HomeMy WebLinkAbout0123411-HVAC (boiler)
,~ e
OSHKOSH
ON THE WATER
Job Address 1624 DOEMEL ST
CITY OF OSHKOSH
No
123411
HVAC PERMIT -APPLICATION AND RECORD
Owner DAVID R CLARK
Create Date 02/02/2007
Contractor D&S MECHANICAL ZMS LLC
Fuel ~ Gas LI Oil
System D New
U Forced Air U Radiant
LI Electric ~ Hot Water
Chimney Type U Chimney A . Chimney B
Heat Loss D As Approved . Existing
BTU Rate () As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar D Solid
D Other
U AlC 0 Vent
U Con. Burner
() Not Applicable
() Not Applicable
() Other
Value
Value
Use/Nature ~FRI Replace boiler.
of Work
Fees: Valuation
$3,000.00
O/rnx;
Plan Approval
$0.00
Permit Fee Paid
$5~).00
Issued By:
Date 02/02/2007
D Permit Voided I
Parcelld # 1514360000
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 easeme restrictions of which it is not a party, if you perform the work
described in this pe t application within an easemen I . strongly urges the permit applicant to contact the easement
holder(s) and to s cu ne sa approval efor 'ng such activity.
Date ~ -2-6 T
Signature
Address
4308 SPRINGBROOK LN
aMRa
WI 54963 - 0
Telephone Number 920-685-2741
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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ct)
OJHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
JOB ADDRESS 16 2-4 ~oE"Ma Sl r
. OWNER-1 A V€ ~ CLA)tIL
'CONTRACTOR-'!) ~ s ~ ~fi LC4L ~tJ\S LLc.
CHECK I?J ALL APPLICABLE
USE CATEGORY
msIDgle Family DDuplex o Multi-Family
DRentaI
o Commercial
DfudustriaI .
FUEL
fBdas
DOil
DElectric DSolid
o Solar
SYSTEM
DNew
DOther
DReplace
TYPE
DForced Air DRadiant DSteam DNC DVent DElectric ~ Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~ DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A tBthirnney B DDirect Vent DOther
HEAT LOSS DAs Approved r!1Existing DNot Applicable
BTU RATE DAs Per Plan [!Variable DOther Value
DESCRIPTION OF ALL WORK BEING DONE_~ ~ \A.<.t ~ ISfJAl6l)0I Lee.
& MANUFACTURER
VALUE
.$ 3()fX)~
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
9/02