HomeMy WebLinkAbout0126632-HVAC (boiler)
G
OSHKOSH
ON THE WATER
Job Address 101 HIGH AVE
CITY OF OSHKOSH
No
126632
HV AC PERMIT - APPLICATION AND RECORD
Owner SPARR INVESTMENTS
Create Date 09/07/2007
Contractor
CONDON TOTAL COMFORT
Category 510 - Ind. & Comm-Heating & Ventilating
Plan
U Electric =:J U Solar _ ~ ~~~J
~ Replace ~ D2ther___~__J
OSteam~~ [JAtC I U Vent ==J
8 Suppl. u_~ ~n. BurneO
() Direct Vent ::=0. Not Applicable ~
UOil J
Fuel ~ Gas
System 0 New
U Forced Air I
ITElectric J
Chimney Type [) Chimney A
BTU Rate
o As Approved
QAs Per Plan
LlRadiant
~ Hot Water
. Chimney B
U Existing
() Variable
. Not Applicable
~
I
~
Value
Heat Loss
Value _._u_~_.225,QgQ
EIV provided by Seckar Electric.---- -----~-----~-----.I
I
I
._"U ______._._______~_.___________ ____.J
Use/Nature ICOMM / Replace high efficiency boiler.
of Work I
I
I
!
Fees: Valuation __.___~,050.00
Plan Approval ______~ $0.00
Permit Fee Paid $146.50
Issued By:
~
Date 09/07/2007
D Permit Voided J
Parcelld # 0100860000
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
PO BOX 184
RIPON
WI 54971 -184 Telephone Number 920-748-5050
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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
normal permit fee, which ever is greater.
OR
Ifvou are a contractor participating in the Permit fee Account Svstem and have adeQuate funds. check here
if vou want this processed through vour account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) fonn, signed by the Electrical
Contractor or Homeowner (for installations allowed to be perfonned by the homeowner) must be submitted
with the permit application. Applications submitted without an EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 8-"3 \~07
JOB ADDRESS I () \ N, 9 \L
oWNER-.5.PcurV' If\vestmE\Jts, LlC-
CONTRACTOR LO flclOfLTotA L c.Dmfort; INC..
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
t2?f Commercial
Dlndustrial
FUEL
,-Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~Replace
TYPE
DForced Air DRadiant DSteam DAlC DVent DElectric l&Hot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED l:iQNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
WAs Approved
DAs Per Plan
lS.1Chimney B
DExisting
DVariable
DDirect Vent o Other
I8INot Applicable
DOther Value 2.2 S i 0 DO b 1 LA 11
\ - c.. fOwl'Ll) VvC 225
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
\\\~n efF\c\encj bo\\eY
VALUE (Including labor and materials) $ q 05 '(). 00
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 5 ec. k Qf" E... \ ec tri c...
379 - ~?d;;L
1}1
l~rP
(0
07/07
~
OfHKOfH
ON THE WATER
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903- ][30
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We) SeG~~ 8-Fc't'(:{c co J 410_
(Electrical Contractor Name or Homeowner's Name)
5C}zo CDJ~jJlJ8{
(Address)
Pi--VjlA /ka fC ,) .
(City)
LJ J,u fL}eco/'J rJ c {;J}
(State)
64 "If; 10
(Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
lOr if/bPI.
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
x
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AIC to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a singlefamity owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ (SO. ()?
I hereby verify this work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection I installation
will be done in compliance with manufacturer and Electric code requirements.
. ~:~~
(Signature of Company Officer or Homeowner)
D\)hJ ~ Sl:;?f'..tc,Q..
(Print Name)
j- 7-2,(:;0 -7
(Date)
07/07