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Home My WebLink About0144609-HVAC (furnace) 0 CITY OF OSHKOSH No 144609 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 714 BOWEN ST Owner JOSHUA W MESSERSCHMIDT Create Date 01/11/2011 Contractor E C MERRILL INC Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas U Oil Electric U 1 ❑ — Solar Solid System n New 1 Q Replace ❑ Other u Forced Air U Radiant u Steam u A/C J Vent Electric U Hot Water LI Suppl. Con. Burner Chimney Type K) Chimney A 0 Chimney B 0) Direct Vent 0 Not Applicable Heat Loss 0 As Approved O Existing 0 Not Applicable Value BTU Rate As Per Plan 0 ) Variable • Other Value Use /Nature SFR / Replace furnace. EIV signed by Kollmann Electric. of Work Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50 Issued By: 6314.4..i Date 01/11/2011 ❑ Permit Voided Parcel Id # 1106260000 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 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. City of Oshkosh' Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 Fax (920) 236 -5084 0/1-101 -1 ON THE WATER 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 If you are a contractor participating in the Permit fee Account System and have adequate funds, check here if you want this processed through your account El ** 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) must be submitted with the permit application. Applications submitted without an EIV when Inch is required, will not be processed for Permit Issuance and will be returned for completion. DATE AW JOB ADDRESS '7 / ' 6�;A/ 57 OWNER 105-# / �i�55easm / /o7 CONTRACTOR tC // CHECK ® ALL APPLICABLE USE CATEGORY J$1Single Family ❑Duplex ❑Multi - Family :Rental ❑Commercial ❑Industrial FUEL OGas DElectric ❑Solid SYSTEM ❑New f8:Replace ❑Oil ❑Solar jj: ❑Other TYPE g$iForced Air DRadiant ❑Steam DA/C ❑Vent DElectric ❑Hot W4ter ❑Suppl. DCon. 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 DAs Approved DExisting ❑Not Applicable BTU RATE DAs Per Plan ❑Variable DOther Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE %7k lE 2/(/5 704/4 ,4', ,7 , wJf# 6W10/7/11 1&/29Z 6M hL 9:5 VALUE (Including labor and materials) $ '�� !� ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) [ 07/07 OM :EC MERRILL FAX NO. :920- 921 -5553 Jan. 11 2011 09:23AM P1 e1/10/2011 09 ;08 9202737965 ufL ELECTRIC pA 01191 ■ City of Oshkosh ri txwiea cry 219 Chun* A.va e PON* MO ()Moab W! 54AOb-1190 of � ' ' Fix 9 s Electric Instsllation Verification 1(We) I( • 7A ,"% 4 17--. c ' . (Electrical Contractor Name) ?7 ? / � X U? A ea,, e Code) (Address) (City) (State) (Zip rm, electric installation work for _ "'__ r , have been contracted to pexrtb (Name of party contracted to) at the feuowitag address:. 7( y �� wh ( ere work will be performed) The nature of the work consists of (Check One or Describe the Nature of Work) I Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection. or new circuit for replacement Electric Water Heater or power water beater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to aiding / soffit installation. Note; New Service Entrance Cables will require a separate permit. Reoormection or new circuit for the replacement of other permanently wired .appliances / fixtures. New circuit for the addition of A/C to an individual dwelling unit (house or the individual systems in a duplex or co ndominiunt), including required service electrical outlets. Other , • The value of this work is $ __ . I hereby verify this wart will be performed by an employee of this company and Anther veit • the reconnection / installation will be done in compliance with manufacturer and Electric code requirerimernts. ,X7f,•■ (Sign a of Company Officer) (Print Name of Officer) x) (Date) 3/02 Received Time Jan. 11. 2011 8:18AM No. 4321