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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