HomeMy WebLinkAbout0146346-HVAC (furnace & a/c) / CITY OF OSHKOSH No 146346
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 210 N MAIN ST Owner GILTEDGE OFFICE CONDOMINIUMS Create Date 06/14/2011
Contractor E C MERRILL INC Category 512 - Ind. & Comm -Both Plan
Inspector Brian Noe
Fuel 1✓ Gas 1 1 Oil u Electric L Solar 1 Solid
System l New 0 Replace 1 El Other
Lii Forced Air u Radiant J Steam L✓J A/C J Vent
U Electric _J Hot Water J Suppl. U Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature COMM (SCHMITT TITLE & ESCROW CORP) / REPLACE FURNACE AND A/C, WIRING TO BE DONE BY KOLLMANN ELECTRIC
of Work '"check #10881
Fees: Valuati n $8,300.00 Plan Approval $0.00 Permit Fee Paid $134.50
Issued By: Date 06/14/2011
El Permit Voided Parcel Id #
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 - • • - _ • - - 1 . - 4 - - - Is before starting such activity.
Signature �/ r ) / 'L `� Date l70(
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 0 HKO.IH
Fax (920) 236 -5084
•N 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 doub ed 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 adec,ua e funds, check here
if you want this processed through your account fl
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, si: ed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) ust be submitted
with the permit application. Applications submitted without an EIV when such is require' , will not be
processed for Permit Issuance and will be returned for completion.
DATE
JOB ADDRESS ol/Z',it/- .'q /A/ 5 T•
OWNER ScHm /T% 7eE 1 , e e"/
CONTRACTOR vere
CHECK 10 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental (Commercial • Industrial
FUEL Gas DElectric ❑Solid SYSTEM ❑New JAR place
❑Oil ❑Solar ❑Other _
TYPE •
(¢(Forced Air ❑Radiant ❑Steam ❑A /C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED rigNo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑ himney B 'Direct Vent DOther
HEAT LOSS DAs Approved xisting ❑Not Applicable
BTU RATE DAs Per Plan Variable %Other Value 1Ur .ee (a +! So re-e
DESCRIPTION / SCOPE OF ALL WORK BEING DONE Jee79e4'E /Qt rl is ,T /.D
. l e Leo vD /7 ,,i /i e,
p LO E QU /PmtUT 15&—w 6, A-722e1/00 - 61/ f /8e 58 5X a6! e- - %/moisp'g ,
/neva: 3.g - c f /J �U
`4407 - t'ne 5-: 7/ /c bolo— �ur�.v�
Le�K)/'1obet; 7(, 0 Se no /c- ; 'ozacz mc 600 3 X/11/
VALUE (Including labor and materials) $ f 36 • Ov
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 7&e1" -9/IS,I/ O s 7 /LEA'
07/07