HomeMy WebLinkAbout0105356-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1016 MERRITT AVE
Contractor A-1 HEATING & A/C INC
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner OK H FINK
Category 500- Residential-Heating & Ventilating
L~ Electric
New ] ~ Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
No
Create Date
Plan
~ Solid
105356
11/17/2003
Other ]
Vent
Use/Nature DUPLEX/Boiler replacement. *EIV form from Bell Electric.
of Work
Fees: Valuation
Issued By:
$4,193.25 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$68.00
Date 11/17/2003
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 W8078 HILLCREST COURT HORTONVILLE WI 54944 -0 Telephone Number
(920) 779-8838
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.
Electric Installation Verification
(Electrical Contractor Name)
..... _/303
(Address) (City)
have been contracted to perform electric installation work for
at the following address:
(State)
(Name of purty co"ntraeted to)
(Address where work will be performed) 3 3,5 - g/2/
(Zip Code)
The nature of the work consists of: (Check One or Describe the Nature of Work)
/
__3oZ/Reconnection or new circuit for replacement Heating Plant and/or MC Condtmser.
__ Re¢onnection or new ckeuit ~br 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 $
1 hereby verify this work will be performed by an employee of this company and further verify
thc reconnection / installation will be done in compliance with manufactmer and Electric code
rcquiremci~ts.
· ~ ' '~ ' p y Officer) (Print Name of Officer)
(Date)