HomeMy WebLinkAbout0117637-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 452 W 10TH AVE
CITY OF OSHKOSH
No
117637
HVAC PERMIT - APPLICATION AND RECORD
Owner
RALPH W HERGERT
Create Date 12/19/2005
Plan
Contractor GARTMAN MECHANICAL SERVICES
1"'1 Gas I 1 Oil
Fuel
System n New
U Forced Air U Radiant
1 1 Electric 1"'1 HotWater
Chimney Type . Chimney A ( ) Chimney B
Heat Loss [) As Approved . Existing
BTU Rate [ ) As Per Plan e ) Variable
Category 500 - Residential-Heating & Ventilating
I 1 Electric
PI Replace
1 I Solar
1 I Solid
U Steam
1 I Suppl.
e ) Direct Vent
n Other
U NC 1 U Vent
I 1 Con. Burner 1
e) Not Applicable
e ) Not Applicable
. Other
Value
Value
105000
Use/Nature FRI Rental - Replace Boiler EIV provided by Slim's Elect - Existing liner in chimney,
of Work
Fees: Valuation
$2,460.00
Plan Approval
$0.00
Permit Fee Paid
$42.50
Issued By:
Date 12/19/2005
0 Permit Voided I
Parcelld # 0906200000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 starilng 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, Penmit 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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RECEIVED
DEC 08 2005
Electric Installation VerificatiollOM DEPARTMENT OF
¡,; MUN!TY DEVELOPMENT
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (city) (State) 0 (Zip Code)
have been contracted to pcrfonn electric installation work for ~& ~ ~l.~~~
'. '0..1.\, (N eopartycon to)
at the following address: \...\";c'"\ ~ À\ \()'4\ .
(Address where work will be perfonned)
I (We)
The nature of the work consists of: (Check One or Describe the Nature of Work)
-----X Reconnection or new circuit for replacement Heating Plant and/or AIC Condenser,
- Reconnection or new circUÍt for replacement Electric Water Heater or power vented
water heater.
- Reconnection oftbe Service Entrance Cable, Meter Box, alterâtions to receptacles
and lighting fixtures due to siding I soffit installation, Note: New Service
Entrance Cables will require a separate permit
- Reconnection or new circuit for the replacement of other pcm¡anent1y wired
appliances 1 fixtures.
- New circuit for the addition of NC to an tndivìdual dwellìng untt (house or the
individual systems in a dup1ex or condominium), including required service
electrical outlets.
- Oilier
The value of this work is $ ~ Ò, 01..)
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnectioD I instal1ation will be !!Qne in compliance with manufacturer and Electric code
rcquirc:ments.
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5102
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