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HomeMy WebLinkAbout0134130-HVAC (2 boilers)OSHKOSH ON THE WATER Job Address 1100 EASTMAN ST Contractor Fuel System Chimney Type Heat Loss BTU Rate Use/Nature of Work CITY OF OSHKOSH No 134130 HVAC PERMIT -APPLICATION AND RECORD Owner PATRICK M NEMECEK __ Create Date 11!21/2008 MARK WEBER HEATING 8 COOLING IN Category 500 -Resid ti l H en a - eating 8 Ventilating Pian / Gas ~ Oil ] Electric -- Solar. _ - _ ~ Solid ^ New ~ ^/ Replace ~ ^ Other ] / Forced Air Radiant Steam _ A/C ~- __ _ ~ Vent Electric ^._-__----- Hot Water ! pp Su L Con. Bumer ~- Chimney A Chimney B __- Direct Vent - ~.___ Not Applicable _-~ As Approved Existing _ __ _ _ Not Applicable Value As Per Plan Variable _ Other - ----- Value DUPLEX /REPLACE 2 BOILERS, EIV SIGNED BY ELECTRICAL CONSTRUCTION SERVICES LLC (Greg Davis) '*debt acct revs: valuation $4,800.00 Plan Approval _ $0.00 Permit Fee Paid _ $82.00 Issued By: ~Y, ~ _- ^ Permit Voided Date 11/21/2008 Parcelld # 1003260000 In the performance of this work, t 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 appligtion 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 1075 ISLAND ESTATE CT OSHKOSH WI 54801 -1341 Telephone Number 235-1523 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. i)ivision at Inspection Services F.t~. Ba:c 11.10 Qsh3cosh, ~V ~~?O.i-110 Fax. {~20} ~~5-50~-1 ~`~ ~A - i` ~, s "at ii i i r r'~c a t wY V r-r d ~ d.i ~'a rill infarmatian after baid categaries must be pravided. Inca~nplete applicatians wi11 nat be pracessed. U~;omrrtercial • Applications j and fee(s) can be broug;~t to Cifiy Ball, Room 2~5 or rnailecl to Inspection Services, PO Box I I28, Oshkosh ~VI 51903-112. ~oni~nencinp work without permit(s) will result in fees being doubled or ~IOQ.tI€I plus the t i} lr2i ri3 itaa ij. A vt ~.. ` 3 ;4 :... Ol~ rr_ _ ____ _ ____.__a_... _. ... ,...r:,.:,.. ,. f; ,,. 1. :.. sZ, ., l3 ., Y,„.it ~ n Ann nor»f ~~tcto ni t7 da f~ f917 L>f? fll~f?f7 FdP iP_ ~7[YL;~.C. C7tL C)l. TfLY~ ** Advisory -For applicable projects, an Electrical Installation Verification (EN} form, ~ias~.ed by the electrical £'ti°_~t'~,.~. ~' ?. ~I~,.,~.rf.4 >r~~r l~r~x ~~c~t~~i~ tj!'r'_'3S ~B~.~ art t,~ ~p t?~t'~n~_23d'd~ ku #1?t'. I'.f,~'~''!#'!)[~r~ng~'~ *Yiz~St ~?P ~~3*!ttj?#"_ with the permit application. A.pplicatans submitted without an EI~v when suers is required, viii not tie processed fc~r Permit Issuance and will be resumed for completion. ~~~~~ ~ ~~~~~ g~ ~ ~aB AI~DI~~~~ ~~GO. ~~~r~-,J ~ / l v y ~ ~s ~~ CHECK Q ALL APPLICABLE ~_ ~~in~e ~amid~~ iu~iex a=vut-f'a~nily tcnra L.i%i i.~Sua~~ TYPE ClForcecl~ir G'Radiant CiStea~n GSA{~ C1Vent Electric I~i~7eW !.J ~tAf 1~+.~ ~~. i~l~fcluslrza. ~e~lace ~iot ~1~'ater ~Suppl. Qt:.on. Burner I5 CHI1rf:~tEY SEI~iG LI'~;EDa Cif es - LIER SIZE 8:, ~IA:'~;LF~eTliRER Itiate..~it chimneys shat[ be sized per the BTt1~c being vented_ CIIIII~EY ~1'PE B~hirnne}j r~ L;~.himnev 13 ~#I)irect Vent i~C~tber HEAT LOSS ^f1s Approved ^Existin~ ©~Iot Applicable q'~'T ~K.'F'~ '~_ ~,~ T3~~ ~Ta~ `~'S;'~ri~i~+la 1-1~+~~r ~~~1~t~n ,.___ -____ DESCRIPTI©~ ; scc~PE ~ ALL ~~Q~~ sEI~G ~ao~E ~ .~°~s ~1~~ ~S ~ '~~ o ~. z t+'ALL~E (Incl~~ding labor anri tnateriais~ t O ~~-dU City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 K ~ Oshkosh WI 54903-1130 Office 920-236-5050 ON THE WATER Fax 920-236-5084 Electric Installation Verification I (We) ~.~ '1~1 ~C ~L CD ~y'~7-r gG-~'~ S~ /~'~ (Electrical Contractor Name) (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for ~'YI,~9~-i,~ ,~~, /-rte (Name of party contracted to) at the following address: ~/ bb ~~~,~q-,~ (Address where work 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 $ o , ('j I 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. (Si ature of Company Officer) (Print Name of Officer) (Date) 5/02