HomeMy WebLinkAbout0123736-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1860 WISCONSIN ST
CITY OF OSHKOSH
No
123736
HVAC PERMIT -APPLICATION AND RECORD
Owner OUR SAVIOR EV LUTH CHURCH
Create Date 03/07/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate K) As Per Plan () Variable
Category 510 -Ind. & Comm-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
C) Not Applicable
. Other
Value
Value
120,000
Use/Nature COMM / Replace furnace. EIV provided by Bowman Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$3,290.00
~
Plan Approval
$0.00
Permit Fee Paid
$59.50
Issued By:
Date 03/08/2007
D Permit Voided i
Parcelld # 1218910000
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.
MAR-07-2007 05:12 PM
P.02/02
.~
~
City of Oshkosh
Divislotl O(JIlSpact,OIl SClrvlc.s
215 Chun::b AvenUe
PO Box 1130
Oshkodl WI 54903-1130
Office 92D.23~S050
Fax nO.2J6-S0BA
Electric Installation Verification
3ow~~. E:tc."-trl~ L-L L
(Electrical Contractor Name)
9/'7 W 12- d- Ave L)5Jkc-'~ wE 5 LjjiJ'L.
(Address) (City) (State) (Zip Code)
have been contracted to perfonn electric installation work for ~~1 ~l...Q\/) (] Jrv..J..LJc..r,
(Name ofparty contracted to)
1 (We)
at the following address: -\ 'i:{pD. ~\l)CJ...Jr\l)l.v\ .
(Address where w~rk will be perfonned)
..~ The nature of the work consists of: (Check One or Describe the Nature of Work)
l Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection 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 pennit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual sy.o:;t.ems jn l:Iduplex orco.p.dOlninium), including required service
electrical outlets.
Other
The value oftrus work is $ \SD~OO
Ihereby verify this work will be performed by an employee of this company and further verify
the reconnectionl installation will be done in compliance with manufacturer and Electric code
requirements.
~~
(Signature of Company Officer)
G~1c.: d gbt.Jm&;..~'/
(Print Name of Officer)
0\ 'L \m
(Date)
5/02
;:?~-07ti~D07 O,5~Ulh2 F 04 oJ; 20p
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:t;:'{. . . - '. City of6.M;Ollh
;-:- 'j' ". Dlvi.u,n otinllpllcflon SeM'ICDB
' P.O. box l'i3o .
. Ollhko'.ih. Wi "490j.1 130
'. rbct.l~ (P2D) ;2i6~.s050 "
; Pal<, (92d) 236...5084
.r.::-' .. Appi$CIIIIOri(lI) llnd (ce(lI) c:1i~ be brtJ\lghi to CIty Hall, Room 20S or malh:u Ltl !nllpecUon Services, PO Box t 128.
" ,". Oshkosh W1 54903-1128. Commenclng.work \Vilhoul pcnnll(s) wlU Tt1sul1 11'1 fees being doubled or Sl 00,00 plul1 the
lfi ,,' ,ti""",lp"i'i;" ..hioh ..,d, E"""" ~ ' ,
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t} ,',' " ; DA11&~ft7,'
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r. >/'... ".' ;.: :.~. ~qESk f! ~L Al'PLi CABLE
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~:;i~}','.:,:> : "~]S,;C~y lmtNG ti:NEb tpl<fo'DYes _ LlNEIt SIZE
~0~(J~ " Ntlt~i All td1lmi:ic(YIIIII:nlll be Ifh:lld pill the ~TUt, heme venl!ld,
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r~;:' :.:. . :,1"!.E~r.i.6S~ D~s Approved ~~tine DNot Appll~'bl~
,;.'''':'' ..,B~t1~TE..' DAsPbrPhUl DVanllblc Ql6t1';!lrVlIlull IA.()jO(,JO
":' tem,nON OF ALL :ORK B~LNG DONE ~,!J; "-.-1 fin _ ,.;
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HVAC PERMIT APPL.JCATI-DN
All lai'ormadc?J) IIftnr bold c"c'Drl~ roLlJl be pro~ld~d,
.Jm:oltlplele Bpplicll t1aol wItl nol Ill) I'rocCl~s~d.
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D.RentaI
~mmercial
DIndusln'al
oaiectrio DSolid .
bSollilr
~aee
SYSTEM
DNllw
DOther
Deou. Burner
& M.ANuFA~R...:
I.
'y ALliE ('Jl)ei~djni Illblll' Il~~ ." mQierll\b" h'l'h1tUtlE Il'gbt lb[~tl;Y) ~ j::J 90 ' ,.. 0
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ktitt:tiUtAt 110NrRAcrOJi_ 4~ "';"4 ~ E'/~ . ./,.. , i. _ _ ,. ,
, "~'-"': tj Poi appllcllble Projeots, ah Eh:clric IJ'l&t:aIIlllion Vcrlflr:ation fo.rm, si6necJ by the: Elcclrlcal Contractor, mU.>1 b~
... "':","; aitllched. If nol !lttll~hcd or nOl.applicablo, II lepanUe EleotrlclIl Permit in requked,
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