HomeMy WebLinkAbout0127476-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 723 BISMARCK AVE
CITY OF OSHKOSH
No
127476
HV AC PERMIT - APPLICATION AND RECORD
Owner BETTY L CLEAVER
Create Date 10/24/2007
Contractor
E C MERRILL INC
Category 500 - .!3il_sidential-Heat~ll_g & Ventila.tillfL~ Plan
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DOil
Fuel
~ Gas
o New
~ Forced Air
U_Elec~J
---,
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~ctric ~
[?J R~lace ~
U Steam I U NC "I
U~~~_=:J U Con. Burn~
_ () Direct Vent 0 _ Not Applicable
u_ Solar ~ D~:C>fi9..==:=:=:!
D_Q!~~_ __~~_______ i
Dverrt---~I
System
U Radiant I
~Water _.J
BTU Rate
D Chimney A . Chimney B
~ Approved . Existing
rr~s Per P~Il____u__~.:.Y~J.able_
Chimney Type
Heat Loss
Ol!'2! Applicab~ --::::J
_.=-:-:===O_Q!h_~i-=::::-:====-:J
Value
Value
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UselNature SFR / Replace furnace. EIV provided by Witzke Electric. -
of Work 1
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Fees: Valuation --~ $2'G
Issued By: ~
Plan Approval ______$0.00
Permit Fee Paid ____-.147.50
Date 10/24/2007
On Permit ,!~ded I
Parcelld # 0602600000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to~ecure~~- app a s starting such activi!y.
Signature /' t{;i/, . 'ZJ- ;;2 5' -0 Date
Address
1018 W SOUTH PARK AVE
OSHKOSH
WI 54902 - 0 Telephone Number
19~Ot?~~::.:3.~QQ__.
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
OCT. 24. 2007
FROM :EC MERRILL
8:39AM
WITZKE ELECTRIC
FAX NO. :920-235-3609
Oct. 24 ~2~ 14~7: 1215h'~12 Pi
'117. 51/ ·
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City of Oah~ah
OMs 1011 Qf Inape=tionService~
P,O. Bo"" 1130
Oshkosh, WI 54903.1130
Phone (920) 2;6..;050
FIx (920) 236-5084
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i HVAC,PERMIT APPLICATION:
~11 i1\tOrmaunn af't~r bold categC'ries must be p~\lic:lCc1.
, ; ,I!K:otl1pJ@te QPp'lic:adons wHl not be procel&~ ' i. .
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. Application{s) and fee(s) ~an be brought to City Hall, Room 2.0S ar mailed to In$pection Services, IPO Box 11281 .
Oshkosh WI S4903..1118. Commenci~g work without permit(s): will reEiult in ~es being doubled ~r $1 OO~OO plus the :
. normal pertnit feol which ever h;:greater. ' i' ! ,!: i :
. OR 'b.a' , : !: I
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1LJ!.aw.,l.l..P.PJll,.tl~I(J1' nb,.,k(pa 1I.L.,rlt.LP..J.,~"'U...tt!,~.,~<I,~.P'.J.!.tU Sv.r'em Qlfd lttlve ildti!tllltltt ~ll.~,., ~;.,e..d..b..Jl..u. :
if V()U want. ,hi~ u,.uue:"3(!tl 'hrouqh )ltJ", llcttJolUu..,D ' ' ,,' ,
" i' ,. /. ' ~ ' .
: ! ~.' ' : ~TE r~ ~..? '~., ,
.JOB ~DRESS ),;(:3 t3 fs,m Q rd< )J.U.4. i i
O~.. ~~fiy (.,l~~IJi'lA' ' i
CONTltACTOR 2., C. JJ1~/, U J:k. '- .
CHECK &!J ALL APPLICABLE
USE CATEGORY
.ngle Family r:n>Uplex
, i
I
t:I:M:ulti-Family:
l:IRen.tal
, r:JCammercial
: D~dustrial
, '
Ft1EL' tJGas CBle~tric OSolid
C'JOil CJSolar
ITPE' ,
pDOfced Air ClRadiant: [jSte~ CAlC eVent CBl=ctTic
, .'
IS CBIMNEV BEING L~D c3So CYcs .. LINE'R. SIZE
No~e: AU chimneys ehalll:le si2ed "efth~ STU"ll being vett~d,
C:HIMNEV TYP2 OCtlimney ~: : )SSb.imney B
Hi-A T I~OSS DAs Approyed '~x.istjng
811,1 RATE LIAs Per Plan' ariable
\
t.'f. ,"".
SYSTEM
eNe\\',
[JOther ..~
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~epla~e :
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CHot Water CSuppl:, CFon. Bumer
& M~ ACTURER..
CDirect Vent OOther'
CJNot APplicable'
COmer Value
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DESCRIPTIO,N OF ALL WORK iEING DONE :
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VALuE (l";vd1IIg I.bor .~ .u ...4<1,,, iooludi.llI~t auur..) ~ 5"'0. ~ i '
ELEC~lUCAJ...CONTMCTOR i iLl,. ~~,? : _. i
(s::!Of' npplica.ble prcSjeots, an,El'e,-,tri-;kst tton Vcrlfic:ation forrJ:l. s'iBDCd by the Electrioal Contr!.\ctor, M\lst be
attached. J,fnot attabh~d or rtot apt=llica.ble, a separate Blcctrlcal Permit is re4uircd. :
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OCT. 24. 2007 8:39AM
WITZKE ELECTRIC
NO. 445
P.l
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Cit)' ol' Osblcosb
Division oftllSllcclipn Smi~~
21.5 Church A\fl:IlUl!
PO :SOil. 11.30
Oshkosh WI 54903.1130
Olli~o 920.236-5050
tAlt ~20.Z36.S014
Electric Installation Verification
I(WeL.~~m6 Efectric, Inc.
(Electrical Contractor Name)
/55 E. Packer Avenu~ Osi-Jwsh \NT.. 5440 (
(Address) (City) (State) (Zip Code)
have been contracted to perfonn electric installation work for E. (!, M~r;/I/ J:iyt,
(Name ofpaIt)' contracted to)
at the following address: 1~;. ~/~ JJvenf/(!,..,
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
L Recormection or new circuit for replacement Heating Plant and/or NC Condenser.
Reoonnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable~ Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Ca.bles will require a separate permit.
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
electrica.l outlets.
Other
The value of this work is $ I tJ/J .1) 0
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection / installa.tion will be done in compliance with manufacturer and Electric code
requirements.
~..~'~ &O~
(Signature of Company Officer)
'T ..~'r'\ 0\ ~
(Print Name of Officer)
lol;;.~ 1
(Date)
5/02