HomeMy WebLinkAbout2007-HVAC (furnace)
to
OSHKOSH
ON THE WATER
Job Address 1530 RUSH AVE
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
125887
Owner HAROLD R1BARBARA A METON LIFE EST
Create Date 07/19/2007
Contractor MERWIN OIL CO LLC
Fuel ~ Gas LJ Oil
System o New
~Forced Air U Radiant
[]}Iectric LJ Hot Water
Chimney Type D Chimney A D Chimney B
Heat Loss 0::: As Approved . Existing
BTU Rate . As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
LJ Electric
o Replace
LJ Steam
LJ Suppl.
. Direct Vent
LJ Solar LJ Solid
o Other
U NC U Vent
U Con. Burner
.__Q. Not Applicable
I
I
J
() Not Appl!~~l~._J
C) Other__.__._~
Value
Value
Use/Nature SFR / REPLACE FURNACE, EIV SIGNED BY WITZKE ELECTRIC
of Work
Fees: Valuation $2,664.00
Issued By: (:ri/),l&
Plan Approval
$0.00
Permit Fee Paid
$50.50
Date 07/19/2007
o Permit Voided I
Parcel Id # 1609390000
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
POBOX 68
FOND DU LAC
WI 54936 - 68
Telephone Number 920-273-0044
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
Jan. 5. 2006 12:36PM
inspedion'serviflECEIVED
JUL 1 9 2007
cay ofOsbkoa
Division otJDspccticm SeMces
P.o. Box 1130
~.WiS4903-1130
Pboae (920) 236-SOSO
Pax (920) 236-S084
'i1 .
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
HVAC PERMIT APPUCATION
AD ~m.Dcm aftet bold CIteJO&~ must be pnwidecL
IIlcomplete appJkaricms win DOt be pro! ~
No. 4578 P. 2'
(QJ
O~
Oft f WI( R .
· ApplicatioD(a) aad fce(s) OlD be ~,&o City Hall, Room 20S or mailed to 1Dspccti0ll Semces, PO Box 1128,
Oshkosh WI S4903-1128. Comrnc:o.cmiWorkwithoatpermit(s) wiIlresu1tia fees beiug ~1ed 01'$100.00 plus 1bc
nonna1 pcrmitfae, which ~is.greater.
OR
JOBADDBESS /530 RuSh AVe-
'OWNERJl C4. \" ~ \A \V\ e.-\.e 11'\.
CONTRAClOlt tv\~ ('w ~ 'It\. (): \
DATE.
D~\.\<,\s'" .Lv.J: 5~ 'io;t
CBECx g ALLAPPUCA.BLE
. USE CATEGORY
IiISiuglc Family 1JDup1" []Multi-Family ClRental
FUEL .GIs CBlectric OSoIid SYSTEM
COil CSoJar
~Air CRId:iant' CSteam C:c Dveat CElectric
IS CBlMNEYBEJNG LINED IINo eYes -l.INEk SlZE
~ AD.~ an ho"'pctlhcB1U's beiDg vCDted.
C'IiIMNEYTYPE CChima.ey A ~ B IIDircCt Vent [J0Cher
.BEAT LOSS CAsApproved ~n~ ONol Appli~1e
BTURATE 'llAsPerPIm OVariable O~Va1ue
IJi:sauPnONOI' ALL WORKBElNGDONERe?\ t!a.ee.. r \,U..,^e..LL
clteck here
::;.-~ ~ -0+'
OCommadal . OIDdustrial .
IJNc:w
00tha;
1JRep1ace
IJHot Water OSuppl. ClCon. Burner
& MANUFAC'I'URER
VALUE
5 ~ J lo~'j. cO
ELEc11UCALCONmA.CTOR W.~+.z.~c.. E\e.t' \~;'-
o For applicable projects. an meciric IustaUatiOD Verificati011 form. signed by the Electrieal Contractor, must be
attached. Hoot aUacbed or not applicab~C; a separate EIeetrica1 Permit is required. . S~
.o{j SG -
9/02
JUL.13.2007 12:38PM WITZKE ELECTRIC"
NO. 415 P.l
RECEIVED
~
~
Ciry of'OsIImall
DiYlliod oCl~ SerYie~
215 ClwrdI A~
PO Box 1130
Osbtash WI ~3.mO
Otf'tCe ~5-5OS0
FIX P2D-236.$0S4
JUL 1 9 2007
DEPARTMENT OF
COMMUNIlY DEVELOPMENT
INSPECTION SERVICES DIVISION
Electri~ Installation Verification
~.i.
IC:We)~+-c:t_~ SledriG Inc.
(Electrical Contractor Name)
l55 E. '"Pad:er AVeJ)lJ.~ Osf1k:.osh
(Address) (City)
\Nt.
(State)
&fqO(
(Zip Code)
.
have been contracted to perl'onn. electric installation work for 'tU1r)
(Name of party contr c d to)
at the following address: IS Sr:? R{j~cA 4uu-tu e....
(Address where work will be perfonned) "
The nature of the work consists of: (qheck One or Describe the Nature of Work)
..L
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.
Reconnection of the Seprice Entrance Cable, Meter Box, alterations to receptacles
and lighting nxtl.1res due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances I fixtures.
New circuit for the addition. of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
-
The.value of this work: is $-1>5.00
I hereby verifY this work will be performed by an employee of this company and further verify
the reconnection I installation win be done in compIiancewith manufacturer and Electric code
reqU,irements.
~'~ ~Q~~'
(Siggature of Company Officer)
~'M.. ~\ ~
(print Name of Officer)
1-/~7
(Date)
5102