HomeMy WebLinkAbout0127792-HVAC (boiler)
o
OSHKOSH
ON THE WATER
Job Address 352 W 15TH AVE
CITY OF OSHKOSH
No
127792
HV AC PERMIT - APPLICATION AND RECORD
Owner NANCY J MEYER
Create Date 11/09/2007
Contractor
A-1 HEATING & AlC INC
Category 5_0~_:-"3E:lsld~ntial:I-iE3~~n.g&.\I~~~atir:tg___ _
Plan
O. ~~~~~t_~~J
0-ROf\.l\later--.J
[I=Ele:~Ir:i~::_:=J
0_.~~plCl.c~_._.____ _. n._ .J
D.~~~r:!1._~~-=-=J
O=~2pL._- __=:]
D-=~~C-
i
__.._----.J
en SoIT~_.-=:
Fuel
~s---=== D=9~___=_~==J
O_~e~____.~~___~.J
Other
System
ITF~~~~A1r-J
IT~I~~tIiE.__-=:J
U_~C=====:J
ITg~::~ur.~:~~J
D~'!.ent ===~:
Chimney Type -=g~~:==_...D C~i~~--=--=-==JJ Di~~t Vent==:=__DNOtAPPITcab1e-:=J
Heat Loss rrC\.s..f\pprov~L__._=_._Existing__.==== O~t'Jot.~plicabTe_~--.J Value
BTU Rate I[)~~=-Per Plan===-=-=-=--DVariable ==.=====-IE:j!ber =======:=J Value
Use/Nature \SFR I Replace boiler. EIV provided by Bell Electric:------~-_._.-.--~--.~---------.--.-..-~-~-.---_.._n__~.__._.,_
of Work I
L.
i
I
!
.__._~____.________~__ J
Fees: Valuation _~~54.0Q
~
Plan Approval ___._~ SOJ)Q
Permit Fee Paid $68.50
_._---~-_.._-------_._,-
Issued By:
Date 11/13/2007
D Permit Voided i
_u._ .._____._ _.__~__J
Parcelld # 0904500000
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 not performed within two business days from the time the project is ready.
.... .', .....'-.'...
":,'" .
........,....:
':.t':;: .'
City of Oshkosh
Division ofIrlSl'ection Servi es
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.~..'."'..-....,
,,~.
~
OltKOJH
O~ TI-IE wATER
HVAC PERMIT APPUCATION
All infonnation after bold categories must be provided.
Incomplete applications will not be processed..
J
(s) can be brought to City Hall. ROOM 205 or mailed to lnspection Services. PO Box 1128,
Oshkosh WI 54903- 128. Connnencing work wit bout permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, W ich ever is greater.
OR
DATE
~
OWNER
CONTRACTOR .
A-I HeatiIIg & Ale
~ Wl54H4
q1..o-", Cf - tJ g 38
CHECK m ALLAPP
U&E CATEGORY
0Single Family
OMulti-Family
DRental
OCommercial
o Industrial
FUEL
~s
DOi.l
DElectric DSolid
o Solar
SYSTEM
ONew
o Other
~ePlace
TYPE .'
OForced Air DRadiant aSteam DAle OVent OElectric lBtf'ot Water OSuppl.DCon. Bumer
IS CHIMNEY BEIN LINED ~o DYes - LINER SIZE ;& MANUFACTURER
Note: All chimneys shall sized per the BTU's being vented.
