HomeMy WebLinkAbout0105816-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1340 MENOMINEE DR
Contractor TENTH STREET STATION INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CARL E/GRACE R STRUM
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A O Chimney B ~) Direct Vent ~ 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
L~ Solid
105816
12/19/2003
Other J
Vent J
10Em btu
Use/Nature SFR/Replace boiler. *EIV form from Drexler Electric.
of Work
Fees: Valuation
Issued By:
$2,450.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$42.50
Date 12/19/2003
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 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number
236-8770
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.
FROM :TENTH STREET STATION, INC.
FAX NO. :920-236-0150
Dec. 17 2003 04:43PM P2
Electric Insta!lation Verification
~q ~ ( ' ^.,,, L, ~ -~ ,-- ".~"~Z'~"~,~) ~-~_
~ omlcd) ~":
The nature of the work consis~ of: (Check One or Desc~be ~e N'at~e of Work)r ,
. ~ter h~t~. . ........... c~c water H~t~ or power V~ted'
En~ce Cables w~ll l~q~ a s~arate pe~t N~ So,ice
~ Reco~tion or new
appliers / fix~s~cult for the r~lac~t of oth~ pe~tly wked
New cir~t for ~e ~di~on of A/C to an individual dwelling ~it (house or ~e
individ~ s~s in a duplex or condomimt~), ~clu~ required sc~i~
"' "el~c~ 0uflcts. ' ·
The value of this work is $~, O0
I hereby verify this work Will be performed by an eanploy~.of ~his COmpany and fttrther verify
the r~¢olluection / installation will be done in compliance with rnanufacatrer and Electric code
requ/rements. . . .: '" r ·
(Signature ~f Company Officer) --' ¢ ~/'~'' / ?'-'0~
.... (Prin[~ Name of Offieex) (Date) -
5/02