HomeMy WebLinkAbout2007-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 1114 WASHINGTON AVE
CITY OF OSHKOSH
No
127972
HV AC PERMIT - APPLICATION AND RECORD
Owner ROBERT A1HARRIET H BREEST
Create Date 11/28/2007
Contractor
CONDON TOTAL COMFORT
Category 599- ..R~siden~aL-H~~tillg.~. Y~Il!~~tillg
Plan
Fuel
IT{3~~~~~=_J
D.9~_~=.=_-
IT~I~ctric
o ReFlace ___________J
IT~oraT= ... ......1
D .~foli1==
___n____m_J
System
New
Other
1T___-ForCEJdAF_=.J1 0_.-. Radiant -._=-1 ~ - ITI ~ ,
l-J. __ bJ_~.t..~~~=._J bJ~c-===---=-J LJ Ven~.==1
ITElectric ---.-J ~~~~ U_.?~~J U ConJ[urnerJ
Chimney Type D..:::g}lf~--====-IJ::QfiTmney~_~==:~-O [)ire.c!Y~Il.L_-=--_ . Not .t\EElfS:~~e ---=:J
Heat loss D_~~~e.!:2~..cL_.:.__:O=~:::'==-_======:::'_.I[Ji()!.~0?~c~L~====::::'] Value ___.__.___.____
BTU Rate O_As Per Plan .iJ...'{~i~ble_==~=====.:~Qlli~r-.=====~==~=:J Value 5.7..-:~_?~,000
UselNature rFRTREPLACE G-AS BOilER, EI\7STGNEDBYWlfZKE-ELECfRfC'*check.#183j~f
of Work
I
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Fees: Valuation $14,300.00
~~A:----------
Issued By: () r r \27
Plan Approval
$0.00
Permit Fee Paid _________ $2Q.3.:9Q
Date 11/28/2007
Permit Voided
Parcelld # 1100410000
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
PO BOX 184
RIPON
WI 54971 -184 Telephone Number 920-748-5050
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
ON THE WATER
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor varticipating in the Permit fee Account System and have adequate funds. check here
if you want this vrocessed throuzh your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE
1\- \q-Ol
JOB ADDRESS l \ \L\ wQsh\n31urL A \Ie
OWNER hDDert Br-ees"l
CONTRACTOR Cord OrL TOTA L to\"llForts IN c..
CHECK 0" ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
LfiCommercial
DIndustrial
FUEL
~Gas
DOil
DElectric DSolid
DSo1ar
SYSTEM
DNew
DOther
ls(Replace
TYPE
DForced Air DRadiant DSteam DAlC DVent DElectric ~ot Water DSuppL DCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChirnney A DChirnney B DDirect Vent DOther
HEAT LOSS DAs Approved DExisting DNot Applicable T2+L, ir,
BTU RATE DAs Per Plan DVariab1e 'KlOther Value 51 - Z. '=6 5 I 000 D \ d L
DESCRIPTION I SCOPE OF ALL WORK BEING DONE Loc..\'i\vor kf'\\~\-\t seQ\ecl
0JJYY\DXv~S\i 00- \y\()Q\..Al'\1\~ jOS bD\ leY.
VALUE (Including labor and materials) $ \ L\ /"300,()O
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
W'-Lz-\<e E- \ e~+r\ c.
07/07
NOV. 26.2007
8:37AM
WITZKE ELECTRIC
NO. 726 P.2/2
FlNfe tJ. ...
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<( .' tjo A'"
~
LrlH<QIH
Il'l 1"11 ""Ari~
Cilf elf OshJco,1I
OIl1lsfCln elrIll$pl!tti'all $eM;el;
215 ChlD'Cb AVt!llIll!
PO Bo~ 1130
Oslllco,h WI 54903.1%30
Omce !l20-2~6-S0SQ
Fall 920-Z36..50114
fj
Electric Installation Verification
I(We)~~6 stedriG Inc-
(Electrical Contractor Name)
l55 E. rpack.er AVet)Lt~ Qshk..oSh WI. 5'+90 (
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work far -3.~ 4 IIi2 If ~ ~~ ~e ~
(Name afparty contracted to)
at the following address: II/I.(' \J 'l ~ l ~ I\. ~~.. "" -1l.0 f..
. (Address where wo will be perfonned)
The nature of the work consists of: (~heck One or Describe the Nature of Work)
~econnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new oircuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable! Meter Box, alterations ta receptacles
and lighting fixtures due to siding J soffit ipstallation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling unit (hause or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $
IcSo
r-
I hereby verify this work will be perfonned by an employee afthis company ::'..::1 further .. ..ify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
~~~ CSJ.O~
(Signature of Company Officer)
/.' M. (:) \ '\:-
(print Name of Officer)
, II-a'..() 7
(Date)
5102