HomeMy WebLinkAbout0122927-HVAC (boiler)
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OSHKOSH
ONTHE WATER
Job Address 114 E PARKWAY AVE
CITY OF OSHKOSH
No
122927
HV AC PERMIT -APPLICATION AND RECORD
Owner JAMES R HERZIG JR
Create Date 12/12/2006
Contractor A-1 HEATING & AlC INC
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric ~ Hot Water
Chimney Type . Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
() Other
Value
Value
Use/Nature Duplex / Replace boiler (services both units). EIV provided by Bell Electric.
of Work
Fees: Valuation
$3,738.35
~
Plan Approval
$0.00
Permit Fee Paid
$67.00
Issued By:
Date 12/15/2006
o Permit Voided I
Parcelld # 0401900000
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
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.
(\,
City of Oshkosh
Division of Inspection Services
PO. Box 1130
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 permit fee, which ever is greater.
OR
J
ee Account S stem and have ade uate unds check here
JOB ADDRESS /1'1 Q.. 113 S fJ,.'rkw"",/ A...e tf)J4/f',,~~
OWNER do." 'S,f;M.,,/eJuLit 1<~Je~ &37-'/)'360 IS/ - ~6 .?6RE
/ .
CONTRACTOR A-I J/eC.7'h;J Qo. /J l~ Cv,-' <'IJ'~JlJiJ(1 9::b"-7)'j - ~'F3 f
o
DATE
/;/;.J/o 6
,
Ei E
CHECK 1tJ ALL APPLICABLE
USE CATEGORY
rDSingle Family. ~uplex DMulti-Family
DEe 1 2 2006
ORental
DEPARTMENT OF
COMMUNITY DEVELOPMENT
o Commercial OIndustrial
FUEL
)fGas
OOil
OEJectric DSoJid
OSolar
SYSTEM
DNew
DOther
Ofu,eplace
TYPE
DForced Air ORadiant OSteam ONC OVent OElectric WHot Water OSuppl.OCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CffiMNEY TYPE ~Chimney A OChimney B
HEA T LOSS DAs Ap..!2rnved tffixisting .
BTU RATE ~s Per Pfan OVariable
& MA1'\TTJF ACTURER
DESCRIPTION OF ALL WORK BEING DONE
DDirect Vent OOther
DNot Applicable
DOther Value ~(J# thY &)
1J~l1 . ~cf)/~"1-
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o ~ \
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VALUE (Including labor and all materials including light fixtures) $
3 732,35
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r-tECTroCALCONTRACTOR
rjc6 I? 3S 9 [J
OR 0 Electric Installation Verification form attached(lf Replacement)
Electrical installation a/new/replacement equipment shall be done by licensed Contraclors.
12/11/2006 MON 13:56 FAX 1 920 733 2713 WATTERS PLUMBING
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(El~tricaJ CClJ'ltractt\f Name)
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~a\lc been clmtNAtled 10 Pfrfonn electric instaUation work for /I-I }f-Nft.'''!J ~ A/ "----..
dP.lIJJrr'tvi <:h,(k t-.:,7s<"" . . (Name ofpatt)' comtatt~ to) ..l
al the following Ildcfl'eQ: .....L!-lf- (/'1/ j 8 E 4t1'Jr VLV J.I."'~ P S'~ ~1"J _ ~/P .&".1"1-;& n
. (Adc.tretls where work witt be pel'fontled)
The halurc or !he work conllists of: (Check One or Oesocribe the Nature of Work)
_..VReeonncction 0' new circuit 'or replacement H~lins Plant and/or Ne CondeDlm.
Recc)~ctiol'l or naw cin:uit for replacmtlcnt EIc:Qtrjc: Wlter' Heater; or power vented
Waler he:a1er.
ReeOrtl'lec:lion of1hCl Service El'\tranc~ Cable, Mctq Box, .JftmatiOft~ to reeoptaGlee
and lighting thmlt'es due to Sliding I sotl'illnstaU..tion. Note; N~ Service
Entrmlce CllbJes wiU refNitc \1 S1:p8ra~ permie.
Rcconncc:tion or nre.w circuit for cJte reJl'acernen(ot other permanently wired
appliances J fixt\lrQS, .
-- New c ircuil f()(' the addition of Ale to an indi'IJi(/~uJ dwelling lilli" (4ouse or d1e
individual s)lstems in;a duplex oreundontinium>. inc:ludingrequitc:d Jel"fic:e
electrical outlets.
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The vnhlc or'hh work j,'i S..
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I hereby verify thiz work will be performed I>y an employee of this cOmpany and 1Ut1her verify
thc.'l ree ollncttiol1 f itlslaUmion wilJ be done in cornpli~c with ml&nufA.cturer and Electric code
reqtlj~1Cllfi'C,
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