HomeMy WebLinkAbout0133125-HVAC (boiler)/~ CITY OF OSHKOSH No 133125
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 840 GROVE ST Owner TIMOTHY A FUHRMANN Create Date 09/25/2008
Contractor BETTER HOME HEATING & AIR CONDII Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ^/ Replace ~ ^ Other
Forced Air Radiant Steam A/C Vent ~
Electric / Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature FR /Replace boiler. EIV signed by Seckar Electric.
of Work
i
Fees: Valuation $3,400.00 Plan Approval $0.00 Permit Fee Paid $61.00
__
Issued By: 1 //~If l Date 09/25!2008
^ Permit Voided
Parcelld # 1104960000
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/0wner
Address 1054 AMERICAN DR NEENAH WI 54956 -1305 Telephone Number 920-733-2161
To schedule inspections please call the Inspection Request line at 238-5128 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.
~1HKOlH
ON THE WATER
• 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
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1~
CHECK 0 ALL APPLICABLE
US ATEGORY
Ingle Family ^Duplex ^Multi-Family ^Rental
FUEL as ^Electric ^Solid SYSTEM
^Oil ^Solar
TYPE
^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric
DATE ~- ~~-6~
VW
A':5" ~ "~
4~ ~
+4.r
~a~ - s~~4
^Commecinl ^Industrial
^New ^Replace
^ ther
of Water ^Suppl. ^Con. Burner
IS CHIIVIl~TEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
ELECTRICAL CONTRACTOR `XI/iJ',~,~
^ For applicable projects, an Electric Installation Verification form, signed by the Electrical
attached. If not attached or not applicable, a separate Electrical Permit is required.
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be
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DEPARTME
DEVELOPMENT
VALUE (Includ~~~O~~~l,~~~~ing light fixtures) ~,~ ~ • ~~ ^
09/25/2008 12:22 9207225866 CENTRAL TEMPERATURE PAGE 02
FRAM FAX N0. :9285824909 Apr. 14 2~9 06:DiAM P1
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