HomeMy WebLinkAbout0127685-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 918 WINDWARD CT
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
127685
Owner JOHN W/GAIL M ROUSH
Create Date 11/06/2007
Contractor J & H HEATING INCORPORATED Category 500 - Residential-Heating & Ventil~~L_ Plan ____________
Fuel ITGas --l U2iI.-_J QI' l ---, 0::----.--.--
. . ectnc ~~__...J_ Solid._J
System 0 New .-J 0 Replace D_OJ~__~
~ced Air U Radiant U Steam I ~C I U_yent_=:I
U~,lectric [?I Hot Water ..J U_~.l!P2J.:.__~ U_ Con,-,~~..r:~J
Chimney Type rr Chimney A O~_i~~_~--D Dire.<::!.~ent -__J[ Not ~2PTIcabTe--==:J
Heat Loss D.,As ,6.ppr~~2____,,___Q_E:xistin[__,_-==,___._t:-I.()LAePIi~~ble=====~' Value
BTU Rate rr~sY~r-Pian-=====.::::~_~=TI~ari?-ble _~___~_~==- _ .::::Other--------- Value
Use/Nature ~ FRI Replacing the-exiSiin'gboiler',EI\Tsigneifby-the--h-o-meowner(Oain:foush)
of Work I
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Fees: Valuation $3,570.00
Issued By: 'drrS~
Plan Approval ~__ $0.00
Permit Fee Paid __._~_4.00
Date 11/06/2007
o Permit Voided I
Parcelld # 1522420000
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 applic ion within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) an~t1 s;cure y cessarppr~.j ,before starting such activity.
Signature pv~. ~ Date 1/- G~O 7
~wner
Address 122Q.,tv1~E~~ SPRINGS DR _ _ ~Q~J WASHlI::-l~TO yv~, ~307~ - ~~~ _ Telephone Number 262~28~-?~~~__,__
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.
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OfHKOfH
ON THE WATER
City of Oshkosh
Division ofInspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
I (We)
UJ'
(Electrical Contractor Name or omeowner's N
9/f UJ/ncf ward CbJr1 (lr;f,hoJA
(Address) (City)
1).11
(State)
sc.;9o/
(Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
91 P WI nd we. ref Ca..Jlf OS A ftoJ ~ (p J
(Address where work will be performed)
GV90 I
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or A/C 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 / 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 A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family 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 $ @..@fl{\)~/.
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 / installation
will be done in compliance with manufacturer and Electric code requirements.
~('/ m J0JuJ~
(Print Name)
I ( ~ /0'7
(Date)
07/07