HomeMy WebLinkAbout0133339-HVAC (boiler)OSHKOSH
ON THE WATER
Job Address 2026 MENOMINEE DR
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner RANDALL S SCHMIEDEL
No 133339
Create Date 10/07/2008
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 Chimney B Direct Vent Not Applicable j
Heat Loss As Approved Existing Not Applicable ~ Value
BTU Rate As Per Plan Variable Other Value
-__- - __
se/Nature FR /Replace gas boiler. EIV signed by Seckar Electric.
of Work
__ i
Fees: Valuation $14,996.00 Plan Approval $0.00 Permit Fee Paid
Issued By: G%~!'r~t/,~
Date 10/07/2008
^ Permit Voided ~ Parcel Id # 1511880100
In the pertormance 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 1054 AMERICAN DR NEENAH
WI 54956 -1305 Telephone Number 920-733-2161
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.
$210.00
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.
O.IHKOIH
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
J
OCT 2 2008
DEF'Ia~'.'~;v1~eiaT ;.~~-
COMM~IivITI` DE~.~F'.C::ri`~?ENT
INSPECTION SE~~~IC;v°=: i'::~''•,~'=SION
US~s'rCATEGORY
mgle Family ^Duplex ^Multi-Family ^Rental
^Commercial ^Indust~ial
FUEL l~as ^Electric ^Solid SYSTEM ^New ^Replace
^Oil ^Solar ^Other ,
1'~E
orced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHI1VIlVEY BEING LINED C7No OYes -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
DESCRIPTION OF ALL WORK BEING
VALUE (Including labor and all materials inclu 'ng light features) $ `~ ~'
ELECTRICAL CONTRACTOR
^ For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9!03
DATE ~ ~ D ~ o ~
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JOB ADDRESS ~I).~~ ,~Q~~n~,,`po
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CHECK Bl ALL APPLICABLE
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FAX N0. :9205824909 Apr. 27 2008 05:29AM P1
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