HomeMy WebLinkAbout0123803-HVAC VOID
e
OSHKOSH
ON THE WATER
Job Address 3125 MEDALIST DR
CITY OF OSHKOSH
No 123803
HV AC PERMIT - APPLICATION AND RECORD
.'::-; "," ,. .~"-~,':;:"('::::~~;'~c'1;~'Yc;;/
"vo'ro"
Owner TOLLROGE PROPERTIES LLC
Create Date 03/15/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel U Gas ==:J ~-~
System D New
U Forced~ ~iantl
U Electric .=:J U Hot W~ter I
Chimney Type KJ Chimney A o Chimney B
Heat Loss D As Approved o Existi~g
BTU Rate D As Per Plan () Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Electric
o Replace
U Steam
I I Suppl.
o Direct Vent
o SOI~':..___~ U Solid
D Other
~_~~____---.J U Vent
OCQn. Bumer I
. Not Applicabl~
. Not Applicable
. Other
Use/Nature COMM / REPLACE OFFICE AREA #2 AlC, EIV SIGNED BY SLIM'S ELECTRIC **debt acct
of Work
Value
Value
Fees: Valuation $3,760.00
Issued By: .ill'nuJ
Plan Approval
$0.00
Permit Fee Paid
$67.00
Date 03/15/2007
0"p'E;}7;;it'v'b"WeCrrPER GARTMAN
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.
e
OSHKOSH
ON THE WATER
Job Address 3125 MEDALIST DR
CITY OF OSHKOSH
No
123803
HV AC PERMIT - APPLICATION AND RECORD
Owner TOLLROGE PROPERTIES LLC
Create Date 03/15/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel LJ Gas ~Oil
System D New
U Forced Air U Radiant
LJ Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss KJ As Approved C) Existing
BTU Rate 10 As Per Plan o Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Electric
~ Replace
U Steam
LJ Suppl.
() Direct Vent
I I Solar LJ Solid
D Other
~ NC U Vent
LJ Con. Burner
. Not Applicable
. Not Applicable
. Other
Use/Nature COMM / REPLACE OFFICE AREA #2 NC, EIV SIGNED BY SLIM'S ELECTRIC *-debt acct
of Work
Value
Value
$3,760.00
Plan Approval
$0.00
Permit Fee Paid
$67.00
Fees: Valuation
Issued By:
~w
Date 03/15/2007
D 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 Num ber (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-15-2007 07:58 AM
P.02/03
,. . ... ..
0&
C:""of~
DtvImtIot~ liII'VlIlfS
21 S CIlalolI A_
J'O BoK 11)0
0IIlbIh WI ..ao....mo
Oflloe lIlIa.nuo5Cl
FA ~~..
Electric InstallatloB Veriftcatlon
J(We) SLIM'S ELECTRIC INC,
(Electrical Contractor NIllDe)
2608 Oakwood Circle Oshkosh WI 54904
(Addran) (City) (State) (ZIp Code)
.... - - to perform ~ecmc iasWlatioo work ~ ~Jo~~\~t~ t~t\^j
at the fol1()wmg addteu: 0\ ~ ~\ S;~ l t)~. .
(Address wbore work will be pcrfOl'lMd)
The nature oithe w()rk consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit fur replacement Heating Plant and/or Nt Condenser.
_ Rcconnection or MW circuit for rep1acmnent Electric Water Heater or power vented
water boater.
_ Reconnection oftbe Service Entrance Cab)<<=. Meter Box, alterations to ~eptaclC8
.and lighting fixtures due to siding IlOffit irwaUation. Note: New Servi(;e
EntranCel Cables will RlquiJ'e a sapame permit.
---,. Reoonnoction Of new circuit 'for the replacement of other permatlOl\tly wired
appliances 1 tix~.
New circuit for the addition of Ale to an t1Ulwtd.fUl.l dwelling untt (house or th~
i11cIividWLl 8y&teme in a duplex. or condominium). includiDl ~ ecrvioe
electrical outlets.
_ Other
1-11
Tho value ofthill work is $ a bO . Ci ~ .
I hereby verify this work will be performed by an employee oftbis company and further verify
the reconnection I ins1alJation will be done in compliance with manufacturer and Electric code
roqllirmlont.!l.
7)4V'LJ.4Y2~l'lA B-'S\G7
(Print Nane ofOffi - (Date)
5102
. ..._-,- ..----.... ---- -- -
fR-15if07,:~:;/~~:~~Op~_~::~,~,p.:"on.
-------.-;{r( " '.. ':~ '.Cll)! ofo.llkoilh '
fl' ,<: ", Dlvlilbrt ottrtllJlIIClllon Sarv!CbJ
~" ,J. .:' P.CUioi n~D, ,
~ '\ (' bahkOih, ",154903.1110
I '" PhOtib (92.b) :.2i6-$050 '.
, i:" ;, hit (PZO) 236-5084
P,01/03
". 'II.,
'HVAC PERMI; APPLICATtON
AI! illfPrTnlltlC?J3 Ilflor bold Cllc~l)r1e' rilUBI be pr"vh:l~d,
~llC:OmpIDlc ~ppliCldlonl Wllll'lD,1 be proceGr.~d.
~.:Q-23S-5Q84
.~, 191 .tJ() ,
'~"
'~H
J~t
p.2
t', .:.~.~.;
;. i::..:
I. ;".'
;~I~ .~: ~';
(,;~. ' :., 'Appii08~lon(lI') arid fCl'I(I;) c111 be. brU\lghi to ell)' Hall, Roonl 205 or malk;llu lnspl:cllon Services, 1'01)0;1: 1128,
';'":;, , Oshkosh WI 5490~~1 128. C011lmenclng work without pc:rmll(s) will n:sult in IeC8 being doub'lc.d or SIOO.OO plulllhe
{ " ,tibhTl~1 permU tell, whloh evcr,~a gn,sler. ' , ',', '
f:~ ., ft;~!~~f i~~i~: ~;,:r:~ ;~."~,,:, ~~ t::,~:;~e A"'"" 1 S'''M o. a h." de" ~ (, ~R' a, ,h" II e; ,
r,"'/- :,,"', " ' ,DATE ~~7 "
r. 'i): , Jblf .tbbREsS ,,3 /dJ. S- /l!-t);.;':; I: /'
I';',~[, . " , ,
~~:.:, ...,?~ 'Md~ />1.14>I')v
~~*,:~:r;,: ,;: ~ "~~~~tT(jR ----"- _4?c.. _ .
"~"i~. "l" .'
b~:f,;.,' I::':... :t,,;fj~~ ~'At.J:.A!'r1iCABLE
I" .',\ . "". -.'.' ....
~;.j' ' , :, tisiIi ,cAtEGORY
Ri~~" '. ,bSltigle Fam1ly ODuplex DMulli-ParniI)'
?(>'j~:'.,
'~r ","u':':"i:::, O".-'I~9'
.';,:,:,1(;},,'~.:.:," ' , JrUE,IJ O"O\Jf"'I' '
.. . ..... ~ I.~' : .
"":\1:, -:'f~~' " ''',:' "
':~;1:::; . .... ", bFotOed AlT t:.:1R.5diant bSleam lS/1Cc OVcnt OBlc,lJ/rio OH~t,Wlllr;r DSuppl. DeOll. Burner
1t~k;:-'1I'i1H~}jt;;;U;;; b;;:~~ -LlNEUlZB "iiANVFA~
~~~!':, ,,' ~,~fe,j/!!, ohJhii;~y, /fball bf1 dzod pelt the ~nJ's belnB Y~nle,dr -'1/';
..'1'r" , ", < ,'.,' ,', ,
~;;' t~:WE g~A;';;o~d' g:;:iB~~tp~:b;:' ~Olh:;Vjd
":,\,'::' "JifI1MTE' tJA..aPm-I'lan OVeriBblQ Ila6thlltrYll)ue A"'Z 72',1-7
"i~' " ' '< ,': ,'::" \, "
;~i)f:". · i>ES~ON OF ALL WORK DlfINg DONE.AI'A:=.__ t., 4:_-O~~ ~~ ~
!.~,~,',,'f,~,':_~,',. .' .,
1" ~ ...' . \ ". . '.' , : ,~ '. ,
~.,~rI.~',) ':l ..~., ~.,.'
,~:,t!1 ,',
\;::~ .
! :~
:".!.'!
-,
ORenlal
~rnmercjl31
DIndllBlrlal
O,EleCtr1c DSoHd '
~St)!Br Ivj~
sYSTEM
ONew
CJOth~t
~plI1C"
::~.,. , .'
':.1'
. :.......:....-.... "." "..'
'/V:
V~'.: '
-~ ~ :~"~': '.'
:/'-';\ ,I
'?f::~: ',,';
t: .'. .
,"\I A1~ ~dudjng labor Iluld an m.-lerlllls Inl:ludlng JI~hllht~r~) $ 97<1:0' "C7
- '. " , .
":kb(~~cA~;ti(jtfrnACTO~ 5;i~ j"~~'(.4;Z ' " ' ,. " ,
, " '::" ':',:. fiHicii tppllclble ProJecb, an Bh:otrio lnslllllllUon Vr:riflcll!:ion form, ei~n.er.l by the Eh:clricaJ Contnctor, mu..l be:
:,~ ),:,~;,: ", ~l:moh~. Uhol ~H;JDhod or nol.a.ppllt:lI.bi~, , lepUllLc BleQtrloll\ Pormlt is n:qulred. :
~. ~:' "
'r' 1.1.
:'~~.J..
.~ ~~.~.
,,~.
,(
.... '.,
,I.',
,.{; ,.:, '.
,"~:,;:: . '.: . , :. ~. ""
-----~....,--....''7",',..-=---.-----...~-,........,'''--~~-...-.-,-,_...........,....--_._-~-----~_......, . .,--.--...../"...,.....-----
.1.._....
$tlu
~
-..., I.----~......----.-.--