HomeMy WebLinkAbout2013-HVAC (condensing unit) � CITY OF OSHKOSH No �sssss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 935 MARICOPA DR Owner RICHARD J YELL/KAREN S STAUFFER Create Date 07/12/2013
Contractor E C MERRILL INC __ Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas Oil Electric Solar Solid ;
System � New � �✓ Replace � � Other j
✓ Forced Air Radiant Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Burner ,
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable I
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/replace condensing unit and coil �
of Work
"ck#12108*'
�
i
Fees: Valuation $3,000.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �?� Date 07/12/2013
❑ Permit Voided I Parcei Id#1313310000
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
AgenUOwner
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.
City of Oshkosh
Division of Inspection Ser�ices �
P.O.Box I l30 � �
Oshkosh,WI 54903-I 1.i0
Phone(920)236-5050
Fax (920)236-5084 O.IHKO H
C'� -HE 'JJ.ATER
HVAC PERMIT APPLICATION
All inT��m�::or. �:,e-co':�cate�_ories must be provided.
Inc��mF��ce a�Y';ca::on� �tiill not be processed.
• Application(s) and fee(s) can be brou,ht to Cit� Hall, Room 20� or mailed to Inspection Services, PO Box l 128,
Oshkosh �l-I �-�903-1128. CommencinQ.��ork without permit(s)will result in fees being doubled or$100.00 plus the
normal pennit fee, which ever is greater.
OR
If i�oz� are a conrractor participatrnQ in the Perrnit fee Account Svstem ar�d Irai•e adeguate funds, check here
if voir want thrs processed throu�h your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI� 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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 7 � /�
JOB ADDRESS 9.33��/�'o.di9 �.E'/��
O«'\ER �t,/CK �ZL
COtiTRACTOR E, n• �67�/GL �il�Cr �
CHECK H ALL �PPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Famil�- �.Rental ❑Commercial ❑Industrial
FUEL �.Gas ❑Electric ❑Solid SYSTEM ❑New ,�Replace '
❑Oil ❑Solar ❑Other
TYPE
�I.Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHL�'IlVEY BEI'�G LINED ❑No ❑Yes -LINER SIZE & MANtJFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A �Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As ApprovPd ❑Eaisting ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
��G•S��'E �i��S7•U� �GivOy9U5/�lJ�i G1�//7 �' �O/L .
VALUE (Including labor and materials) $ .3{ O�`���C� ��m�T.� ��`�
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) fi(J/%Z,(�E ���•C-°/�
o�/o