HomeMy WebLinkAbout2005-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 604 REICHOW ST
CITY OF OSHKOSH
No
117644
HVAC PERMIT - APPLICATION AND RECORD
Owner
SCOTT AlSUSAN M DELORME
Create Date 12/19/2005
Plan
Contractor
WESLEY HEATING & COOLING INC
Category 500 - Residential-Heating & Ventilating
Fuel
1"'1 Gas
n New
U Forced Air
1 1 Electric
[7] Replace
U Steam
I 1 Solar
1 1 Solid
I 1 Oil
1
n Other
System
I 1 Electric
Chimney Type K) Chimney A
U Radiant
1"'1 Hot Water
1 1 Suppl.
U AlC 1
1 I Con. Bumer 1
( ) Not Applicable
U Vent
Heat Loss
K ) As Approved
K) As Per Plan
( ) Chimney B
. Existing
() Variable
. Direct Vent
BTU Rate
( ) Not Applicable
. Other
Value
0
Value
Use/Nature FRI Replacing Boiler - EIV provided by Solar Elect. -No Chimney Liner being instaliedWhere an appliance Is permanently disconnected
of Work rom 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 appliances served with the req. draft.
$6,050.00
Plan Approval
$0.00
Penmit Fee Paid
$96.50
Fees: Valuation
Issued By:
Date 12/19/2005
0 Permit Voided I
Parcelld # 0610660000
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 whicih it is not a party, if you perfonm the work
described in this penmit 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
3220 BASLER LN
OSHKOSH
WI 54901-0
Telephone Number
920-235-6951
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.
- DEC~1-20Ø5 21:49 FRCM:WESLE'y' HEATING
(920) 235-5951
TO: 2357725
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Electric Installation V erificanon
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~'c-..~ ~J\'-~'>.~)
(Electrical Contractor Name)
ffi \.\ ~ --~.~ ~ ~ \.ci.. f\\~
(Address) (City) (State) (Zip Code)
ha\,\:,~een contracted to perform electric installation work for ~~~o~~~ "I<'\.~
at thefollowing address: \~ '\4:.....,~~~.
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
.Jb..... Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
- Reconnection oftbe Servi~ Entran~ Cable, Meter Box, alterations to receptacles
a.nd lighting fl}(tures due to siding I soffit installation. Note: New Service
Entrance Cables will J;equ~ II separa.tc permit.
- Reconnection or new circuit for the replacement of other penmmently wked
appliances / fixtures.
- New circuit for the addjtjon of AlC to a.n individual dwelling writ (home or the
individual systems ill a duplex or condominium), including required service
electrical outlets.
- Other
The value oftbi¡; work is $ ¡þ-"~ .
1
I hereby verify this work will be performed by an emplDyee of this company and further verify
the recolUlectiOn / il),!¡tallation will be done in compliance with mant¡Íactlu'er and Electric code
requirements.
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Signatur.r ¥ Company Officer)
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(priM Name ofOfficer)
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(Date)
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