HomeMy WebLinkAbout2005-HVAC (boiler)
..~
OSHKOSH
ON THE WATER
Job Address 1025 W 5TH AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
115773
Owner
SACRED HEART CHURCH
Create Date 08/15/2005
Plan
Contractor MARX MECHANICAL
I I Oil
Fuel 1v'1 Gas
System n New 1
U Forced Air U Radiant
I 1 Electric 1 I Hot Water
Chimney Type K) Chimney A () ChimneyS
Heat Loss r ) As Approved ( ) Existing
BTU Rate K) As Per Plan ( ) Variable
Category 510- Ind. & Comm-Heating & Ventilating
I I Solar
I I Solid
I I Electric
0 Replace
~ Steam
I I Suppl.
n Other
( ) DireetVent
U AlC I
1 I Con. Burner I
. Not Applicable
U Vent
. Not Applicable
. Other
Value
Value
Use/Nature Replace existing boiler with 2 WellMclain model BG580 SF steam boilers. EIV provided by T- Ruck Elect.
ofWork
Fees: Valuation
$29,895.00
Plan Approval
$0,00
Permit Fee Paid
$329.50
Issued By:
Date 08/15/2005
0 Permit Voided I
Parcelld # 060663000
In the perfonmance of this work, I agree to perfonm all work pursuant to rules goveming 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 penmit application within an easement, the City strongly urges the penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity,
Signature
Date
Agent/Owner
Address
4535 STATE ROAD 91
OSHKOSH
WI 54904 - 6304 Telephone Number
920-235-6510
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.
08i04!2005
21: 12
S2I'J233272I'J
TRUCKELECTRIC
PAGE 01
..-.--.----.--..-.
--- .-- ""---"
~
~
c¡",ro,",o,h
Di'¡'¡"",r"""'""S<MC<S.
'" 0,."." A","~
PO ","JO
o.hJ<,"W¡ "9"3.1130
Offi"5'0-2"';050
F" m.Z36-;OB'
Electri.c Installation Verification
-'--'cX \r~ ~/r I ~c.
(Electrical Contractor Name)
~~5s;~)~_31¡¡'C!".Sli==h_-'~~H~h'~,L.--. f}~~~è. '
have b'".en i.'onl;."-c-ted to ~(:rio"m eJ<õ<:trk ìn~aU?!i."" \\'(\~k :f~,. ..~;J;j.!ÍÌJL -.dl)~tji\;. 7";'4. e." . "Pc.
(Name ofparty conlTacted to)
at the following addrfJSÐ: - --./&'OZE" ¡.Ù ^ ~ ~r-.
(Address where work wiU be perfom¡ed)
I (We)
s;-t.{q)--z..
(Zip Code)
The rm11.1rB n.fth~ wo,-,k com:i~ts of: (C'he"-k OIl<- m: D'J&é):;he fh;; ,!\j",;:.:re ofY\'ork)
v" Recon¡:¡ection or new circuit for replacement Heating Plant and/or Ale Condenser,
-- R~ç'Jr'!"'.ectjü" ,.r j:,~w c:ó",¡!: fo, "'pJ,,;eJ;\(;rlc Ekcmc Wi.l¿, E,,"-tt'J, ,,: powe¡ \'ented
.",¡;t(:Jh,~~k;!
Reconnection of the Service Entrance Cable, Meter Box, alteraÜollS to receptades
!W'.i iíghibg 5.KI:I,¡~ 1m: lO ¡¡icing i svffi¡ ;II¿;ta!!aÛUTI, )-JIM: N¡;;;¡ $ei'vk~
E;:¡:,,-¡;n:e CJibJe., wuJ r"'1:ili;.;: t:. ~~F:J.::are p~TII'¡t.
R~Olli'eCÜ!:n or ;,(;", "i,'c:.'¡t for the repl""erocnt of other pc:rmanentIy wired
applia!)C€s/ fixtures.
Ne-v cirLUÌl for ,fie 'i<lcli¡jùn' of NC to an individuai dweilmg "nit (house or the
Ílidb idua, 'ystellls in a. clupl"x or condomÜùu.œ). mc!uding req¡:ir,,¿ ."r.ice
dwineal out;eis.
Other
-------"'--'-"'-""""----'-"'----"--""'-"----,-----"- -"""'---"--
The v.J1.1~ ofthiõ ',':o,.k :.c $.---.....-----.."... ----'
I hereby '.'ed~( î.hin w"rk will b~ ¿ë,f<:i:ë1nacl by or, (>;'>'\')1"" :cf ¡hiG ""'r"p~:v "",1 fu'ith~: ,~rify
~h r~':C1,1n~~tioJ1 i ìnsta.Il"~ .HI be do~ m rom"",,,~ willi mm"""_""" Electric code
. . q rem""'.
I p'(Q ()~ . ~f<\'" ~ ,,( Ã1~ ",
(Si atu;reofCompanyOfficer) (PrintNameofOffi er) ate)
i
\
(\$"'
5IOZ