HomeMy WebLinkAbout0111794-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 620 ELMWOOD AVE
Contractor GARTMAN MECHANICAL SERVICES
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 CAMPUS MINISTRY HOUSE INC
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO ChimneyA ~ Chimney B
Heat Loss I~ As Approved O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
111794
11/29/2004
Other
Vent J
Use/Nature COMM / REplace boiler and install 6" chimney liner - EIV from GMS
of Work
Fees: Valuation
Issued By:
$4,100.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$66.50
Date 11/29/2004
Parcel Id # 0702950000
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.
I
Electric Installation Verification
Garcman* Mechanical Servlcee
(~!~t~cal Cont~ctor H~mc)*
520 W. ,~uthpark Avenue Oshkosh,
(Address) (City)
have been contracted Io Ferf0rm ~lcctfic installation work for
at the following address:
~)'~0 Elmwood
(Address whore work Will be performed)
The nature of th~ work consi~,s of: (Che~k One or Dcsc~be thc Nature, of W0gk)
X Rcconncclien or new circuit for rcplaccment Heating Plan~; and/p[
Reeonncct~n or new circuit for replaccmea! Electric Water Hea~r
walcr healer.
Reconnecfion of ibc SO,ice ~nlraqcc Cabi~s M~lcr
and iigki~ag fiXt~ duc to siding / soffit instailagoa.
~n~cc C&b!cs will rcquir~ a s~pagat~ p~it
R~o~ccfio~ or new ci~ui/for th~ replac~enf ¢~olhcr
applianseS ffixlurcs. '
New circuii for. lh~ addition of ~C So ~ indi~,irl~al &~lllag
individ,te~ sy~l~ms in ~ duplex or coadom~{u~), includia~
electrical ouficls.
Ofl~e~
Thc value of tiffs work is $ 150.00
i hereby verify this work will I?e performed by an employee of this
~hc reconncction / instalh6on will bc done in comp!iancc with manu
rcquircmcms.
Tim Weitz 11
(Print Name of Officer)