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Home My WebLink About0156664-HVAC (a/c) � CITY OF OSHKOSH No �5sssa OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 688 690 N MAIN ST Owner PATRICK J PURTELL Create Date 07/12/2013 Contractor E C MERRILL INC Category 511 -Ind.8�Comm-Air Conditioning Plan Inspector John Zarate Fuel Gas ! Oil ___ Electric � Solar Solid � System ❑ New � �✓ Replace � ❑ Other ' � Forced Air 1 Radiant � Steam ✓ A/C Vent Electric i Hot Water 1 Q Suppl. Con. Burner Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable Heat Loss As Approved � Existing � Not Applicable Value BTU Rate As Per Plan � Variable � Other Value Use/Nature ;COMM/replace A/C condensor and coil of Work 'ck#12108** � Fees: Valuation $3,500.00 Plan Approval $0.00 PermitFee Paid $78.00 Issued By: �T� Date 07/12/2013 � Permit Voided I Parcel Id#0402400000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perForm the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address 809 WISCONSIN AVE FOND DU LAC WI 54937 -2702 Telephone Number (920)235-3600 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Citybf Oshkosh - l�ivision of lnspection Services � P.O.Box ]130 � Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax {920)23G-5084 01�o H -rON TWE VJATER HVAC PERMIT APPLICATI4N All infonnation after bold categories must be provided. lncomplete applications will not be processed. � Application(s)and fee{s)ean be brou�ht to City Hall, Room 205 or mailed to Inspection Services,PO Box l 128, Oshkosh WI 54943-1128. Commencing�vork�vithout pennit(s)will result in fees being doubled or$]00.00 plus the normal permit fee,which ever is greater. OR If yotr are a contractor �artici�nati,�,�in �Ire Per►nrt fee Accoi�nt Svstenr and huve adeqrrate I'unds, cl�eck here if You warti this processed throu�vour accvunt (� **Advisory-For applicable projetts, an Electrical Instal[ation 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 withont an EN when such is required, will not be processed for Permit Issnance and will be returned for completion. DATE 7 /� �—j JOB ADDRESS �j� �•/,'l�/�V ST OWNER /�7PCy S LDI�/.Ulv-� CONTRACTOR E•� ,,��i �/GL �.�/(�- CHECK�ALL APPLICABLE USE CATEGORY ❑Single Family ❑Duplex ❑Multi-Family ❑Rental .�Commercial ❑Industrial ' FUEL �.Gas ❑Electric ❑Solid SYSTEM ❑New ,�Replace OOiI ❑Solar ❑Other TYYE OForced Air ❑Radiant ❑Steam �A/C �Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner IS CHIMNEY B�ING LINED ONo ❑Yes - LINER SIZG &MANUFACTURLR 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 DESCRIPTION/SCOPE OF ALL WORK BEING DONE��/°��, R�C, C�j,K,�S'�a— � h�r.,� �'o• �. VALUE (lncluding labor and materials) $ 3_ �'/fin �� f' �d'� ELECTRiCAL CONTRACTOR(for projects not requiring an EIV Forrn) �/j�� C��T.P1� JUL.10.2013 6�53AM WITZKE ELECTRIC N0.176 P.1i1 . , �a.�� - c►`�� ' � � �� '1�1r�l� �"at , �'56 3 � D�t 'nnoo�`ta p.euw�atvia� , � Z15 Ch�oh Avmoe PO 8wc 1130 ashleosb WI 549Q7-11�0 ,�� Pfiee 9xQ�136-5030 rr■ no.a�a.sa4t Electr�ic Yns�allation Verific$�ion ' S�� t• � . (Electrical Contractor Namo or Homoowaer's Name) � l �� d�i,�sh 5�90I (Addrese) (C1tY) (State) (Zip Code) e�cccpt the reaponsibility to pez£or,m the electric work as stated below, at the following addresa: � �.$� 1'l��r'� �� iL�te.�C ^ �l �.t / S �ov�.�� (Addre�s where �work will be perforzned) � The nat�uc of the w�or�c coasist�of (Check�nc or Describe the Na�ure o�Work) ,✓ Recannectioa or aew circuit for replacement He�tin�g Plant aad/or A/C Condenser, Recoaa�ctiQn or new circuit fox replacemcnt Electric OVater kIeater or power vented watez�hoater. Recoanectian of the 3orvice$n,trance Cable,Metgr$ox, aZterations to recep�tacles aad Ii�htiag fixturc+s due to sidiag/sa�fit installation. Not�: New Service ' Entraacc C�bles will reqe�ire a sepatate perm�t. � � Recomaection or n�w circuit for the replaaement a�other pozmane�tly wired appliancea/fcxtur�s. New cirouit for the additiasi of A/C to an irid�vidua!d'welll�g unit, iacludiug zequired servie� electniaal outlets, Note: Nomeow�ers ca�r onty do their own electrtc on a sfngle family owner occupied home. Work on q condomfnfu»t, duplex, renrtal, or multf-re.se building would rsq�fre a lice�.red Elactrfcal CoKri►WCtOn � � �� 'Y`he vnlue of this woz�k is$ /� ^ I h,�rcby verify this work wi11 be perf'ormed ia aomplianca with the Licease requirements of ; 5ectfon 11-22 of the Qshko�h Munioipal code aud further verii�y thc reconneetion!iastallation will be daae ia camplianae with asaa�ufactt�rer and El�ctrlc cade roqvirements, � Tl M D��. „• " d��3 (stp�aa�re oPCompmy oi�xr or xoeneow�a�r) (erQ,r xe�u) (a,a.� 07/07 2013-07-10 06:53 92Q 235 6582 Page 1/1