The URL can be used to link to this page

Home My WebLink About0125221-HVAC (furnace; a/c) e OSHKOSH ON THE WATER Job Address 709 MERRITT AVE CITY OF OSHKOSH No 125221 HV AC PERMIT - APPLICATION AND RECORD Owner SHARON M KOERNER Create Date 06/07/2007 Plan J Solar U Solid D Other ~ AlC U Vent U Con. Burner Category 502 - Residential-Both U Electric ~ Replace U Steam U Suppl. Contractor BLACK-HAAK HEATING Fuel ~ Gas I J Oil System D New I ~ Forced Air U Radiant U Electric U Hot Water Chimney Type D Chimney A () Chimney B Heat Loss D As Approved . Existing BTU Rate . As Per Plan C) Variable . Direct Vent C) Not Applicable () Not Applicable Value () Other Value Use/Nature SFR /INSTALL NEW FURNACE AND AlC UNIT, EIV SIGNED BY DIERSEN ELECTRIC LLC of Work Fee" V"U'.~6'OOO.OO Issued By: ~ Plan Approval $0.00 Permit Fee Paid $100.00 Date 06/07/2007 D Permit Voided I Parcelld # 11 00180qOO 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 PO BOX 7075 APPLETON WI 54912 - 7075 Telephone Number 920-757-9990 --- 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. City of Oshkosh Division ofInspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 RE EIVED @ JUN 07 Z007 ~ Dc "w,F OfHKOfH C("/i~,i!L)1\,!T' ~jE\iE\)PMHJT ON TI1E WATFR : (\1\,1 HV AC PERMIT A?PPI.JCAtla~f:':")! 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 $100.00 plus the normal permit fee, which ever is greater. OR I ou are a contractor artici atin in the Permit ee Account S stem and have ade check bere ou want this rocessed throu It our account DATE--La.l6.JJIL-- JOB ADDRESS..] Dq me.rrili- M'k . , ~h OWNER~'{VlrO n ~l)ern~/(' CONTRACTOR ~$ALt< -~CHth ~2()chr18+-vnQ, . CHECK liI ALL APPLICABLE USE CATEGORY O$ingle Family ODuplex OMulti-Family ORental OCommercial o Industrial FUEL !&.Gas DOil DElectric DSolid DSolar SYSTEM DNew DOther ~eplace ~~ed Air DRadiant DSteam ~C DVent DElectric IS CHIMNEY BEING LINED DNo J(Yes - LINER SIZE 0 \ \ Note: All chimneys shall be sized per the BTIJ's being vented. DRot Water DSuppl. Deon. Burner & MANUFACTURER~ CHIMNEY TYPE DChimney A DChirnney B ~irect Vent DOther HEAT LOSS DAs Approved )ZlExisting DNot Applicable BTU RATE ~s Per Plan DVariable DOther Value DF;SCRIPTI:qN OF ~ WORK Bln;,~ D~NE r 1U'e. \IW;W UI 'nOl ~ !\i,\'u --fume! Ce., 11 nLl I)!K CPDdl1ionel \llW'l-eI(,~om. . -:::r- V ALUE (Including labor and all materials inCluding light fixtures) ~DDD . DD ELECTRICAL CONTRACTOR $\fXS~nJ3et-t~.Cj \ \ . L. 0 J o For applicable projects, an Electric Installation Verificalion form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required. ~f)(ffi\~ ~~ t \ 00 \ DO 9/02 ~ OJH<OIH Cily of Oshkosh Division oflnspection Services 215 ChW'Ch Avenue PO Box 1130 Oshkosh WI 54902-1130 Office 920-236-5050 Fax 920-236-5084 ON THE WATER Electric Installation Verification (I)(We) D\txsOO BfctY\C"lL. L.c. . (Electrical Contractor Name) Ut\d\~ D\enlYoj\ \N\nneCOnr)f~ (Address) (City) \N1- . (State) 54~~ (lip Code) have been contracted to perform electric installation work for 13\a~ ---\-\C\oX\ ~fatt nO\i~o'.). (Name of party contracted t~ at thefollowing address: ~ DC\ ffitl'Iilt AIlt), OSb..tDsh (Address where w rk will be performed) .-." -. - The nature of the work consists of: (Check One or Describe the Nature of Work) -X Reconnection or new circuit for replacement Heating Plant and/or NC Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for other permanently wired appliances / fixtures. Other ----(0 The value of this work is $ _r~'LSO . I hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. 51J;o /" S-v~'~ '--sJ~~~ (Print Name of Officer) G-~ -01 (Date)