HomeMy WebLinkAbout0133612-HVAC (boiler) CITY OF OSHKOSH No 133612
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 930 MALLARD AVE Owner CLARITY CARE INC Create Date 10/21!2008
Contractor CONDON TOTAL COMFORT Category 510 -Ind. &Comm-Heating & Ventilating Plan
Fuel / Gas Oil _Electric Solar r Solid
System ~ New ~ Replace ~ ~ Other
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 150,000
UseMature
of Work
Fees:
Issued By:
Permit Voided
In the performance of this work, 1 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
Address PO BOX 184
Agent/Owner
Date 10!21/2008
Parcel Id # 1522850100
Date
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.
OMM (Clarity Care) /REPLACE BOILER (1 boiler for whole building}, EIV SIGNED BY COMINGS ELECTRIC '"'check #18715
100.00 Plan Approval $0.00 Permit Fee Paid $56.50
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI54903-1130
Phone (920)236-5050
Fax (920)236-5084
RE~~p
~~T 6 208
DEPh~ZTMEN~~" iJF
COMMUNITY l7EVELOi'MENT
INSPECTION SERVICES DIVISION
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
DATE `~ ~- Z -~
• 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
** 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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
JOB ADDRESS q 3 ~ M CZI 1 Q~rC~. Cjt
OWNER CI G~YI
CONTRACTOR l_~.)~ (~Ti~L ~i31'Y1~~r~, II~C
CHECK 0 ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental
FUEL ~aS ^Electric ^Solid SYSTEM
^Oil ^Solar
TYPE
^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric
^Commercial
^New
^Other
~K~f H
ON THE WATER
^Industrial
replace
^Hot 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.
CHIMNEY TYPE ^Chimney A ^Chimney B
HEAT LOSS DAs Approved ^Existing
BTU RATE DAs Per Plan ^Variable
ON /SCOPE OF ALL WORK BEING DONE_
~tC~ ~i~~11Li>'lL 13~i lei CXE-
s
VALUE (Including labor and materials) $ ~ I ~iQ ~~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) C~'(`(~m ~ ~ s ~ IeC.' I -' I
^Direct Vent ^Other
^Not Applicable .
~OtherValue IS(~,LC~Li T3-~a~r-~
o~/o~
COMINGS ELECTRIC, ING.
OCT-02-08 pi :85 PAIi COWDON TOTAL CoMFURr
y~H, l~' j~k~ ~•7Y~ ~~~~tit ~Qh ~$'Yf ~~r
c:, ara~.u
~v~•tty~sliorl~.tiia
sss o:~ bm.
re ss u~~
o+~-+rrt s~s~r:.:o
e~ o-~
920-722-0769
S'Ltl f ~t tl.7 ~OOW
:~~cctric ~nstaltatiao Yer~fiattion
~ ~w~~_ Curnm~C1G, ~1~-~r;
~ (EtectricalC~
~~ lid ~'n ~~ ~
5~F R.~`t
~naaress~ (CriY) 'TEa~) (~ ~}
ii~vatxta comtractad topafinm r3ei:tric iAet~tion wodc fof ~ IO -~ S~'1-~.QS~
~¢~ cct~rs-ded to)
n ~ ~ 4 3 ~ MA 14 S~ _ 0~,!(~, ~~3co ~1 e.Y ytie ~ ln~;~,j
(,4ri~ wbaze•vork+~ bo perforasod)
't'be aatr~te of the wpodc Gortsis~ o~ (Chsck ~aa ~ Dew t2~c t+iett:te of Vt~otlc)
Qxort~IJou er aovr circuit far ceplacemtnt Heetingl7~t ~dtar Ar'C Cea`rd;:s7.ta•
Rawnnection nr acvr eitatiit ibr tmpSesemeat Electric Wslcr Heeta nr power vaatcd
wetar baatc.
.,-... Recann~tioa of the Sa~ee F.ptraorx Crb~ M~ Bo+c, altoratiocs to rocepiactea
trsd ii~,g fs~rttu+oa dne tra ridiag / eofEt iaetollatsatz Nate; Now 3aiviao
~stranoc Cablas trill rzgvi.oc s icpe~tc petaut.
Aereautectiam ar acrr circuit for ~orcpLc~aerrt ofother permaaant;ywited
~PEincee / fncnuCt,
_~ Nsvr circuit for the edidetio~ of NC to as Mdiwt~Jud dtivellt-~ rmit (haeie tutba
ittdividuSl, ryatems Ic a duptac or condominiuraj, i~tucliilg requited warvi~
elatti~t putlatr.
` OtEur
.•
..,
?!te veluc otth3s work ii S ~'..~° ~
t hrx+rby va'sfy ttw work wit! ¢e peifamocd t*y 4a cmp~oyee of the coorprrr~y and FuctlKr verify
tike reoorsrootioa ~ metailetiv» .rill bs donc is catnpy~ee witt~t ~rnufactvrer ~d F~ect;lc code
requicexn~tata.
~attiae , F ,ter) (Fdnt!'rrttae'otDfficer} )
3+r~
p.3
r ~ V Y
«;~ ~ '. ,
OCT 6 2008 .
DE~,~~.~l~lEiV~{~ OE
COMMUNITY DEVEI._G~f~1ENT
INSPECTI01`~ SERVICES Dad%ISION