HomeMy WebLinkAbout0120323-HVAC (A/C)
.
SHKOSH
4THEWATER
Job Address 3125 MEDALIST DR
CITY OF OSHKOSH
No
120323
HVAC PERMIT -APPLICATION AND RECORD
Owner TOLLROGE PROPERTIES LLC
Create Date 06/29/2006
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas UOil ~
System o New
U Forced Air U Radiant
U Electric ~ Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss K:) As Approved o Existing
BTU Rate KJ As Per Plan () Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
. Not Applicable
. Other
Use/Nature INDUSTRIAL / REPLACE AlC UNIT, EIV PROVIDED BY DREXLER ELECTRIC
of Work
Value
Value
Fees: Valuation ~
Issued By: ~
$4,790.00
Plan Approval
$0.00
Permit Fee Paid
$77.00
Date 06/29/2006
o Permit Voided I
Parcelld # 1413620108
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
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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havr" been contracted to pcr,form electric installation work for CA.c\jM4If,J v\1tcH<\dlLcJtl...-
(Name of party c;Qntrac;ted to)
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at t e fottowin~ address: 31l.;, Vl/h~04LI.5'T 0/2..,
. , I . . (Add=. when: WQ,k will b. p<<fonncdj
I h, nature ofthe work consists of: (Check One or Describe the Nature of Work)
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cily of O.hkcsh
I)ivi~io" of hlSp.clion S.rvi,..
215 Ch=h Avt:",a:
PO E\"" J ~JO
Oihkosh WI 54901-1130
Offic~ 92o.2~{"5050
fax !l2ll-136-5084
JUN 2 9 2006
r'ARTMENT OF
DEVELOPMENT
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'I t~ i-\{
Electric Installation Veritication
DR_l?XL-~K.
flEO C-T(( i (_
yq 0 (!Jl/ (~O
(Electrical Contractor Name)
PiCl<ETr
WI,
SY. '-{ ~ J.f
Ff
ReA.01111"C.tioll or U(;W (;iTcuit fOT Tcplacl:;mcnt Heating Plnnt nnd/or NC Condon3cT-
RCCOlUle,tiol1 or ne.w cir~\ljt ff,lT n~plM~f:Jl1c1it Electric Water Heater OT power vented
water heater.
RecoIDlection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate penllii.
RCl:.ollm::.ction or new circuit for the repID-ccment of other ponnanontly wired
appliances / fix lures.
New circuit for th.~ addition of NC to an individual dwelling unit (house or lhe
indivIdual systtms it. a ci.upiex. or condominium), includIng required service
~leotnoal O\ltl~tl:.
Other
Thvalue of this work is $ ~,~
1 h "eby verify this work will be performed by an employee of this company and further verify
the eco1Ulection / installation will be (lone in compliance with manufacturer and Electric cod~
req irements.
l~.d
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~ILL/f D, D,e~'1(U~
(Plilll Na.ll1e of Officer)
G,~ 2 ?-fJ'
(Doto)
5101
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