HomeMy WebLinkAbout0116682-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 572 BOYD ST
CITY OF OSHKOSH
No
116682
HVAC PERMIT - APPLICATION AND RECORD
Owner
DAVID L STETTER
Create Date 10/10/2005
Plan
Contractor MARX MECHANICAL
[ [ Oil
Fuel [,(1 Gas
System 0 New I
U Forced Air U Radiant
1 [Electric 1,(1 HotWater
Chimney Type K) Chimney A . ChimneyB
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
1 [Solar
LI Solid
~
I U Vent
[
1 [Electric
0 Replace
U Steam
[ 1 Suppl.
U AlC
[ [Con. Burner
() Direct Vent
() Not Applicable
( ) Not Applicable
. Other
Value
Value 210 MBH
Use/Nature þUPLEXI Replace boiler - EIV provided by Witzke Elect.
olWork
Fees: Valuation
$4,810.00
Plan Approval
$0.00
Permit Fee Paid
$78.50
Issued By:
Date 10/10/2005
0 Permit Voided I
Parcelld # 1101550000
In the performance 01 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
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.
OCT. 5..2005
3: 17Pi1
fHTZKE ELECTRIC
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Electric Installation Verification
\N '\ t-Uó ~dri G Me .
(Electrical Contractor Name)
/55 E. -:Pad:.« Avenue..- Oshkosh 'V\lL 5tHo I
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for ...,..- /L:L(lji'~ x. NedJaIJ ¡æ¿,
(Na."'¡1e ofparty contracted ¡OJ
at the followbg address; 5' 7d-. f;Q~d. !Jreef
(Ad ress where work will be perfonned)
I (We)
The namre of the work consists of: (Check One or Describe l1¡,e Nature of Work)
X Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser,
- Recon\'lection or new circuit for replacement Electric Water Heater or power ventep
water heater.
Reconnection of the Service Entrance Cab ie, Meter Box, alterations to receptacles
and Iighting fixtures due to siding / soffit installation, Note; New Service
Entrance Cables wm require a separate permit.
- Reconnection or new circuit for the replacement of other pemla.'lently wired
appliances / fixtures,
New circuit for the addition of fJC to an individual dwelling unit (house or the
individual systems in a duplex or con.dominium), inc1uding required service
electrical outlets.
- Other
The value of this work is $
ISO,OÒ
I hereby veri:'y this work will be perfonned by a11 employee of this company and further verify
the recormection / installation will be done in compliance with ma¡ì\lfacturer and Electric code
requirements.
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(Signatt¡re ofComp'any Omcer)
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[Print Name of Officer)
IO~O6-'D5
(Date)
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