HomeMy WebLinkAbout0110799-HVAC (steam boiler)OSHKOSH
ON THE WATER
.lob Address 138 CHURCH AVE
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner FIRST BAPTIST TEMPLE
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
110799
09/28/2004
Other
Vent J
Use/Nature
of Work
Replace steam boiler -
EIV provided by Gartman
Fees: Valuation
Issued By:
$13,800.00
Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$193.00
Date 09/28/2004
Parcel Id # 0701460000
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 PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
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
(we)
Gartman Mechanical Services
(Electrical Contractor N~me)'
520 W. ~?xthpark Avenue Oshkosh, WI 54902
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for First Bapti~ Temple
(Name of party contracted to)
at the following address: 138 Chfrch
(Address where work will be performed)
The nature of the work consis~.s off (Check One or Describe the Nature of Work)
X Reconncction or new cimuit for replacement Iteating 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 cimuit g?~ the addition of A/C to an indi¥id, al dwelling unit (house or the
individuL' systems in a duplex or condomini~.:m), including required service
electrica!'~ut!ets.
~Other
The value of this work is $ 300.00
I hereby verify this work wil! be performed by an employee of this company and further verify
the reconnection / installa!ien will be done in compliance with manufacturer and Elec~c code
reqmrements.
( 'gn )
Tim Weitz 9/21/04
(Print Name of Officer)
(Date)
~02