HomeMy WebLinkAbout0134234-HVAC (roof top unit)/~"~ CITY OF OSHKOSH No 134234
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 302-304 OHIO ST Owner OSH INC Create Date 12/02/2008
Contractor MERWIN OIL CO LLC Category 510 -Ind. 8Comm-Heating & Ventilating Plan F2-2536-0908-H
Fuel / Gas Oil ~ Electric Solar Solid
System ^ New j ^/ Replace ^_Other _ ___ _ _ _ _ _ I
/ Forced Air Radiant Steam j 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 Impromed (#304) /
of Work
r
Fees: Valuation $5,260.00 Plan Approval $0.00 Permit Fee Paid $88.00
Issued By: ~~ ~~n~ Date 12/02/2008
^ Permit Voided
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 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
AgentlOwner
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
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.
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U'~ i~iF LiIATER
• 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
If you are a contractor narticipatinQ in the Permit fee Account Svstem and have adequate funds check here
if you want this processed throu~your account n
** 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 returned for completion.
DATE ~~'.~ o!
JOB ADDRESS 3 0'~ DNF/ o ,4TH ~. %
OWNER~.~_Pl2 011!1 ~ J , I'N C
CONTRACTOR MRR.k7~~ /~}~qy^j~J(r
CHECK ®ALL APPLICABLE /~~~,~ •
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental Commercial ^Industrial
FUEL J~Gas ^Electric ^Solid SYSTEM ^New Replace
^Oil ^Solar ^Other
TYPE
~F'orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS 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 Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value 7~i~ Maff /NPW~'"
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~£PLA4f Qooi~ j'7-P 4v-3-'
VALUE (Including labor and materials) $ S ~.
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
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