HomeMy WebLinkAbout0131604-HVAC (early start) CITY OF OSHKOSH No 131604
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 302-304 OHIO ST Owner OSH INC Create Date 07/17/2008
Contractor MERWIN OIL CO LLC Category 512 -Ind. & Comm-Both Plan D6-2428-0708-H
Fuel / Gas Oil / Electric Solar Solid
System ^ New ~ ^ Replace ~ ^/ Other
/ Forced Air Radiant Steam / A/C / Vent
Electric Hot Water Suppl. ~ Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
new ductwork and difusers, test and balance
Fees: Valuation $6,350.00 Plan Approval
Issued By:
$0.00
^ Permit Voided
Permit Fee Paid $149.00
Date 07/17!2008
Parcel Id # 0600020000
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 pertomt the work
described in this permit application within an easement, the City sVongly 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 P O BOX 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 (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 of Inspection Services j '~"'
P.o. Box 1130 ! JUL 1 2008
Oshkosh, WI 54903-1130 ~ 5
Phone (920) 236-5050 UE~wkTM~(v - ~~ ~]~_
Fax (920) 236-5084 CC3MMU;JITY UFVE~ (~Ffi~9ENT~ ~~~ 1
INS~CCTION SEr.VICE~ ~:ii~lSl.. ~~ _~'~ ~rRr~~
HVAC PERMIT APPLICATION
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
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) most be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be retarned for completion.
DATE 7 " / s' ~ 8
,IOB ADDRESS S o y o 1~ 10' s ~ Q/.F E ~""
OWNER ~ M i~ROME'17 . J IJG .( RoN Or"T i ErJ~
CONTRACTOR /~~ 1a1 ) H' EA..~ (~b~
CHECK ®ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental Commercial ^Industrial
FUEL ^Gas ^Electric ^Solid ~ SYSTEM ^New ^Replace
^Oil ^Solar i ^Other
TYPE
Forced Air ^Radiant ^Steam C~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
I,c,I• s Ti4ls-
I 'CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved I (existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~ ~~ ~rr'~' (~ U/J 0 t~L f~ /~}it.O
~2t_T.=~ K cF 6L. S n~ 2 t.~'' ?-!~ 42.+~osT~4T.5 j `is~~' SIC ~~~C
VALUE (Including labor and materials) $~' ~0 3Sd ~'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
I i
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