HomeMy WebLinkAbout0127791-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 336 W 9TH AVE
CITY OF OSHKOSH
No
127791
HV AC PERMIT - APPLICATION AND RECORD
Owner JAMES F/SHARON KIECKHAFER
Create Date 11/09/2007
Contractor A-1 HEATING & AlC INC Category ~qQ-=-B~sidential:Heating_~-'y~~g___ Plan~__________
Fuel ~ Ga~___~ ITQ!~=-=~ O~~~ctric==J O_~olaL_____:=J D=~oli~__:::]
System DJ'-I~",,---__________~_J I:?:U~_e2lCl<::~____. ______J 0_ Other _ ------ -- -
OForced Air 1 [IRadiant I D~~~=-=n--I [I,Ajc-====:J D~~e_~I=~~n'
U Electric I [?I Hot Water J ~~~_J IT~ner I
Chimney Type . Chimney A ~ Chimney B=n~~ISZ~-=~Q~Efllicable ___]
Heat loss (lAsApprove~_. Existing __________Q__NotAf?J?licabJE.l..____=:J Value _.________
BTU Rate .As--perPiari~~=O Vari~~_____-==--=O_Other -==-===:==-=---j Value __________________
Use/Nature [SFR I-Replace boiler~V provided by Bell ETectric~---~--n--~----------~-------n--
of Work i
!
Fees: Valuation
$3,854.00
n~!)~ -
Plan Approval
$0.00
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Permit Fee Paid
$68.50
~_._~.__~._._ n_.._'__
Issued By:
Date 11/13/2007
o Permit Voided.J
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Parcelld # 0903120000
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
W8078 HILLCREST CT
HORTONVILLE
WI 54944 - 0
Telephone Number 920-779-8838
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 riot performed within two business days from the time the project is ready.
,.,..... .
....',..... .,......'. :.. .....
City of Oshkosh
Division ofInspection Servi es
P,O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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ON THF. WATER
HVAC PERMIT APPLICATION
All information after bold categories must be pTovided.
Incomplete applications will not be processed.
. Application(s) and fe (s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 549<>3. 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, w ich ever is greater.
OR
CHECK mALL APP
USE...cATEGORY
~ngle Family
1
DATE
JOB ADDRESS_~~
OWNER 3ft:1R-
CONTRACTOR. .
M q'Hi
K~/('4-;E
A-I Beeding & AIC
lIortoarille, W154H4
Cfl..o-" q- ig3g
DMulti-Family
DRental
OCommercial
Olndustrial
FUEL
OOas
DOil
OElectric DSolid
o Solar
SYSTEM
DNew
DOther
BReplace
TYPE
DForced Air ORadiant Steam DAle OVent DElcctric rnttOtWater DSupp1.0Con. Burner
IS CHIMNEY "BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall sized per the BTU's being vented,
& MANUFACfURER
cmMNEY TYPE
BEAT LOSS
BTU RATE
. OChimney A
OAs App,roved
~ Per Plan
DChinmey B
Gi!Xisting
OVariable
DDirect Vent OOther Pre
DNot App1lcable
DOther Value
r
DESCRIPTION OF L WORK BEING DONE
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---ffU::::: I rr"'" uro L-Io::: I - r~LeSS
V ALUE (Including lab r and all materials induding light fixtures) $ 3 t .5V. IJ 0
~~so
ELECTRICAL CON RACTOR fl:, ~ (
OR 0 EI~rlc Installation Verlficatlon form attacbed(lf Rqllllcemenl)
~rrlcnl ;n.stal/aI/!Hl oj newlrepitlcemem equipment shat! be done by licensed ct1111roclors
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11/09/2007 P~I 10118 F 920 733 2713 WATTERS PLUMBING
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Electric Installation Verification
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(Electrical Contractor Name)
..._..../!.:. ~._...fu1~-L $ ,_....-.11J~l1ll~h5...
(Addre& ) (City)
hilVC been cnalrn leel to perform electric imuaUlltiotl Wl)rk fur. A-I tI~,rJr.['J rI' ~L~I
(Name nf party contractl:d to)
3~cb IrJ ~ cq'f:b M~ 6S" k.dS"-.
'(Address. where work w~U be perfonn~d)
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--- (SUlt';j"---(Zip Code}
al the following' dress:
. 'fllc nature orthc work consist!> or: (Cheek One or Dcscribcthe Nature of Wcrk)
_..l/"Rcc nncelion or I\ew circuit tor replncemenl Heatins Phmt and/'Of Ale Condenser.
Rec nncction or DCW circuit for replacement Etc~trlc Water Heater or power vented
al er heater. :
Rec nn ecHon of the S~rvic~ Entrance Cable. Mi.ter Bo". zl\crnUon,.", t<l recep~1c)8
nd lighting fixtures- due to llidtng I soffit install"'ton. Note: New SCl"l'icc
':ntra"cc Cables witl require a separate permh.
Rc nllcctiOJl or new clrc\lit for the repJacaTleJlliof other pcrm.anently wired
pplitulces I1iKturus. ;
:'-Jt~ circ'lit for th~ l1ddi\iol\ of Ale 10 on ftldfvlcJ~tJl dwelling unit (house or the
,l\dividUi:ll systet1l~ in u ~\\P lex or Coudoltllnium). including required 8crvi~
'Icctricc,t olltletH, i
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The V:\l!lc ur,hi work is $,..
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I herl.:by vC'rify \ 'i~ worl< ~iU he 1)(:rfonl1~.d hy an employee Jrthis ct'tmpany and further verify
lh~ I't'Cl)lll\Ct'tl(H I mSll\nl1tlOll wiU be dom: in compliance with manufacturer nnd Eleclric code
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(1'1;111 Name orOfficer) (Dnle)
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