HomeMy WebLinkAbout0112429-HVAC (boiler)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112429
HVAC PERMIT - APPLICATION AND RECORD
Job Address 655 W 9TH AVE
Owner
GLORIA J HEIDL
Create Date 01/17/2005
Contractor ALL SEASONS QUALITY HTG & CLG
1,(1 Gas 1 I Oil
Fuel
1 I New I
System
U Forced Air U Radiant
1 I Electric 1,(1 Hot Water
Chimney Type () Chimney A . Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 I Electric
1,(1 Replace
I
1 I Other
I U Vent
I
1 I Solar
1 I Solid
U Steam
1 I Suppl.
U A/C
1 I Con. Burner
0 Direct Vent
0 Not Applicable
0 Not Applicable
0 Other
Value
0
Value
Use/Nature SFR/ Replacing boiler - Existing chimney liner - EIV provided by Van Ert Electric.
of Work
Fees: Valuation
$5,000.00
Plan Approval
$0.00
Permit Fee Paid
$80.00
Issued By:
Date 01/25/2005
U Permit Voided I
Parcelld # 1303620000
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
3698 VINLAND RD
OSHKOSH
WI 54901 -0
Telephone Number
920-426-8090
---
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.
01/1~/05
12: 56 FAX 920 766 0883
VAN ERr ELECTRIC
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.JiO." 18 05 12:57p
Osh~osh Inspections
920-236-5084
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Electric Installation Verification
VI'lv>. Erl fie-cArie..
(Elec1ricaJ Contractor Name)
200(\ ~5~~ 1J,\c..y l::'l1t.1.bu.",.... W:t. S'Ir3ð
(Addres~;) (City) (State) (Zip Code)
have: been contracted to perform electric installation work for All :'\.:."""^...... JJt~...l r./~
~
tn5:i} q{b -~/t:.ei~
(Address where work will be performed)
J(We)
at the foJlowing a¡Jdress:
The nature of me work consists of: (Check One or Describe the Nature of Work)
~
Reco"nection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater. .
Reconnection of the Service E"lranCe Cable, Meter Box, alterations to receptacles
and Hghting fixtures due to siding I soffit installation. Note: New Service
:ënti'ance Cables wiU require a separate penn/t.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AlÇ to an Individual dwel/íllg Ullit (house or the
individual systems in a duplex or condominium). including required service
electrical outlet:¡.
Other
The value orchis work is $
&0. <;f2.
I hereby verify thj~ work will be performed by an employee ofthis company and further verify
the r""onn.crion I insmUation will be done in compJiance with manufacturer and Electric code
requirements.
~ AJ.
(Signature of Co~ Officer)
E. ",'t... vJ r7J e..
(Print Name 0 Offi¡:;er)
I JJ'ì Jos-
I (Date)
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01/18/05 TUE 13: 52
[TX/RX NO 91981