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Home My WebLink About2011-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 144640 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1540 WITZEL AVE Owner EMILY L WAGNER Create Date 01/13/2011 Contractor E C MERRILL INC Category 502 - Residential -Both Plan Fuel 1✓ Gas U Oil U Electric Li Solar 1 Jolid System ❑ New 1 n Replace - 1 Other [7f Forced Air u Radiant u Steam u NC u Vent Li Electric 1 Hot Water u Suppl. f Con. Burner 1 Chimney Type ?,) Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss 3 As Approved () Existing • Not Applicable Value BTU Rate 0 As Per Plan () Variable • Other Value Use /Nature SFR / Replace furnace and add central air conditioning. EIV signed by Kollmann Electric. NOTE: Owner listed as Brian Meyer. of Work Fees: Valuation $7,350.00 Plan Approval $0.00 Permit Fee Paid $120.25 Issued By: Q/yy(/J Date 01/13/2011 ❑ Permit Voided I Parcel Id # 0611440400 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. f City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Fax (920) 236 -5084 Fax (920) 236 -5084 CU :T 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 PermiU'ee Account System and have adequate funds, check here if you want this processed throukh your account _U ** 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 such is required, will not be processed for Permit Issuance and will be returned for completion. DATE / / /// JOB ADDRESS y� //v� 7Z6L ,4 OWNER ,g,e /..9/1/ •/( EX.- CONTRACTOR 4 °c • CHECK ® ALL APPLICABLE USE CATEGORY al Single Family ❑Duplex ❑Multi - Family DRental ❑Commercial Dlndustrial FUEL GDGas DElectric ❑Solid SYSTEM ❑New ZReplace ❑Oil ❑Solar ❑Other TYPE plQ Forced Air ❑Radiant ❑Steam ❑A /C ❑Vent ❑Electric ❑Hot Water ❑Suppl. [Won. Burner IS CHIMNEY BEING LINED gl.No OYes - 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 ❑Existing ONot Applicable BTU RATE DAs Per Plan G1 Variable ❑Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE /.47 / d A?/1/1i E 4 1!N .e,9 / : ,e g9/1/.d .t/l N 6n VALUE (Including labor and materials) $ 3 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ALLh71 ,4" / 7_ 07 /0 IR OM :EC MERRILL FAX NO. :92e- 921 -5553 Jan. 13 2011 09:02AM P1 01/1212011 07:46 9202737965 KQLLMANN ELECTRIC PAGE 01/01 city olOshicosh Division of 1nspeotion Services 215 Church Avenue PO Box 1130 °silicosis X111 54103 -1130 Moo 920-2314050 Pax 910.236 -5084 . Electric Installation Verification I(We) er` G 7.--.`c ‘L C . (Electrical Contractor Name or Homeowner's Name) (.Address) (City (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: . b 0 VIZ e ( ,v -z (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection 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 / soffit installation. Note: New Service Entrance Cables will require a separate permit. . Reconnection 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, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi - use building would require a licensed Electrical Contractor. Other . J, ... _ .-- The value of this work is $ _ _ - I hereby verify this work will be performed in compliance with the License requirements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with munutaclurer and Electric code requirements. „ ..' te e ' e. 7 '' 'e / — / 3— // (Sipatlit of Company Officer or Homeowner) (print Nome) (Aato) Received Time Jan. 13. 2011 7:56AM No. 4357 07/01