Loading...
HomeMy WebLinkAbout0133611-HVAC (boiler)CITY OF OSHKOSH No 133611 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2121 GROVE ST 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 ~ Solid System ^New _ ~ ^/ Replace ~ ^ Other ~orced 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 Use/Nature OMM (Clarity Care) /REPLACE BOILER (1 of Work Fees: Valuation $3,100.00 Plan Approval $0.00 Permit Fee Paid $56.50 Issued By: 1~~ Date 10/21/2008 -o ^ Permit Voided Parcel Id # 1522850100 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 PO BOX 184 AgenVOwner 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. for r x.~ ~. City of Oshkosh Division of Inspection Services 0~ T 6 -2008 P.O. Box 1130 Oshkosh, WI 54903-1130 D~~'~1~~Tl+1Eiv~` OF Phone (920) 236-5050 COMMUfVITY DE=V~1_C?=MEi~-I- Fax (920) 236-5084 INSpECTI0i1' SIRVIC~~ ~~;(`r`:~~'r 11~ HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. O.IHKQIH 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 ** 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. DATE 1O`Z-C7g JOB ADDRESS 1 ~ ~ G ro~~ ~ t OWNER_Ci are t~l C~ re coNTRACTOR ~1~~ I~T,~L ~i'Y1~'~r~, ~`C CHECK L( ALL APPLICABLE USE CATEGORY ^Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL ~lGas ^Electric ^Solid SYSTEM ^New ^Replace ^Oil ^Solar ^Other TYPE ^Forced Air ^Radiant ^Steam ^A/C OVent ^Electric ^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 ^Direct Vent ^Other HEAT LOSS DAs Approved ^Existing ^Not Applicable BTU RATE DAs Per Plan ^ Variable Other Value _ ~ S ~, CAL (~ 13t uh DESCRIPT`ION / SC ;O~PE OF ALL WORK BEING DONE ~~1~_!<JWrI~~ ~Cl~er CSC-~j ~,qSt ~Y~YL. nCls ~~'11~P,~ VALUE (Including labor and materials) $ J ~ ~ ~ ,~ ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) CUI Y~>1(1 ~ ~~~j ~` ~~-~-IC o~/o~ COMINGS ELECTRIC, INC. 920-722-0769 p2 CYCT-02-86 81 :3~ ~M COle'rIDH TOTAL_COMGLiRT 76tl t Vts3rs.» ' ~~ ~,~,. «, cuvr r:~or,m +~spi:; gee 3erv~ ces 1~0.3351 ~, Z t . ~ ~ i .- ( ~ ~'"• "'~'f0'""~' OCT 6-2008 ~r Y~sa„~-a..„. aow~~o.neaora C©MMUf~iTY DEV'ELC.~r~^rEl`dT r.. ainyes«. INSPEC`~iCliV SEr~VICES ~3i~.iISiON ~[ectt*lc xu#t~llh>bton Yeritlta#ion ~ (~r3 - C.,urnrnE r~s ~~~~~.~.~~ (i?tctrical Cautr~ebrNsme) 5~~5~7 tnaanu) ~ tCatY) {~tC) ~P ~~~ live baea eontxacted to pertvm~ ale~rtria iustorlatiorti woc~ foc ~~ AY t ~ ' ~~,t L {Nuae a stay castrrct+d te) tt t1,e f~Itowia#; Z ~? ti ~V~'^ST - ~5~'1~~ ~C~t~HX_~?~i~i:J~; (/ui~kewa~ ~rhmn wo~de wiitbe pvdaxs~} 'i~o mtute s f tlye wcalc consists af: ~Cbeo4c OQC or Desc~be the Nahue at Wor1c~ ._,,. l~ec~oime~ctfan ur acv c~itovit far teptsctxaeat HCatnOgP~E a~dtos ~f'C Caaxlaase+r. Reuannecttoa of new citzvlt far replaceaYat 8teetric plst~ ~e~tet arponver vccvd ~a hcetcr. .._, Race~aaectio~ of the 8orvtce E~otr+ioee Cabo, i4iettr $pR, aitaralioas to re~eptsotae sad li~fng #xtuea due to udiag / ~-~ iAitall8ti0e1. Nets: New SeTVice Ectrs~e Csble~ will rcquiac i Aepe~rata pmnnit. .--_. Reaamecdon or sew circuit for tlsarepLcauont o!'oma pes~emtl~r wiroQ sPp~laace~ l tktol+es. _..~. New circuit far the ariditioa aflilC to ~ ideal ~+rthag mttr (house ac the iodavidud syncas- is a 3v~ac or co~nd9miae~), inc:udiiig r+egnfred savicz extrical otttletr. Other 'mac value at this work f3 i ~` t hR~by verifjr this wou~,ritl bo pertsozmea >sr w eiaployee aithis oornpany assd tl~therverlty tha t~eCOnn4otivn ! i~atal9atiara gill bo dose in campliamea with mtatiE'iehtrar sad SSectric node tequite~eerila, _ ,%'~~ {~~ cer) (Print Mama of Dm~rj (Due) i+at