HomeMy WebLinkAbout0116949-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 815FRANKLINST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
116949
Owner
NORMAN BOCK
Create Date 10/25/2005
Plan
Contractor KOCH PLUMBING AND HEATING INC
1"1 Gas 1 1 Oil
Fuel
System 0 New
U Forced Air U Radiant
I 1 Electric 1"1 Hot Water
Chimney Type K) Chimney A . ChimneyB
Heat Loss K ) As Approved . Existing
BTU Rate K) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
I 1 Solar
1 1 Solid
1 I Electric
f?] Replace
U Steam
1 1 Suppt.
n Other
( ) DirectVent
U AlC 1
1 1 Cen. Bumer I
( ) Not Applicable
U Vent
( ) Not Applicable
. Other
Value
Value 96,000 net existing
Use/Nature SFRIRepiace existing boller' Work to be done by Koch Plumbing & Heating,
ofWork
Fees: Valuation
Issued By: ~
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
$57.50
Date 10/25/2005
D Permit Voided I
Parcelld # 1006120000
In the performance of this work, I agree to perform 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 permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any ne approv before starting such activity,
Signaturr:- ,~ AgenUOwner
Address 2337 JACKSON ST OSHKOSH
Datef
WI 54901-0
Telephone Number
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.
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CÜyofOshkosh
Division of Insp"'ion Smi",
2J5Ch<uchAvonue
PO B" 1130
Oshkosh WI 54903-1130
Office 920-236-5050
F" 920.236-5084
Electric Installation Verification
I (We) 6Ecf::-M=-
ElK-c~- ( c::..
GOjv¡flMJ~
) (\J c-
(Electrical Contractor Name)
b'1ZO CO¡}f:TìJP/ FLV/i'l)~ RJ>. vJl{ùfJECO~JiJ£
(Address) (City) (State)
WI S 1.f'j'èJc:,
(Zip Code)
have been contracted to perform electric installation work for f\J ot:fi1 [;OCK-,
(Name of party contracted to)
at the following address:
'VIS
1"'(";1'1"; f:- 1- / rV lS r.
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X Reconnection 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 Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
- Reconnection 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 condominium), including required service
electrical outlets,
Other
The value of this work is $ f 0 Z> _0 0
I hereby verify this work will be performed by an employee ofthis company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
~~,;ß 6IDY Om,cr)
\/l,t\)V-e- c.Sn~~
(Print Name of Officer)
DCi, 2'ì3 (GOof;
(Date)
5/02