HomeMy WebLinkAbout0133660-HVAC (furnace)/~ CITY OF OSHKOSH No 133660
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1520 FAIRLAWN ST Owner DAVID BEARWALD Create Date 10/23/2008
Contractor E C MERRILL_INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas ] Oil ~~ Electric Solar ~ Solid
System New J ^/ Replace ~ ^ Other
/ Forced Air I
_~ Radiant Steam A/C
~-- Vent
^-Electric ~ Hot Water ^-Suppl. ^ Con. Burner
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
Fees:
Issued By:
^ Permit Voided
Permit Fee Paid $70.00
Date 10/23/2008
Parcel Id # 1306932300
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 appliption 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.
EIV SIGNED BY
Plan Approval $0.00
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~~~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~~i
• 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 $100.00 plus the
normal permit fee, which ever is greater.
OR _ . .
JOB ADDRESS.
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CONTRACTOR ~ C ~~~r~ ~L i`~ ,~~- ~
CHECK ®ALL APPLICABLE
USE CATEGORY
~$ingle Family ^Duplex ^Multi-Family
FUEL l~as ^Electric ^Solid
^Oil ^Solar
^Rental ^Commercial
SYSTEM ^New
^Other
^Industrial
~eplace
~~fced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED 110 ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized p the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B
HEAT LOSS ^As Approved xisting
BTU RATE ^As Per Plan ariable
~irect Vent
^Not Applicable
^Other Value
DESCRIPTION OF ALL WORK BEING DONE e, i
~n~
c.J
VALUE (Including tabor and all materials including light fixtures)', ~~~~ '
ELECTRICAL CONTRACTOR l.~ ~ l~
0 For applicable projects, an Electric Installation Verification otm, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
^Other
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