HomeMy WebLinkAbout0111082-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1125 EVANS ST
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 DAVID A/MARCELL BEDORE LIFE ESTATE
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ 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
111082
10/13/2004
Other J
Vent J
Use/Nature boiler.
of Work
Fees: Valuation
Issued By:
$3,550.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$59.00
Date 10/13/2004
Parcel Id # 1109650000
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.
$EP-30-2004 THU 12:03 PM GRRTMAM MECH, SERVICES 920 231 0486 P, 02
I (We)
54902
' (Address) ' (City) (State) (Zip
bevc been contra~tcd lo perforla eleclfio installation work for~ 112 5 gvans ... ,
at th~ following ~dr~: ', DavJ~d ~edore
(A~ wh~e Work will ~ ~fo~)
~ ~mro oftbe work con~is~ ce (~ ~e or D~cdbe th~ Nam~ of Work)
Ro~an~ion or ~w circuit for ~i~em~t He~g Plant ~ ~C Condo.
Roco~io~ or n~ circuit for mplace~ ~eclric Water H~ or ~wer
w~cr healer.
~fion of~c g~ce Entre C~I~ Me%~ ~x, all.ali~ to ~l~
~d l~ting fiXm~s d~ to siding / ~ffit'in~tallation. No~: Now S~c~
R~fion 6r n~ circuit for t~ repl~en{'~rother ~tly ~ .
individu~! ~gtems in a duplex ~ c~do~ni{)m), i~luding ~r~
el~Mcal,ont~ts.
Oth~
Thc value of this work is $ . 15'0. O0
I hereby verify this work Wiii be pe. rformcd by an employed'of this company and further verify
thc reconn~ction / installs!ion will b~ done in compliance with manufaoture, r and El~hlc
rcqulrcm~ts.
(Signature o~ CO~.:~er)
Tim Weit~
(~im Nm~e ef Off,er)
9/3o/o~