HomeMy WebLinkAbout2005-HVAC (boiler)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112634
HVAC PERMIT - APPLICATION AND RECORD
Job Address 312 ROSALIA ST
Owner
BARBARA ANNE LARSEN
Create Date 01/27/2005
Contractor A-1 HEATING & A/C INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
U Forced Air U Radiant
1 1 Electric 1,(1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
80000
Use/Nature SFR/ Replace Boiler, EIV provided by Bell Electric - NO CHIMNEY LINER BEING INSTALLED---
of Work
Fees: Valuation
$3,069.00
Plan Approval
$0.00
Permit Fee Paid
$51.50
Issued By:
Date 02/09/2005
U Permit Voided 1
Parcelld # 0207010000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
W8078 HILLCREST CT
HORTONVILLE
WI 54944 - 0
Telephone Number
920-779-8838
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
J20 733 Z713 W~TTERS PLUJIBING
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(Electrical ContractorN=e)
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(Address) (City) (S! \tc) (Zip Code)
hu>c bC(fI contracted 1:0 perflmn clcot1ic in'laUation work for .11:-/ Hf!.;,¡JyJ¡, tJA /V"~,
(Nllmc ofplll'ty CÓUtraclc:d to)
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at ¡he follQ\Ying address:
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(Addwss where work wm be performed)
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Th~ nalurc of the work ~O!l5i818 of'. (Cheek One or Dcscribe the Nature of Work)
--.._~ Reconnection or new circuit rot replacement Hcatjng Plant and/or Ale Condenser,
- Reconneetion or new circuit lor r<:¡?!accmenl BleClJ'k Watl: ' Heater or "owor vented
waterllelller.
-_. Reconnec¡lion ofthc Sc¡'Iicc Entrance Cable, Meter nO (, al~tIIt¡on$ 10 roceplaclcø
and lightIng !ixture~ due to siding I soffit installation, Note: Now Service
Entrance Cables will require a sepamte.pennit.
----- Rcconnection or new cìl'tuit for th,e repJllc~~t or other ponnanclIl1y wi!1:d
appHaoces I fixtures.
-"'.. New circuil for the addition 0[' A/C to an individual dwelling Imil (house or the
individual systems in a dupiex or condominillm), includin¡¡ mtllired service
electricaloutiets.
- Other
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The vailic öflhis work is $......~~,
I hereby Ycri(y this work will oe perfonned by an ol )l1loy=o of this complU1y IInd fuI1her verify
the rf.conl1oction I installation wiU be done in compliance with !!1unllf~ctu!1:r IØId ElcctTic code
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