HomeMy WebLinkAbout0117061-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 834HARMELAVE
CITY OF OSHKOSH
No
117061
HVAC PERMIT -APPLICATION AND RECORD
Owner
LORRAINE M EBERLE
Create Date 11/01/2005
Plan
Contractor GARTMAN MECHANICAL SERVICES
I I Oil
Fuel 1v'1 Gas
System 0 New
U Forced Air U Radiant
I I Electric 1v'1 HotWater
Chimney Type [) Chimney A . Chimney B
Heat Loss [) As Approved . Existing
BTU Rate [ ) As Per Plan ( ) Variable
Categooy 500 - Residential-Heating & Ventilating
I I Solar
I I Solid
I I Electric
[7] Replace
n Other
U AlC I
I I Con. Burner I
( ) Not Applicable
U Vent
U Steam
I I Suppl.
( ) Direct Vent
( ) Not Applicable
. Other
Value
Value 70000
UseJNature ßFRI Replace boiler - EIV provided by Slim's Elect. - No Chimney liner being instaliedWhere an appliance is penmanently disconnected
of Work rom an existing chimney or vent (CN). the CN shall be resized as necessary to control flue gas condensation in the interior of the CN and
0 provide the appliance or appliances served with the req. draft
Fees: Valuation
$2,985.00
Plan Approval
$0.00
Permit Fee Paid
$50.00
Issued By:
Date 11/01/2005
0 Penmit Voided I
Parcelld # 1412050000
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 penmit 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
AgenUOwner
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 InstallatioD Verification
I (We)
SLIM'S ELECTRIC INC.
(EJeclrical Contractor Name)
2608 Oakwood Circle Oshkosh
(Address) (city)
WI
(State)
54904
(Zip Code)
have been contracted to perfonn electtic installation work for T ,0 r r A i n p Ii: h p r 1 p .
(Name of party contracted to)
at the following address:
814 HArmpl
(Address where work will be perfonned)
The nature of the worle consists of. (Check One or Describe the Nature ofWorle)
~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser,
- Reconnection or new circUÍt for replacement Electric Water Heater or power vented
water heater.
- Recannection of the ServiĊ Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to sieling I-soffit insta1lation, Note: New Service
Entrance Cables will require a separate permit
- Reconnection or new circuit for the replacement of other pen:nanently wired
appliances 1 fixtures.
- New circuit for the addition of AlC 10 an indtvtdual dwelling unit (house or the
individual systems in 11 duplex or condominium), including n:qujred service
electricaJ outlets.
- Oilier
The value of this worle is $
150.00 .
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be d9ne in compliance with manufacturer and Electric code
requirement/¡.
ú.
10/26/0')
(Date)
SIC2
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