HomeMy WebLinkAbout2007-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 105 WASHINGTON AVE
CITY OF OSHKOSH
No
127921
HV AC PERMIT - APPLICATION AND RECORD
Owner ROBL PROPERTIES LLC
Create Date 11/16/2007
Contractor
GRP MECHANICAL INC
Category 510 - Ind. & Comm-Heating & Ventilating
Plan
Fuel ~ G?~__J U Oil ~.=:J U Electri~__J U_~olaC~ D~~jsJ.....,'~':J
System D_!'J~~_____J [?J_.~E'!P~ce _______.J Other
D J D l 1.7l.."'., '-Ste_-a,.,.._m,_-.......-_._-......J.l 0 D...........V..,..,e....._n.L..._.,'......,.........,
u,~~~~~~e~~~i!__. __~~~~Jan(__=:~~j ~_._..!YC=='.u,.l , _ .
D-=-E.f~~tjl~::::~~,::] O:~I:Wa!~r .:', ] D:~iipeT::::,"] D::gE:6~Bur6e.r.]
Chimney Type O:~hT~.n5liA~_::::='=a.:Q1i~.~y::?=:~-::.O::=l?Jr~ct-vent'-- - -. Not Applica'G'le ,"]
Heat Loss IT~~Re.roveC[=::==..:::D1~ting=.::====.:::.--.::Uot~P2.ITcabl~'::='::=.' Value _'_om. ____
BTU Rate a:~S]>erPIa-n --=---"'.lI-Variable-:,_=:=:===rrOt~er-.===~J Value
Use/Nature ;COMMTReplace low pressure steam boiler. EIV provided by Houle Electric~**DEBIT ACCT**.
of Work
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1__.
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Fees: Valuation $30,000.00
~ -----
Issued By: O"YYI ~
Plan Approval
$0.00
Permit Fee Paid $335.00
-_..~-~.._----
Date 11/23/2007
O_~ermit ~.?id~
Parcelld # 0200880000
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
730 HAWTHORNE DR
OMRO
WI 54963 - 0
Telephone Number 920-685-0990
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
f continue if the inspection is not performed within two business days from the time the project is ready.
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15 07 04:41p
Gregor~ R. Peters
2:~BPM :~spediCtn ser~',ces
920 685-5472
IV o. 011 't I. I
P .1
~ 0 v, 14. ~ 0 07
City ofOshkn:;h
Division of lll:ipecrior": Service~
P.O. Box 1I~.1)
Oshkosh. WI :i4903.l130
Phone (920) ~J6.505'i)
Fax (920) 2;i6-508~1
~
OJHKOfH
ON THF w^lr-~
HV Ar; PERMIT APPLICATION
All inform~ tion after bold categories musl be provided.
Incomplcu: applications will not be processed.
. ApplicHion(s) ~nd fee(s) car be brought t.) City Hall, Room 205 or mailed to Inspection Services, PO Box 1128.
Oshl,01;1\ WI ::;4903.1128. {~()Inrnencing 'Nork without pennit(s) will result in fees being doubled or $100.00 plus the
nom1al permit fc:e, which eV':'T is great~r.
01~
If VOll are.Cl f:onr:fI)cllJr parti :J;pati/7~ in she Permi
ifvQU WOI!l this ,,,..o(;~ssed th~rJu,?h VOKr ~ cormr
ft. Advisory _ }.'(l11~ applica"bte I ,rojects, an I:1ectrical Installation Verification (EIV) fonn. signed by the Electrical
Contrilldnlr or H:llneowDer (fin~ installations allowed to be pcrfonncd by the homeowner) must be sl1'bmittcd
with tine ]J1:rmit llJlplication. .~,pplicatio~; submitted without an EIV wbco. S11ch is required, wilt not be
pJ"ocessed :foJ" Permit IsSUaJlCf ,md will be returned for completion.
DATE \l\ \ >\ ()'\
vJ'~"7~'''''j~o.,- ~\~~
Jo14 AJnI'RESS... \0$ W('l'~\-.\""':,\." \'-....
