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Home My WebLink About0133826-HVAC (boiler) CITY OF OSHKOSH No 133826 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1601 OREGON ST Owner JAMES G DENNISlJANICE BOCEK Create Date 11/05/2008 Contractor CUSTOM HEATING & COOLING Category 510 -Ind. &Comm-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar ~ 1 Solid System ^_ New ~ ^/ Replace ~ ^ Other Forced Air Radiant I! Steam A/C Vent ~_ ~ ~ ElecVic / 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 127,000 Use/Nature UPPER (RESIDENTIAL) /REPLACE BOILER, EIV SIGNED BY HOEHNE ELECTRIC "check #9785 of Work i i -- _ __ I Fees: Valuation $4,800.00 Plan Approval $0.00 Permit Fee Paid $82.00 Issued By: ~~1~ Date 11/05/2008 ^ Permit Voided Parcel Id # 0902310000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date AgenUOwner Address 1503 S MAIN ST OSHKOSH WI 54902 -6911 Telephone Number (920) 235-7263 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. City of Oshkosh ~'~ ~, ~ ~~ Division of Inspection Services ,~~~~r j~ P.O. Box 1130 Oshkosh, WI 54903-1130 NOV O 4.200$ Phone (920)'36-5050 _ HK ~ H Fax (920)236=5084 D~i~'f' ~ i~1LiV;~ t)P . COI~11v9iJi~:i~"Y I~.E~~1:~0~>I`~ENT ON THE WATFR _ HVAC PERMITI~~ '~"~1~~'~~° ~I°~ISlonl 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 1 128, 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 if you are a contractor oarticiDatinQ in the Permit fee Account Svstem and have adequate funds, check h2r2 u want thi,s~rocessed through your account ** 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. JOB ADDRESS !~~ ~. OWNER _ CONTRACTOR ~ ~/d CHECK d ALL APPLICABLE USE CATEGORY ^Single Family ~yplex ^Multi-Family ^Rental FUEL ~s !]Electric t]Solid SYSTEM Oil ~Soiar TYPE c -.,., OForced Air - ^Steam ^A/C ^Vent OElectric IS CHIMNEY BEING LINEll ~No OYes -LINER SIZE. Note: All chimneys shall be sized per the BTU's being vented. DATE `~ ~ ^Commercial ^New OOther Industrial L Zepface Cot Water OSuppl. ^Con. Burnzr & MANUFACTURER CHIMNEY TYPE Chimney A ~himney B, ODirect Vent OOther HEAT LOSS DAs Approved Existing ^Not Applicable ~ ~''" BTU RATE ^As Per Plan OVariable ^Other Value DESCRIPTION /SCOPE Oh ALL WORK BEING DONE ~~ C~a-S ~ fZ°~ ~~ ~- ~~ VALUE (Including labor and materials) $ ~~~ ELECTRICAL CON1'i2ACTGIZ (for projects not requiring an EIV Form) CityofOshkosh Division of Inspection Services 21 S Church Avenue PO Boz 1130 O HC H Oshkosh W[ 54903-1130 oilice 92az36s050 ON THE WATER F9X 920-236-5084 Electric Installation Verification I (We) (Electrical Contractor Name) (Address) (City) (State) ~~~~ (Zip ode) L°~ /,/` have been contracted to perform electric installation work for (Name of party contracted to) at the following address: /~ ~/ ~,/1~~.-- (Address wherai~vork will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replacement of other permanently wired appliances /fixtures. New circuit for the addition of A/C to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. ' Other The value of this work is ,3 hereby verify this work will be performed by an employee of this company and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. ,~ ~ i~ i afore o ompany Officer) (Print Name of Officer) (Date)