HomeMy WebLinkAbout0115887-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 1711 NORTHPOINT ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
115887
OWner
RAYMOND M SIMONS TRUST
Create Date 08122/2005
Plan
Contractor GARTMAN MECHANICAL SERVICES
1,(1 Gas 1 I Oil
Fuel
System n New
U Forced Air U Radiant
1 I Electric 1,(1 HotWater
Chimney Type . Chimney A ( ) Chimney B
Heat Loss [ ) As Approved . Existing
BTU Rate [ ) As Per Plan ( ) Variable
Category 500 - Residential-Heating & Ventilating
I 1 Solar
1 1 Solid
1 I Electric
n Replace
U Steam
1 1 Suppl.
n Other
U AlC I U Vent
I 1 Con. Burner 1
( ) Not Applicable
( ) Direct Vent
( ) Not Applicable
. Other
Value
Value
105000.00
Use/Nature FRI Late permit -Replace boiler - EIV provided by Slim's Elect.
ofWork
Fees: Valuation
$2,965.00
Plan Approval
$0.00
Permit Fee Paid
$50.00
Issued By:
Date 08/22/2005
0 Permit Voided I
Parcelld # 1514580000
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 pany, 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
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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Electric Installation Verification
I (We)
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh
(Address) (City)
WI
(State)
54904
(Zip Code)
have been contracted to perfœm electric installation work for Ray Simmons
(Name of party contracted to)
at the following addresa:
1711 NOrthpoint
(Address where work will be peñonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
2L- Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater or power vented
waxer heater.
- Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
. and lighting :fixtures due to siding I soffit installation. Note: New Service
Entrance CabJes will require a separate permit.
- Reoonnection or new circuit for the replacement of other pem¡anently wired
. appliances ¡ fixtures.
- New circuit for the adwtion of AlC to an Individual dwelling unit (house or the
individual systems in a duplex or condominium), ÚlCluding required service
electrical outlets.
- Oilier
The value of this work is $
1~0 00
I hereby verify this work wiH be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
{].
8/9/05
(Date)
5102
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