HomeMy WebLinkAbout0122916-HVAC (boiler)
~O'.
OSHKOSH
ON THE WATER
Job Address 1350 LIBERTY ST
CITY OF OSHKOSH
No
122916
HVAC PERMIT -APPLICATION AND RECORD
Owner MRlMRS MARTIN E WELLS
Create Date 12/12/2006
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System D New
U Forced Air U Radiant
U Electric ~ Hot Water
Chimney Type . Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
C) Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
() Other
Value
Value
105,000
Use/Nature SFR IReplace boiler. EIV provided by Bell Electric.
of Work
$2,597.40
~
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$49.00
Issued By:
Date 12/15/2006
D Permit Voided I
Parcelld # 1206300000
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 necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
W8078 HILLCREST CT
HORTONVILLE
WI 54944 - 0 Telephone Number 920-779-8838
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.
~
r \
City of Oshkosh
Division of Inspection Services
PO. Box) 130
Oshkosh, VVI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THF WATER
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
I ou are a contractor artici at in in' the Permit ee Account S stem and have ade uate unds check here
ou want this rocessed throu h our account
JOB ADDRESS
OWNER Mc-f<},n
CONTRACTOR A-I
/3S 0 L, ,6",(' iv
,
Vv' e tel
bATE
IJ/J7/0 6
/ v
ECEIVE
5; 054 j/{~s ~
~30 .-tlfJ-2
JI-eit; 1';':J (j. fi I ~ t:Q ,'I ~ ,d, ~ JlJh &J X:). v - '7 j y - $' ff3 r
v
DEe ., 2 2006
CHECK ~ ALL APPLICABLE
'" USE CATEGORY
. ~ingle Family. DDuplex DMulti-Family
DEPARTMENT OF
COMMIJN~TY DEVELOPMENT
DRental
DCommercial
OIndustrial
FUEL
~as
OOil
DElectric DSolid
DSolar
SYSTEM
ONew
OOther
QKeplace
TYPE
OForced Air DRadiant OSteam OAlC OVent OElectric J1'ffiot Water OSuppl.OCon.Bumer
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
REA T LOSS
BTU RATE
lifhimney A
tiA.s Ap,lJLoyed
%t\s Per Pfan
DChimney B
IlExisting
DVariable
ODirect Vent DOther
DNot Applicable
OOther Value /051" uO 0
jrJ'/f ~2t;~
DESCRIPTION OF ALL WORK BEING DONE
(\~LECTroCALCONTRACTOR
V ALUE (Including labor and an materials including light fixtures) $
deC(
~b tt- 3 SS}
d./ 59 J' !fO
'~
Milt l
,0-
f'l'J'vc7
OR 0 Electric Installation Verification form attached(If Replacement)
Electrical installation of new/replacement equipment sha{{ be done by licensed contractors.
~ 1211t/ZQ06 MON 13:54 FAX 1 920 733 2713 WATTERS PLillffiING
~ 003/016
~
C'''torQl'''~,
Df...ioH arl...~<loO' ,,"",Ie..
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I'U as... 1'10
~kWI SI'n~.":lC
<nlloot '2I'.ne,n,o
Fe. 9J/'I.U6-~
Electric )nstllllatlon Verltteat'ota
1 (We:) _._~_..AL~,1-f1' (.. . . v-,,~ ~ 3 & S7
, ,(I!.lecuical COft1ractor Name)
.__.J!:.t?.:.__J3D)f' if 8,_~ /Il-I1t1t.J,,, ~.I1 ,,'-'5::L
(Addre$9). (ell)') (Stile) (Zip Code)
h~'ve been cCltitl"Uttcd lO "etf'mm ctcc:trii: inltaUatiou work fO'l A-( HY!d-f1hlr..;;' #~
/J1~r1-"~ l.\retl,$ (Narneo(partycontractedto)
ntthefollo~jnglKidn:ss: 13.50 l11J.:,....." ~.,. fhhifvrlr 1 LA J..:jo'" Ji/22..
(.A.<kireu whne work will be ,,=rformcd,
The nalUrt:: ofthc work ~onsisls of: (Chcc:k One or Dcsctibe the Nlttvrc ofWorIc)
. Reconncdion O"I1C'W eircuft fCnRplacemera .HealiDg Plant lind/or Ale COnderuler.
Rcc:onneetjoQ 0" MW circuit for mptacemanl Electric WAter Heater or ~\Wr wmted
Wiler he.ser. "
Roconnection aftbe Service SntrllnCe Cabte~ Meter SO", alterations to teOeptielal
and ligbting fi~ture$ due to ~irling I soffit instaUltloB, Note: New Se"';t::t
Entrance <;ablc$ will require. 1q:l8f3le permit,
R <<onncetion or new circuit for tbetq'IQCement of other ~Qtl)' winld
appliances J liltttln!S.
New circuit ror the-addition of Ale to an Iltdi\Jidut21 tlwelh"g ""it (house or the
individual systems in 11 dupi~ or ecmdominium), im:ludinS requitd $et'Yiee
electrical outlets.
(>1 her
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Th~ vallie l)ftl1is work )s S...
-'
I bel'l'b}' \'~riry lhis work will t>e l)erfamled by an employee of thla comltltly and rW1b~r verif)'
Ihe r~c<Jtmc~tjon I installation will be: done in eoTl'1pH.ancc with manuf!1ctW"'Cr and Electric code
rCG\nrelncl'ts.
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(Si~l'toIturC' (') l' COInI)~ny OfficQr.
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(Prinl Name oCOmc.er}
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(Date)
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