HomeMy WebLinkAbout0104672-HVACOSHKOSH
ON THE WATER
.lob Address 2395 HICKORY CT
Contractor E C MERRILL INC
Fuel [~J Gas ~ ~J Oil
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner STEVEN M/LYNNE PETR
Category 502- Residential-Both
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~] Chimney A ~] Chimney B O Direct Vent ~ Not Applicable I
Heat Loss ]O As Approved ~ Existing ~ Not Applicable ] Value
BTU Rate ]~ As Per Plan ~ Variable ~] Other ] Value
No
Create Date
Plan
~ Solid
104672
05/30/2003
Other ]
Vent
Use/Nature NSFR/LATE PERMIT/ Install HVAC system.
of Work
Fees: Valuation
Issued By:
$12,367.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$179.00
Date 10/08/2003
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 804 WITZEL AVE OSHKOSH WI 54902 -5710 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~i'~3.9; ....
Oshkosh,'Wi:~903-1130
Phone (920) 236-5050
Fax (920~:23625084
OCT 0 p
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
: Aonll~afibn(s3 and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection S?rv?ce~, ,~ ~~ r
Oshl~0sh WI 54903-1128. Commenmng work wtthout permit(s) will result ~n fees being doubled or $100. 151us the
normal p~h'hit 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 thi~ fSroces~ed through Four account [~
DATE
~ing!~
FUEL ~Gas
TYPE
Note:
BTU RATE
[]Duplex I=]Multi-Family [3Rental FICommercial ;/:
F1Electric F1Solid SYSTEM :~lqew
I~Solar Fl(Sther
FIRadiant F1Steaml~/C FIVent F1Electric FIHot Water F1Suppl.r-ICon. BUrner
F1Yes - LLNER SIZE
1 be sized per the BTU's being vented.
t A F1Chinmey B IM'Direct Vent
FlExisting r'tNot Applicable
Per Plan E]Variable r'lOther Value
& MANUFACTURER
F1Other
DONE
labor and all materials including light fixtures)
U~/. ,.~ 0)~ Ut Electric Installation
Elect~cal installation of new/replacement equipmeh