HomeMy WebLinkAbout0133556-HVAC (boiler) CITY OF OSHKOSH No 133556
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 242 W IRVING AVE Owner GOLD STAR INVESTMENTS LLC Create Date 10/17/2008
Contractor BETTER HOME HEATING & AIR CONDil Category 500 -Residential-Heating & Ventilating Plan
Fuel
/ Gas
~ Oil
Electric Solar _
Solid
System ^ New ~ ^/ Replace ~ ^ Other J
Forced Air Radiant Steam A/C Vent
Electric / Hot Water Suppl. ~ Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent __~-Not Applicable
Heat Loss As Approved Existing Not Applicable _ - ~ Value
BTU Rate As Per Plan Variable Other ___~ Value
Use/Nature
of Work
(1 boiler
Fees: Valuation $5,903.00 Plan Approval $0.00 Permit Fee Paid $100.00
Q M~
Issued By:
^ Permit Voided
Date 10/17/2008
Parcel Id # 1005080000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date _
Agent/Owner
Address 1054 AMERICAN DR
NEENAH WI 54956 -1305 Telephone Number 920-733-2161
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address. Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
.
City of Oshkosh '
Division of inspection Services ~~T 1 5 20~$ n
P.O. Box 1130 r
Oshkosh, WI 54903-1130
Phone (920) 236-5050 ~,r ~~ °"" ~~
Fax (920) 23b-5084 ~, °~NK
HVAC PERMIT APPL1CATlON
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
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CHECK Q ALL APPLICABLE
USA CATEGORY
DATE /a - !~ 4 ~
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Single Family ^Duplex ^Multi-Family ^Rental ^Comrnercial ^Indust~ial
FUEL 1~Gas ^Electric ^Solid SYSTEM ^New ^Replace
^Oil ^Solar ^Other
TYPE
C,~Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CI-TIlVVINEY BEING LINED ^No ^Yes -LINER SIZE & MANTJFACT'LTRER
Note: All chimneys shall be sized per the BTCT's being vented.
C1rIIMNEY 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 WORD BEING DONE 1Z~/~~ ~ . ~ U7 .r-. f/e~ ._
52rv s ~~ rAni~S
VALUE (Including labor and all materials including light fixtures) ~_ ~ ~ ~
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.
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10/15/2008 14:50 9207225866 CENTRAL TEMPERATURE PAGE 02
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