HomeMy WebLinkAbout2005-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 1122 WASHINGTON AVE
CITY OF OSHKOSH
No
116023
HVAC PERMIT - APPLICATION AND RECORD
Owner
THOMAS J/MOll Y U MOORE IRREVOCAE
Create Date 08/30/2005
Plan
Contractor
E C MERRill INC
1"'1 Gas
0 New
Category 500 - Residential-Heating & Ventilating
I 1 Solar
1 I Soiid
Fuel
I I Oil
1
1 I Electric
I?I Replace
U Steam
I 1 Suppl.
n Other
U AlC I U Vent
1 I Con. Bumer I
( ) Not Appiicable
System
U Forced Air
I I Electric
U Radiant
1"'1 HotWater
Heat loss
K ) As Approved
U As Per Plan
( ) Chimney B
. Existing
. Direct Vent
Chimney Type K) Chimney A
BTU Rate
( ) Variable
( ) Not Appiicable
. Other
Value
Value
Use/Nature FR/ Replace boiler. EIV provided by Witzke Elect. No chimney iiner being installed Where an appiiance Is permanently disconnected
of Work om an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the Interior of the CN and
0 provide the appliance or appiiances served with the req. draft.
$8,186.00
Plan Approval
$0.00
Permit Fee Paid
$128.00
Fees: Valuation
Issued By:
Date 08/30/2005
0 Permit Voided I
Pareelld # 1100380000
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 appiicatlon 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
1018 W SOUTH PARK AVE
OSHKOSH
WI 54902-0
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.
AUG.26.2005
9: 31AM
WITZKE ELECTRIC.
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Electric Installation Verification
I (We) YJ;~~fecmG J:nC'
(Electrical Contractor Name)
155 E. 1>ad:.er AveJ)Lle... Osh'tosh w:c 5if90 (
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for M tJ I { '" r1 ðC:l f P ,
~
(~d,' t.J&.s.1...~~~C )"\ s...tJ.
(Address where Wo 11 be performed)
The natUre of the work consists of: {Check One or Describe the Nature of Work)
Áeconneotíon or new circuit for replacement Heating Plant and/or AlC Condenser,
- ReconnectiOIl or new circuit for replacement Electric Water Heater or power vente,d
water heater.
- ReconnectÌon of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. NQte: New Service
Entrance Cables will require a separate Fermi;,
- ReconnectioIl or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condo:tUinium), including required service
electrical outlets.
- Other
at the following address:
The value of this work is $
fA&"
..-
r hereby verify this work will be performed by an employee of this company and further verifY.
the reconnection I installation wiJ! be done in compliance with manufacturer and Electric code
requÙ'ements.
~'w--.. ~t C k
(SignatUre of Company Officer)
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(PM! Name of Officer)
~ . aGo . .0&
(Date)
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