ~ 2$ --07
JOB ADDRESS :2 /0 /II I11a y~ 51-:
OWNER 1UY'~ OJIlj+,J") t11a~J...
CONTRACTOR F~. C.~ mcrr/ ([ :7n c .
CHECK IiJ ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
ORental
~ommerCial
OIndustrial
FUEL ~~s
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~Place
TYPE
DForced Air DRadiant DSteam ~C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE & MANUFACTURER
Note; All chimneys shall be sized per the'BTU's being vented.
CmMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
~ DExisting
DVariable
DDirect Vent o Other
DNot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE I! "tr..c" -). - ~'" <~, CA.,,'~
d- CZ'~'fJ coi L~ ,.
VALUE (Including labor and all materials including light fixtures) L
, CUP
~-
ELECTRICAL CONTRACTOR ( e
o For applicable projects, an Electric In allation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or n9t applicable, a separate Electrical Permit is required.