HomeMy WebLinkAbout0126634-HVAC (boiler)
o
OSHKOSH
ON THE WATER
Job Address 333 N WESTHAVEN DR
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
126634
Owner HAVENWOOD HEIGHTS LLC
Create Date 09/06/2007
---
Contractor
CONDON TOTAL COMFORT
Category 500 - Residential-Heating & Ventilating
Plan
BTU Rate
~ Gas U Oil ITElect~=::J U Solar I U Solid
o New J 0 Replace__~ [lQ!her_J
UForced Air J D~~~ U~t~~__~ U NC =-=] D__~e~i-=-==:]
LJ EJ~-==:J [!11j~YVateL! U_~~PE!'=-=] IT~~=~-=13~:-rner:l
IT~himnel~__.__~. c~imney-~:==:_-:TIDire~fv~~C:=:=.:==D~()CApETI~~~J~-:=:1
D:=~s_APpr~~d:___-=:==O):XiS~~9-=:::::::=::===::.-N_~~e:Rli~~bJi:::===] Value
O::~~E:~~f1?ji==_=_=_==-~_=:O=~~riable-=:=-====:=--IQI~~j=-:=:====-::::] Value ~_____________._
Fuel
System
Chimney Type
Heat Loss
Use/Nature Bldg A / Replace gas fired hot water heating boiler.--EIV provided by CumTngs-E1ectric.
of Work I
\
~
I
I
_____~__J
Issued By:
$4,250.00
j~
Plan Approval ~_~q
Permit Fee Paid ________~74.50
Date 09/07/2007
Fees: Valuation
o Permit Voided i
Parcelld # 1630000100
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.
Date
Signature
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 (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
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(t)
OJHKOJH
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
I~~OU are a contractor participatinz in the Permit fee Account Svstem and have adequate funds. check here
i au want this vracessed throuzh vaur account n
** Advisory - For applicable projects, an Electrical Installation Verification (EN) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed 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
JOBADDRESS 33~ N \0estJ~AV'eYL Dr- (B\dg 4)
OWNER t-\AVerL\I\J OO~ \-\e\ 3 hts
CONTRACTOR LondDfL IOtAL laffifDvt,IN~.
<2-Gj-07
CHECK 0 ALL Al;>>PUCABLE
USE CATEGORY
DSingle Family DDuplex ~ulti-Family
o Rental
o Commercial
o Industrial
FUEL
oo;s
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
~place
TYPE
DForced Air DRadiant DSteam DAlC DVent o Electric Imlot Water DSuppl. DCon. Burner
IS CIDMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A r:JChimney B DDirect Vent DOther
HEAT LOSS DAs Approved DExisting ~ot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE \ - D u n\L\ ylL CJ~S t \ 'VOIL
C\S f\\recl \rl()tv\;'A~~r heCl1\n . bO\ \er-
.~~
,~lt~
l
I
D
VALUE (Including labor and materials) $ ~ 25 D .00
SEP 7 2007
DEPARTMENT OF
C. 'VV\ffil"r'OQ COMMUNITY DEVELOPMENT
U I I \ I oj '-1~JSPECTImJ SERVICES DIVISION
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
I
CUMINGS ELECTRIC, INC.
920-722-1J769
p.1
~
~
City o!OIlIkosh
Divisi;)a a!losp:ction ScTvic:cs
21 S cm..:b A.>'CfI""
POBox 11.1"
~W1 S49QJ-llJO
OffICe 9>>-2J~S050
Fu 92<>-1J6-S084
Electric Installation Verification
I (We)
CUHINGS ELECTRIC IRe.
(Electrical Contractor Name)
P 0 .BOX 749 t :REENAR. WI 54957
(Address) (City)
(State)
(Zip Code)
have been contracted to perform electric installation work for MIDWEST GENERAL CONTRACTO~S
(Name of party contracted to)
at the foUowing address:
333 N WESTHAVEN DR.. BUILDING A
(Address where work will be performed)
b~
~~
Orf*
The nature oithe work consists of: (Check One or Describe the Nature of Work)
. .
--X- ReCoimection or new circuit for repl~ent Heating Flant and/or Ale 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 Sei:vice
Entrance Cables win require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of NC to an in.dividual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ 85.00
I hereby verifY this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
RICBABD J WENZEL
(print Name of Officer)
J-/?-~Y
(Date) ,
SI02