cmMNEY TYPE
HEAT LOSS
BTU RATE
- I3Chinmey A
DAs AppJ'Oved
bl1'\.s Per Plan
OChinmey B
@Existing
OVariable
DDirect Vent aOther ?>VC
ONot Applicable
DOther Value
DESCRIPTION OF . L WORK BEING DONE
.:JNs TA--L- L h.e; Jep
(bEAt g.>
VALUE (Including la r and all materials including light fixtures) $ 3 g 51..f
g.j{)~ ~
ELECTRICAL CON
Ql! 0 Electric Installation Verification form attached(lf Replacement)
Electrical his/alia/foil 0/ newlreplncemeJlt equipMe1lJ snnll be done by Jicermm con/melD
~-tJ V i=J=
'-fo 7 c;
3/0
p'd
SOSSSLL02S1 LIa~o~ ~I~ a~~ 8~IL~3H l~
Wd81:S L002 80 ^O~
11/09/2007 FR1 .101 19 FA 920 7332713 W~TBRS PLUMBING
!ilJOU/OOB
~
r'i7i:~7)7rj
~L
('.Iy (J~"h,,1i
l\i~t! l\ nfl "'1lC"I"11l $er""f '"
111 .~rh A~n..
fl"~ I ml
\).h~ hWl ~fQ\')..1 \~f)'
Om< ~n.:2)o')O)O
I'u n.He,~OM4
Electric Installation Verification
I (We) "_" ,_,,_ _(.i.h ....._..P.J.!.!:i.r.i=--~._.....-
(r~\eclriclll Contractor 'Nome)
--.-..---
~,." JY1~1:-
--------..-
(State) (Zip Code)
llave bct:11 Clll\tra ed 10 perform electric instuUatiol1 work fer A-I. He~.rJ.(.l,-> rI' .!!fL-.
(Name ofporty eontrncted to)
~..t?'~ft.__l1l' 1$"~ ME. oS 1f{-<D~I+
(A..ddresB wbett work 'Win b~perfonned)
..._ ,...f:.. "_"_'~ Q.l5..__I/.i.....
(Addre~
/1t~~~~~
(City)
'111\~ nal\lf!: of the ork consisls of: (Check One or Describe the Nature of Work)
.....~c nncclion or new circuil for repJncemenl Heating Plant altd/or NC Condenser.
Rec nnect)on ()r new c.ircuit [Ot replacement Ere~tric Water Healcror power vented
alcr hei\tcr.
Rec nnection of the Service Entrance Cable. Me~er }Jax, alt~ffttiC\l$ '0 recllpt~\oa
no lighting fixt\1res due to ~\dins I soffit imlalla',on. N()t~: New Sel'\fl~e
'ntrancc: Gables will require a sepnrntc permit. .
Rc.c JU' cl:tion Of new circuit for lh~ Tep'ac~ment ~of other pennanen(ly wiled
ppHWlces I fix lurcs , I.
:'-h: ci1"cuil ror th~ addition of Ale to i:m ;J1dtvtrl~ut dwellillg unit (hcusc or the
mHviduCJI syslems in a. duplex or condominiUm), int\udin~ required ael'\'ice
'!cclrict'\ ollUety. i
01 r I
!
.~..~-----~..__..._...----.__......-.-
""'""-:.'- ...-.... .__._._~..--
,_.
Th~ \-:\Iuc I.,r \hi work is $...
..------I
\ hcrt:hy verif'r 1 is, work ~i 11 ne l.erfonned I)'Y an employee ~fthls company and fu",her verify
Ih\aCCl)llIh~~IIOI I H1s\i\lla'l~n will be doJ1C i~ complilU\~c with manuraemrcr and Electric code
n.:tHIl rCIIH'IIIl'. I
i
.
".~
.
.' ",d
(..I);ttlill11 rL' or
.~~J..._
'om\),II\Y Offtc:c:rl
_~~.L~
(Print Name Qr Officer)
_Lt. (r--CY7
(DI\\e)
~v.b- YO'l1 /+fJ\/o
~n
",,'d
~ p.
nF;!'lRU.n7-Rl 11nlJn~ >-Ill-I m.IH m.Jl1H':\H tH
Wr\::! t Hl J.nn7. Rn 1\01.1
v'd
SOSSSLLOZSl lIaNO~ ~I~ aN~ ~NIl~3H l~ W~Ev:ll LOOZ so ^ON