HomeMy WebLinkAbout0153833 - HVAC (furnace) (19 CITY OF OSHKOSH No 153833
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1111 MERRILL ST Owner VGH DEVELOPMENT INC Create Date 12/05/2012
Contractor BERLIN HEATING&COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate -
Fuel 0 Gas 1 EFDil EWectric lolar H Solid
System 0 New Q Replace j ❑ Other
V_I Forced Air 1 p Radiant I _j Steam 7 __I A/C F Vent
Electric 0 Hot Water I H Suppl. J L Con.Burner J
Chimney Type ChimneyA O Chimney B • Direct Vent O Not Applicable
Heat Loss 0 As Approved • Existing O Not Applicable I Value
BTU Rate 0 As Per Plan O Variable • Other 1
I Value 60,000
Use/Nature SFR/REPLACE FURNACE "check#3049
of Work
Fees: Valuation �/ $3,186.57 Plan Approval - $0.00 Permit Fee Paid $59.50
Issued By: L Date 12/05/2012
E Permit Voided j Parcel Id#1008520000
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 134 QUARRY ST BERLIN WI 54923 -0 Telephone Number 920-361-3066
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 oOfnsh
Division si o on of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 O�I IKON I
Fax (920)236-5084
ON 7HG WATFR
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ri
**Advisory-For applicable projects,an Electrical Installation Verification(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required,will not be
processed for Permit Issuance and will be returned for completion.
l 1 _ - DATE V 7-- 3- a G/7—
JOB ADDRESS I I I ( c l( J D
OWNER e,,_ �xv,"
CONTRACTOR 13 (`r\ a{1 v c, Co t
CHECK®ALL APPLICABLE
USE CATEGORY
ptgingle Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL Gas ❑Electric OSolid SYSTEM ONew eplace
❑Oil ❑Solar ❑Other
TYPE
, orced Air ❑Radiant ❑Steam DA/C OVent ❑Electric ❑Hot Water ❑Suppl. OCon. Burner
IS CHIMNEY BEING LINED ❑No es -LINER SIZE . &MANUFACTURER (e is
Note:All chimneys shall be sized per the B 's being vented.
CHIMNEY TYPE ❑Chimney A OChimney B -';i'irect Vent ❑Other
HEAT LOSS DAs Approved °gxisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value L9-,Oo
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE(Including labor and materials)$ 3 !
ELECTRICAL CONTRACTOR(for projects not requiring an Ely Form) Clark_ IL s?
07/07