HomeMy WebLinkAbout0123890-HVAC (boiler)
o
OSHKOSH
ON THE WATER
Job Address 940 MONROE ST
CITY OF OSHKOSH
No
123890
HVAC PERMIT - APPLICATION AND RECORD
Owner RONALD M CASE
Create Date 03/22/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric ~ Hot Water
Chimney Type :. Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
() Not Applicable
. Other
Value
Value
70,000
Use/Nature SFR / Replace boiler; install 5" chimney liner. EIV provided by Slim's Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$3,285.00
Plan Approval
$0.00
Permit Fee Paid
$59.50
Issued By:
~
Date 03/22/2007
o Permit Voided I
Parcelld # 1107960000
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.
~AR-22-~007 11: 4.6 AM .
(....( Jun 2S 04 01 ~ 201'
.t..t ,. ,~- '.' .:'..
J~;'r~~""":":""---:~"~1"";--'------ -----.-.,...--..:...--..-.........-.. .
--.- ,jJ,~t '. ': '.:. " tlbl of6.tM~Obh .
i'f. :<; '. olvillan tlt lrt,1p=t1on Senica,
!; C, .-' )> ,t). Box 1'i:30 ".
; .;~ ' . b.hl-:.oih. Wi 5490.1-1 Up
f'., rhdt:lil (P20) ::tJ6~5050 '.
,{, ;. ~.j(. (9Zd) 236--5084
", :.,-.
, '._0
~ '..~',~
,..r.,.'.,
" .
T<"
~. . '~". .
(,
'~i";~~ .
1'::,',':' .
k~ .~~..
r A:
I .,
I'- ::.) .
1.,.('
:',1<. . JP1{A:b])ititS~ . l"~ /4!or-r:;fe....SA
f.1..K. ':" "','.' .
k:~!&.:' "bwRElt...~ . L . S'"
~~i'~~.':,;: .... .,', .: .' ,.:,:: .: .n .,~ e
I~~".~~:.'. .:- i;: "CONTn.AtTOit. 6-/?l5/fr,(::......
,.J~.f) .', .' . . '. . . I
~"'; ~.~".:A' . .~,' ..- ,
r:Xi;,.' I:: :'.' \'~~ck ~ ALL AnLiCA.BLE
. . .
t" . ':: .j ", .... .'
~\f(. '. . >=v:~~y ODuplex OMulti~Fami1y
jA~:. '
" .:.u..:..i,;....-r.:.~
!:,Fl., . l' LULJ..I 1Bo~8 .
" {).:.. ,"::: ,y' 'con' .
I, " .. .' ," ~ . I ., .
"...,., . 4r7l . .. . ..
,'!'.', ':rlrliJ'"
'.~;t.;, . .,' .r' b.FafcecLi.lr ~d.lImt bStcam ONe OVcnt DEleolrio ~Watcr OSuppl. aeon. Burner
l~f~'~:"~}g-j;~d~;;t;,-~ .~SlLB ~-4 "'MA.NutA~Y
~F! ~'. ' . ~.olt: ,A!~. tlhimn~)'a ,hall be dZlld ptJr tho ~TU't being 'V~ntCltl,
~";; 't=~rnE ~;:;id' ~~B~:tp~~~~l: a~lli" ,
:'\'y.'~'. '. ,::.~rtJ it:\'l'E. " Ok Per Plan C)Yllrisble iIO'!Ji"r Vahi~ 2tJ ,I.")('Q
fl:.:,' " i>1I:~~ftON tIP ALL WORKll1l;mG Dc5NE;4"<$-i".... n /4,;4-
,;J:Jif.. ,,;. ': '.\. ;... . '.' ,. , .
'\~f<':' :~:':'.. '~". ".
.~ ~~.... I . ,,' . .,;. ~". '.
;' .:
f; ',"'"
'. "'"
O~bKoJ.h Jn1!peotdon!l
!;.:!Q-238-50B4
P. 01/02
p.2
, ,
6q',~o
.@.
~.
.~
HVAC PERMIT APPLlCATI'ON
AU laftmnallp.J1I1f1cr bold !:ahigDdc6 mil.! hi. t'rpyld~d.
~.tll:omplol~ IlppHolltlon! will nD,1 b~ proeeu~d.
, .
; I . AjJpifetLlori(o) arid ftlo(n) cat! be bru\lshi to City HIOII, ROllrtllO.5 or ina~lll.P U> !nllp~ction Services, PO 1301 1 J 2B,
D8hko~h WI 54!il03-1128. Commencfn~ work \Vltnoul ptrrnil(s) wltl resUl1ln fee: boing doub'led or Sl 00.00 plus the
,. .tio~1 ~ermU faa, whloh eVer.~1 iresler, ," ,
'. ,..,: . OR. '. . , I
;, . .fr~~ ,m: ,~l: ~ ~;:;,:: r:i~"~ k ':, ~~ ~;',;:;~ r 4 '" u, ( Sm,,,, ..~ 1m .~.'" ~ /. r",~"" ""l W'
.- , ':' .' . . DATE JA..:/A'7 "
.' ./
'.
DRentaI
DConun"rcial
Ofnduslrial
DE'I~c:trlc OSolid .
tJScllir'
B1GPlliJc"
BYSTEM
DNaw
DOlhei-
")
,.
,'~':: . "~l.: '.... .. .
-;:;.~' . V ALtrit ~~JudJnllllb~r And all mlltr.rlll16 In~ludlng 11.ihl llxlqrt9) ~ J:;J&5t....,o
:: .: I ~ ' - . ,: : ' !,:.. . ... . .'
~;:~~"" .',kitgiti~' ~(jtftitAcro~ .5h,:' :.i' e /~-<-_j-h'C: , .
~;,;.i: '.f ,....~... .:::' llMfof Bpplibablti jirojaob, u.h Ele:otrio lnt!:aII.Uon VmfltBtion fDrm eh,ne.d by the EltlcLrloaJ Contx1lctrlr, TntJ...t b~
. :.!:{.~;~~: ',~ . :.; :;1 '.' :',:'," .~.~&ohe.d.i.f hol ~tt:achrJrl or not,e.pplicll.bic, i 'l1panlle EleDtrlce.l P~H is required. . D
'':-:;., , ' ". '::. ,Cl G\-
oj' .- '"'-b
,.:~'., ..' :," .. "')'
+'. \~.
.1:' t'
.I'. l...__,.,
~ :',
}.. .
..~~; ,",
"(:"'" .
11/0)
"
. '. rL
. - -......,.. _______.__........-..--~--- "M- ._~._...___'
---.--:.........".... ...-...------:--..- ....,--.--
;.,'---~--M"'~.-__-".......-_I.....'---
MAR-22-2GG7 11:46 AM
P. 02/02
.>.. .. u
0&
ell,orOll*Dl'h
DlVtlIialI en........ 51n'1eea
::Il~o.-IIA-
1'0 aox IUO
QdlbIIII WI MtlJ)-11 JO
0fIlpr nMJ~
flU< 92J0.2U.5084
Electric InstallatloD Verlflcation
I (We) SUM'S ELECTRIC INC.
(Electrical Contr&;1Or Name)
2608 Oakwood Circle Oshkosh . WI 54904
(Address) . (City) ~tate) (Zip Code)
havo been c:ontracted to perform electric installation work fo~ \.! ~ ll-.-/
(Namo ofpany ~l1tractod to)
at the following addre8S~ Q. 4D ~
(AddroSa "'bore work will be performed)
The IUltuIc of the work conals!s of: (Check One or Describe the Natwe ofWorlt)
-1- Rocormection or new circuit~or rep1acl!lltlelll HoatiDa Plant and/or AIC Condm&cr.
_ Rcconnection or new circuit for replacalnent Electric Water Heater or power vented.
waaerbealer.
Rcccmnection oftbe Service EDtranC15 Cable. Meter Box, altemtiona to receptacles
and lighting fixtures due to lidiDg IlOffit installation. Note: New Service
E.nu'ImCo Cablcs will require a separate pm-mi:l
RecalUlection or new circwt for the repleoemcnt of other pennanmtly wired
appliances} fixtur08.
New circWt for me adaition of Ale to 811 mdMdtuJ.l dwtJIltng unir (bouse or the
individuals)'Itema in a duplex or CODdominium). inchMling roquital service
electrical outlets.
Othl:r
."'R p-
The v~ue ofthi. work is S . 'SD .l X'") .
.1 hereby verify this work will be perfonned by an cmJ.ployoe oftbis company and further verify
the reconnecti01l1 insta1Jation will be done in compliance with lIUUIllfacturer and Electric code
requirements.
VA"- I P 4 X>7),V'ldA
(Print Name of om
ar&)-\ c')
(Date)
SIO~
. ...-..,- - ----- --- ..- --
. ...--. ._' -. ..-.,