HomeMy WebLinkAbout2005-HVAC (boiler; chimney liner)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112513
HVAC PERMIT - APPLICATION AND RECORD
Job Address 640 W 4TH AVE
Owner
MICHAEL/SANDRA MILLER
Create Date 02/01/2005
Contractor GARTMAN MECHANICAL SERVICES
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
U Forced Air U Radiant
1 1 Electric 1,(1 Hot Water
Chimney Type 18 Chimney A 0 Chimney B
Heat Loss 10 As Approved 8 Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
U A/C
1 1 Con. Burner
0 Direct Vent
0 Not Applicable
0 Not Applicable
8 Other
Value
0
Value
105,000
Use/Nature SFR/ Replace boiler, and install 5 inch chimney liner - EIV provided by GMS.
of Work
Fees: Valuation
$2,850.00
Plan Approval
$0.00
Permit Fee Paid
$48.50
Issued By:
Date 02/01/2005
U Permit Voided 1
Parcelld # 0603200000
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 BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number
(920) 231-5530
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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.
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PO Pox 1130
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Office 91O-Z36.;010
Fax PZO.Z36.5084
: EJectri.c Installation Ved.fication
I (We)
GartmÐn Mechanical Services
(Electrical Contractor Name r
520 W. SQuthpark Avenue Oshkosh, WI 54902
(Address) (City) (State)
(Zip Coøe)
have been contracted toperfonn electric installation work for Mj ke Miller
(Name ofpaiiy contracte¡! to)
at the following address:
640 W. 4th
(Address where work Vlíll be perfonned)
The nature of the work consis~s of: (Check One or Describe the Nature, of Work)
-L
Reconnectio!} or new circuit for replacement Heating Plant and/or AlC Condenser,
Reconnect;cn or new circuit for replacement Electric Water Heater or power ve¡¡ted
water heater.
RecoIU1ecticn of the Service Entraljce Cable, J.4 ~ter Box, alterations 10 receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
EntranceCai>les wíll rèquire a separate p--.rmit,
ReconnectÍ<m or new circuit for the replacemel1t of other pennanently wired
appliánc.e,s ¡"fixtures, .
New circuit for thl:; addition of AlC to an indiVidual dwelling unit (house or the
individilaj system~ in ~. duplex or cpndominimlj), including required service
electrièa' millets, .
Other
The value of this work is $-. 150.00
I hereby verify this work v/ill l¡e perfonned by an employee of this company and further verity
the reconnection / installation will be done in compliance with manufacturer and Electric: code
requirements.
Tim Weitz
(Print Name ofQfficer)
1/27/05
(Date)
5IOZ