OWNJE:R.. '. ';:Ie- Ko\:' \
CONTRJ~CTOl;1 Or\<..? \"'\E.C-.~ j\vJ\c....A--L. ::=-1\.1 c.-
CHECK li!! ALL APPLlCAB:"'E
USE CATEGOIRY
OSingleFamily ODuple X OMuHi-Family
o Rental
~ercial
OIndustrial
FUEL
~iis
00;[
DEbr;tric OSoli j
OSdar
SYSTEM
DNew
OOthcr
~lace
TYPE
OForced Air IJ.Radiant .tfSt6iD. ONC OVen! OE1ectric DHot Water DSuppl. oeon. Burner
IS CHIMNEY UEING LINED ~DYtS - LINER SIZE & MANUfACTURER
Note: A\1 (:himne;/:) shall be :li:l.Cd p~ the BTU': being vented.
CHIMN:[W TYPE OChimney A DChimney B ODirect Vent ~her
HEAT I,OSS DAs~"pproved DExisting '~ot Applicable (" - ,
BTU RATE OAs ?er Plan ;Wariable OOther Va.lue
DESCIUJ;JTION I SCOPE OF ALL WQItK BEING DONE
.---=,:5 ~ f? \ rA.cA. _ \ ~ (.D ? i' (' . <;. ~ '^ , e..... c:::..\. f-""-."^- "\<., C> , \ e, r
v ALUI: (hu:lu lling lllbor and mOiterials) $__.~ J 800
-~~
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ELECTRICAl. CONTRACTCIR (ror projc( ts not rtquizinJ: an EIV Form)
07/07
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tf j'S". 317,;L
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07 10:17a Gregor~ R. Peters
No v. 16. 20 C 7 8 : 17 {l.M ins p e cl ion se r vie e s
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N. : 'IN"
I (V~,'e)_.
920 685-5472
No. DiUj
p. 1
1'. I
C;ly "fO.hk, 'itl
()ivlsioo of 1: li.JlCCDOtl 5crv1CCi
215 Chut1;L, 4' ,\I.:IlUll
PO Box lllC
~h WI :l~19D3.113D
Otliec ?2D-< ",.SOjO
fa~ 920-23e ~l"4
Electric Installation Verification
Sc.<:~ \\-!....\.~ (\.u..kr.'~ i.....lC
(Electrical Contractor Name or Homeowner's Name)
D~ ~ l(:;-r~
(City)
. Co ?. 6'-\ _ S k ~ ."-
(Address)
RQ
l.J'C
(Stal~)
~Y;i 0 t
(Zip Code)
acc::pt the responsibility to perform the c1cctri~ w()rk as stated below, at the tbllowing address:
___--'05 ~VO~~'IV\Orh:I' ~ . W1 ' I . .~ Bvt~
~'css where work will be performed)
The nature oFthe work consists of: (Check One or Describe the Nature of Work)
~.
Reconnec :ion or new circuit Jor replacement Heating Plant and/or NC Condenser.
Reconnec ion or new (,ircuil for replacement Electric Water lIeater or power vented
water :teater.
R~(;onnec jon of the SI:rvice Entrance Cable, Meter Box, alterations to receptacles
and lif;hting fixturc:s due to siding / soffit installation. Note: New Service
Entr:u ce Cables will rel]uire a separate permit.
Reconnec ion or new drcuit for the replacement of other permanently wired
applia 'lees I Jix;tur<:s,
New eirel: it for the adtlition of NC to an individual cJr.1e.lling unit, including
reqtlin :,d service ell:ctrical outlets. Note: Homeowners can only do their own
electri:: on a single family owner occupied home. Work on a condominium.
duple): ,. rental, or r.rulli-use building would requira a licensed Elcr..'lricaf
Con/rl retOT.
Other
The value I)fthis work :s $ ::2 0'(> ~
I hereby Vl;:rify this wo; k will be pel formed in compliance wilh the License requirements of
See'don 11..22 of the o~ hkosh. Munbipal code and further veri!')' the reconnection I installation
wil} be dm:.e in compli'Ilce wilh marlufaCIUrer and Electric code requirements.
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(Print N:lIllC:)
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