HomeMy WebLinkAbout2003-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 405 WASHINGTON AVE
Contractor E C MERRILL INC
Fuel ~J Gas ~
System ~J New
~J Forced Air 1
~J Electric I
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner EAGLES CLUB LLC
Category 511 - Ind. & Comm-Air Conditioning
L~ Electric
Replace
L~ Steam
L~ suppl.
No 101637
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Create Date 05/20/2003
Plan 13-40-0503
Not Applicable
Other
Solar I ~J Solid
~J Other
A/C I ~J Vent
Con. Burner I
Not Applicable
Value
Value
Use/Nature COMM/Add A/C to building as per State Plans.
of Work
Fees: Valuation
Issued By:
$96,000.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided
$660.00
Date 05/20/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 804 WITZEL AVE OSHKOSH WI 54902 -5710 Telephone Number
(920) 235-3600
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories faust be provided.
Incomplete applications will not be processed.
Application(s) and fee(s) can be brought to City Hall~ Room 205 or mailed to h~spection Serv/ces, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
l~_y_o_~__are a contractor participating in the t}_.e, rm_i.t__fee ,~ccount.~y_s_t~e__m_and have adequate funds che_ck here
i o~nt____tthis_L(~processed through .¥our..accoun~l-~ " ~
JOB ADDRESS
DATE,
RECEi. VED
CHECK ~ ALL APPLICABLE
USE CATEGORY
[2Single Family F1Duplex
F1Multi-Family
I-lRental
NAY 1 9 2003
DEPARTMENTOF
~t~r~ ~ DEV~L~t~I~]
FUEL [lGas F1Electric FISolid SYSTEM UJNew
[lOll [lSolar ~3Other /~ O ,'9
TYPE
F1Forced Air FlRadiant IDSteam i~[/C [3Vent F1Electrm UIHot Water ElSuppl. UICon. Burner
IS CHIMNEY BEING LINED [3No [lYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
ElReplace
CHIMNEY TYPE
HEAT LOSS
BTU RATE
UIChimaaey A
[3As Approved
ElAs Per Plan
[3Chimney B
F1Existing
[lVariable
[3Direct Vent
[lNot Apglicable
[3Other Value
[lOther
DESCRIPTION OF ALL WORK BEING nONE__
VALUE (Including labor and all materials including light fixtures) $ .~_~ ~. ~.P b~07_
ELECTRICAL CONTRACTOR ~/]"T-~/d~ I~ OR [2 Electric htstailatlon Verification form attached(ifRcplacemen0
Electrical installation of new/replacement equipmenI shall be done by licensed contractors.
3/02