HomeMy WebLinkAbout0122893-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 708 OREGON ST
CITY OF OSHKOSH
No
122893
HVAC PERMIT -APPLICATION AND RECORD
Owner DONALD E BASLER REV TRUST
Create Date 12/14/2006
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System o New
U Forced Air ~ Radiant
U Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss D As Approved o Existing
BTU Rate o As Per Plan o Variable
Category 510-lnd.& Comm-Heating & Ventilating Plan
L1-~E?.Etric _:=J
o Replace_____~
m-~-=~:J
U Suppl. --=:J
I Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Direct Vent___:__ Not Applicable
. Not Applic:;able
~----
Value
Value
Use/Nature COMM / REPLACEMENT OF THE EXISTING BOILER, EIV PROVIDED BY ELECTRICAL CONSTRUCTION SERVICES LLC **debtacct
of Work
Fees: Valuation $3,000.00
Issued By: .~W
Plan Approval
$0.00
Permit Fee Paid
$55.00
Date 12/14/2006
o Permit Voided I
Parcelld # 0300670100
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 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
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901 - 0
Telephone Number 235-1523
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
r\
,
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
DEe H 2.006 if)
~
OJHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories mus~ be provided.
Incomplete applications will not be processed.
JOBADDRESS 7tfb D~r--J
OWNER DON 8M~
CONTRACTOR r;AvJ~ ~~ /---F7"<:.
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
0. DSingle Family ODuplex OMulti-Family
ORental
~Commercial
OIndustrial '.
FUEL
~as
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
~eplace
TYPE
DForced Air ~Radiant DSteam DAle DVent DElectric DRot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINE~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
t8'Chirnney A
DAs Approved
DAs Per Plan
DChirnney B
o Existing
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE .1>~~ T ~ A-~ t<) 1wJc,
. /2..t> '4--fJ1
(\
VALUE .$ 366D.Oc)
ELECTRICAL CONTRACTOR 8-S a~ .f)ftV/S
o For applicable projects, an Electric Installation Verification foOn, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
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PO Box J 130
Oshb:rsh \Vl 549&3-1 J31)
Office 920~236-Sn50
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have
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at the foHO\ving address:
70~..DJ~.~U...
The natui'e of the
One or
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or new
or :new
fur
water
and
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Other
.'_""'_"~'~""_^"'""F~"'_~'_~~'~""~' ___.____,~..__~_'< ."..~.~.._._"'""<,_ ,. ,^' _",,,~,#.,~,~"_"~~,__,,,,"""'~'~_~,,"""""_" _~'~'___..'~.'8.F,',",~c-_~'r.~_~_._,~'____'_'".'~'_^'''~'''__,,,,,,'v.~,,'M.w,....,"<'...~,,,.__.__.~,v.~~____~.,._'"" ,......,..,., ~
rrhe 'valtie of
is $. /t2~Qc2_..-
r hereby verify this work
reconnection ,/
reQUlremems.
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