HomeMy WebLinkAbout0126758-HVAC (boiler)
G
OSHKOSH
ON THE WATER
Job Address 1275 CAMDEN LN
CITY OF OSHKOSH
No
126758
HV AC PERMIT. APPLICATION AND RECORD
Owner FEDERAL NATIONAL MORTGAGE ASSOC
Create Date 09/13/2007
Contractor
MARK WEBER HEATING & COOLING IN
Category 500 -B~~cJ~Q!.i~He~ting & VentilatinL_ Plan
Fuel ~Gas
System D New
U Forced Air
ITElectric
Chimney Type ITChimney A
UOH ~
~ Radiant =:J
U_ Hot Water l
~~lec~iS:-_~==:J
o Replac~_____~
U Steam =:::J
U SuppL I
OSOia~~ U~g~_=]
O_()J~_~~___________J
U NC U Vent =:J
U Con. Burn6rl
() Chimney B-----=:_ Direct Vent
C) Not Applicable
BTU Rate
r::.2}\s Approved ~_~~tin9-______~_. Not ~Ii~~~__-==
O_,I\~_ Per~~_------==-TI-=- Variable===:~===--=.=Qlh~!=---~-==:===-:==
Value
Heat Loss
Value
Use/Nature rFR / REPLACE EXISTING BOILER WITH NEW,-ETVSIGNEO-sYELECfRTcACCONSTRUCTIONSERVfCES-,GRECfDAVIS)**debt - -
of Work cct
Fees: Valuation . $5,000.00
Issued By: X'~
- -
Plan Approval
$0.00
Permit Fee Paid
$85.00
Date 09/13/2007
D Permit Voided I
Parcelld # 1312340000
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
1075 ISLAND ESTATE CT
OSHKOSH
WI 54901 -1341 Telephone Number 235-1523
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, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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DEPARTMENT OF
COMMUNITY DEVELOPMENT
HV AC PERlVff1E9{f'ltJe.1~}\flaI'JSION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THF WATFR
. 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
If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds. check here
if ~ou want this processed through vour account ~
,
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) 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 9- );z....-c~
JOB ADDRESS /;).75 Cf>d'1 ~-".,; L.JJ
OWNER J:fr""',c. ~c..th..J~ u( c-
-
CONTRACTORI"1c4tut L..t~ #7Z" u:.C~& I'AX'
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
ORental
o Commercial
FUEL
~Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~Replace
o Industrial
TYPE
DForced Air )aRadiant DSteam DAIC OVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o OYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A DChimney B )e'6irect Vent o Other
HEAT LOSS DAs Approved DExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE f~L J9.~--,v ., C)',c' -l?i?t'577JCk
!5fJflFJl (;)t7'74 A-~ O^~
VALUE (Including labor and materials) $
0000. 00
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
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SEP 1 2 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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