HomeMy WebLinkAbout0127708-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 917 CENTRAL ST
CITY OF OSHKOSH
No
127708
HV AC PERMIT - APPLICATION AND RECORD
Owner SUSAN PRICKETTE
Create Date 10/29/2007
Category 500 - Residential-Heating & Ventilating
Plan
Contractor AIR TECH HEATING INC
ITSolar=:=:=J
u_ ~_o_lid ~~=-]
Fuel
-l
ffilectric __J
o Replace_~
U Radiant ] US1eam=:=J [JA7C--- l
~Water J U~~__J ~:_~
() Chimney B__~c_~~____~lAp-plicable
C) Existing __ Not ApJ)licabl~______~
_---.--D Variable __Other -==~===J
Other
System
lti Gas
D New
U Forced Air
U Electric
Chimney Type KJ Chimney A
00'1 ~
_~__.J
0----1
__Yen~___1
BTU Rate
rr:-~s Approved
~ Per Plan
Value
Heat Loss
Value
-------------------------1
Use/Nature SFR / Replace boiler. EIV provided by Manthey Electric.
of Work
!
i
___ ________________________________ ______ _____ ______________.1
Fees: Valuation
$5,100.00
-7f;;i;o-
Plan Approval
~______ $0.02
Permit Fee Paid
__________.!~.50
Date 11/07/2007
Issued By:
D_,=-~~ Vo~ded I
Parcelld # 1006980000
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
WI 54937 - 2208 Telephone Number
-~--
920-924-6742
Address
1305A INDUSTRIAL PKWY
FOND DU LAC
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.
Ci!}"of~
Dm~m~~
P.O. Box 1130
~ w-l: 549Q3-U3Q
Phone (920) 236-5050
m (920) 2...~5684
HVAC PERilIIT APPLICATION
An ~-ion ~~ bold ~Olies must be proV-:...ded..
~mp1ete app~ t\'ill not be pr~
~
~
Q ~L-.V;F\ r I
. vI S,-UJH
ON T",.,;:; WAlE!/:
@ P.~ll~m(s} md fee(S) can be ~ to City Hall" ~ 205 or mailed to Inspection Services~ PO Be]!; 1128,
tflhkfflh WI 54903-1128. Comm.encing work ~'ithout peuuil{s} Will ~ il;l fees bcii:.g C>()'Jhled or $100.00 plus ti
normal permit fee~ 'Winch e-;r'"er is grea~.
lOR
If vau are a ccm:t7G.ctor 'D€i.rt:icip'UinF in the Rermi~ fee Account Svstem and have Qtlequate funds. check he.
if yOU waRt this p7oc~ssec! thrQ,usrk f;07Lr acco~at n' .
DA.i~
10-(7.07
JOBADDUSS q 11 ~ -...JC
ow~-:ER CJ.Li/U/lb....J '7'{ ~
CO:N""f.P...AC1'OR L1..1 ~ ~
c~CK Elf /4:i ,1. Al"PLICABl.,:
u-sE.CA1:'EC"'-ORY
~IDgle Family DDupiex
~
~.g _a~ r- ~..._
~~~i=;;!~-.tt~ury
~;;.2l
O~uU
OIndustrial
i<UEL
~~
OO=J
Onlectric OSolid
OSolar
SYST.EM
0Ne-w
OOfuer
DReplace
TYPE
OF~ Air 0Radiant OS~ PAte crVent OEectric ~ot w~ OSuppU:1Cun- 8'~ner
IS~y!{BEINGI~-:ED~QWYes -LINiiRStl~
N~: An "~,T;;) shall be sized pe.t'~ B:'TIPs ~ ~
& M.~~'1JFACllj""RER
t;H ~ Ml'in- ':f"YFJ!.;
HEAT LOSS
B.nJ R-\T.E
r"'?r<s - '.
~-...;mmney a
o..t\s A....~vved
UA..s p~ F.!2n
OG.;a'l;E'y 13
w&i~~g
OVariable
U.L.~ect Vmt uOfue,r
ONot ..~fi.::abie
i'JOft..er Value
DES(;RL-rp-nON OF AI~!. WOlU{ Bii:~~G OOl''E
~~
co. .~t.iU..J
,
OCT 29 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
VALli!; ~~ alidaD ~~~Dg!rt ih..t~) $ SI 60.00
~~.lC(;.UdCALCO~~croR
OR O~~~~V~~~krm~lf~~)
7};;r,3azl ~~if~~ e>:iJ<iy~ $b.5lIbed!;r;;.el;tylicet;sed~
e
Od, 30. 2007 7: 26AM
inspection se) ices
No,5875 P. 2
~
~078
UN HI \lr.tArr.
c~ of' O!hktJslJ
OM:ftoli oflll"'p~Oli,)D l'J...i",="
21S CDwdl "~.II'"
t'O Do,," I UO
O~~l WI 54~.IIJQ
Offi.:a 020.23<1-5050
I~~. nO-Z36-501l4
Electric Installation Verification
I (We) \\Y\ '\1 \U\ \~ ~ ~ &.. ~ ~ c.. "' 'f-(\ '- \ IU,-.
(Electrical Contmctor Name 01' Homeowner's Name)
6 ~ . ~~~j\) .M \C\~ ~ \ fl\ F- fl L- Gv I
(Address) (City) (State)
.---
S 4QS0
(Zip Code)
accept the responsibility to perform. the electric work as stated below, at the following address:
q,? C~ ru \G<..~ \..... 'S, T.
(Address where work. wiU.be performed)
Th~ nature ofilie work consist:; of: (Check One OT DeGcribe the Na:rure of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reeonnecnon or new circuit for replacement Elcctric Water Heater or pow;r vented
water heater.
Reconneotion ofthe Service Entrance Cable, Meter Box, altt:rations to receptacles
and lighting fix-cures due to siding / soffit installation- Note: New S~rvice
Entranoe Cables 'Will require 3 separ.Lte permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances I fIxtures.
New circuit for the addition Of Ale to ac.tndlvidu,zl dwelling unit, including
required service electrio~l outlets. Note: Homeowners can only do their own
electric on a single family owner occUpJed hOme. Work on a condominluln,
duplex, rental, or multi-use bllilding would require a li~ensed Electrical
Contractol'_
Other
..... qt;J.
The value of this work is $ I!.J 0
I hereby verify this work will be performed \n compliance with the Ucense requirements of
Section 11.:.22 of the Of::nkosb Municipal code and further verify the reconnection I installation .
will be done in compliance with manufacturer and Electric code requirements.
~~'" ~M ~\\)\.'A ~ '\
(Print Nun\';)
1(-)-0'(
- (Date)
Cl1ro.,
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