HomeMy WebLinkAbout0127827-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 513 W 9TH AVE
CITY OF OSHKOSH
No
127827
HV AC PERMIT - APPLICATION AND RECORD
Owner DUO SAFETY LADDER CORP
Create Date 11/14/2007
Contractor
MCM AIR INC
Fuel
[~[(3~s~===J
UNew ____J
U Forced Air I
~~lect~=:J
ITChlmney A
D_~m=~===~J
Category !i_'L0-lI1cJ"-~~(lrn_~::Ij_eiltlng_B._\,f~n~ICl_til1_9n.
DJ~c1ri~-_-: -] D=S~ar- -::~_~:J
Plan
O-Sofid------i
---.----.--..---.-....- ,
System
0.~p.!.a_c~_____.___ O_Other~_____ _J
[IRadiant-J Dsteai1l=:] CI~_~=:J [IVent ~
l!J Hot WateO D~::::::::::J US~urner I
() Chimney B ---- ~!..'{ent____~"llot ~plicable _-==J
Chimney Type
Heat Loss
0_ As Approved
rr As Per Plan
Value
.---0_ Existing ____u___.___ ._~(lt~PBIi~~I~==:]
ovariable .------~.-6th~==~-.::=:==]
Value
BTU Rate
Use/Nature pOMM /Install Burnham PVG3 boiler. EIV provided by Seckar ElecliiC-:------------------------
of Work i
j
I
I
i
l___
Fees: Valuation _____n___--.!2,500:.Q.Q
Issued By: c2/77t4
Plan Approval $0.00
Permit Fee Paid
$47.50
u__ ________._____._
Date 11/14/2007
o ~:rm i~Y_oid..:9j
Parcelld # 1300010000
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
6122 COUNTY ROAD M
WINNECONNE WI 54986 - 9780 Telephone Number
920-582-4402
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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.DivisioD o!lDspection Services
'P.O. Box 1130
Oshkosh. WI 54903.1130
Pbooc(920)236-S0S0
Fax (920) 236-5084
~
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HVAC PERMIT APPLICATION
An wormatioD after bold catelorics 1XWt be provided.
.lDcomplete app1icatiODS.wUl DOt be PfOCessed.
· Application(s) and fcc(s) can be brought to City Hall. Room 20Sormailcd to lnspcction Services. PO Box 1128.
Oshkosh WI 54903.1128, Commencinlworkwithoutpennit(s) will result in fees being doubled or S100.00 pI\!!
nonnal permit fcc, which ever is greater.
OR
~~ :::~1:,,~ t~~;t;~:;::~~~r:~~?IIQ:~":I)~1' t::e=::"f:~u ,Ut~II"t SV!'fHPI and nav#! ad.eouate (u"dJ check I
DATE \ \- \~ -0")
JOB ADDRESS 5 \ 3 W. C1-\-hA V e.
OWNER \)\>0 SA~€T'1 L\\:-QO~~
CONTRACTOR H::H AIR, INC. 6122 ~ ROADM; WINNECONm:, WI 54986
~~l-4402 FAX 582-0136
CHECK It! ALL APPLICABLE
nSE CATEGORY
I "S' 1 F 'I
i; ."" mg e arm y
"
ODuplex
OMulti.Family
ORental
~Commercial
DIndustriaJ
FUEL
&tGas
DOil
DE!ectric DSolid
DSolar
SYSTEM
ONew
OOther
i2(.lteplaee
TYPE. . mu
OForced Ai! DRadiant DStcarn DAlC DVent OElcc:tric ~.ot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED DNo DYes . LINER. SIZE
Note: All chimneys shan be sized per.the Bro", beiDa vemcd..
& MANUFACT'URER
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChimney A
DAs Approvcd
DAs Per Plan
CCbimncy B
OExistina
OVariab1c
CDircc:t V cnt COther
DNot Applic:able
OOther Value
--
DESCRIPTION OF ALL WORK BEING DONE e)\)P.N\.\i\~ P\fG 3 W"\ Lt:.,~
70 I C:I2D - 100 I ceo e:" D
VALUE (IDcludlni: labor and all materlals'lodudlDI1 Ul1ht f1:ltures) S 'JJ:XX/~o .
. ~ ~ 9- \..\(.50
. ELECTRICAl CONTRACTOR SEu.t\:~ ....)(E1ectrIclutalladOD VerUkadoD rOnDanacbcd(1fk~
~ IluUllJ.,lOIC o/~~ Wall b.__by/ac.u-
REC I
NOV 1 4 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISTON
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REC I
NOV 1 4 2007
DEPARTr"1ENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION