HomeMy WebLinkAbout0132765-HVAC (2 boilers)OSHKOSH
ON THE WATER
Job Address 120 122 STONEY BEACH RD
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner JACK L DARLAND
No 132765
Create Date 09/09!2008
Contractor O'NEILL ENTERPRISES INC Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar ~I ^ Solid 1
System ^ New ~ ^/ Replace ~ Other
Forced Air Radiant Steam A/C Vent
Electric / Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature Duplex /Replace boilers for both units. Boilers are plug-in, no electrical work. **debit acct
of Work
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I
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Fees: Valuation $5,700.00 Plan Approval $0.00 Permit Fee Paid
Issued By
^ Permit Voided
_$95.50
Date 09/09/2008
Parcel Id # 1414740000
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
Address 522 W 6TH AVE
Agent/Owner
OSHKOSH
WI 54902 - 5916 Telephone Number 230-2007 (office)
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 of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC 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 narticinatinQ in the Permit fee Account Svstem and have adeauate funds. check here
if you want this processed through vour account
** 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.
O.IHKO~
ON THE WATER
DATE ~ ~ ~~
USE CATEGORY
^Single Family Q~Huplex ^Multi-Family ^Rental
^Commercial
^ Industrial
FUEL l~lGas ^Electric ^Solid SYSTEM
^Oil ^Solar
TYPE
^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric
^New
^Other
~eplace
L~Iot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
VALUE (Including labor and materials) $_ ~~~ ~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~~o~
CHECK ®ALL APPLICABLE
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value