HomeMy WebLinkAbout0122558-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 850 MACARTHUR RD
CITY OF OSHKOSH
No
122558
HVAC PERMIT - APPLICATION AND RECORD
Owner MILTON G/WENDY SCHAFER
Create Date 11/14/2006
Contractor MARK WEBER HEATING & COOLING IN
Fuel ~ Gas UOil
System D New
U Forced Air ~ Radiant
U Electric U Hot Water
Chimney Type D Chimney A . Chimney B
Heat Loss K:) As Approved () Existing
BTU Rate ,e) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D 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 SFRlReplace boiler. EIV provided by Electrical Construction Service. **DEBIT ACCT**.
of Work
$1,700.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$35.50
Issued By:
Date 11/14/2006
D Permit Voided I
Parcelld # 1519627200
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 ;;lctivity.
Signature
Date
Agent/Owner
Address
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901-0
Telephone Number 235-1523
1-
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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.
Clly of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box J 130
Oshkosh WI 54903-1130
Office 920.236-5050
Fax 920.236--5084
[]fIDm
ON lHE WAtEr.'
Electric Insta.llation Verification
I (We)
have been contracted to perfonn electric installation work for ./}2-44-i.._-trJB3c-!L__i::i...IZ'-f"
(l'..Jame of party contracted to)
at the following address: ct S ~---.!!2 0-- .~~.~~~.-4fl:i1--iJdL1- c. A../
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of\Vork)
__.2S.- Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser,
Reconnection or new circuit for replacement ElectricW atel' Heater or power vented
water heater,
Reconnection oftbe Service Entcance Cable, Meter Box, alterations to rec~ptac1e~
and lighting fixtures due to siding / soffit installation. Note: New Sendee
Entrance Cables will require a separate penuit."
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of Ale to on individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electlical outlets,
Other
The value ofthi$ \vork is $_~LJt2C)~".aQ"__.
I hereby verify this work will be perfonned by an employee of this company and further verify
tbe reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
(Signatur~.9f ~ompany Officer)
_/1 /~.tjy
(Date)
51(J2
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided
Incomplete applications will not be processed.
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OJHKOfH
ON THE WATER
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JOBADDRESS C1SIJ rrf!. ~n~
OWNER /JJ / L-r <) ~
CONTRACTOR ,/'1ri7?tf tJ~ /-h::I47f'A/C )4.(?CZ;>~:lYvC /v.. e.
CHECK Ja ALL APPLICABLE
" USE CATEGORY
r\ <tBSingle Family ODuplex OMulti-Family
ORental
o Commercial
OIndustrial "
.~
01
FUEL
J!iGas
OOil
OElectric OSolid
o Solar
SYSTEM
ONew
OOther
~eplace
TYPE
,,-orced Air fllRadiant DSteam ONC DVent DElectric DHot Water DSuppl. DCon. Burner
IS ~BlMNEY BEING LINED~o DYes - LINER SIZE
Note: All chiinneys shall be sized per the BUYs being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChinmey A ~hinmey B
DAs Approved DExisting
DAs Per Plan DVariable
DDirect Vent DOther
DNot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE ,,(Cfi!:?~~T6~~ ,f;r-/41L /SPJL~
N r~f-,4 J -E)...J 0 ~ ,
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ELECTRICAL CONTRACTOR ec. ~~. b~7!~ IJAVI_<\ \ /~
o For applicable projects, an Electric mstallation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
VALUE
.$ / /00 .lOb
9/02