HomeMy WebLinkAbout0123888-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 3125 MEDALIST DR
CITY OF OSHKOSH
No
123888
HVAC PERMIT -APPLICATION AND RECORD
Owner TOLLROGE PROPERTIES LLC
Create Date 03/22/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel U Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A o Chimney B
Heat Loss KJ As Approved C) Existing
BTU Rate K:) As Per Plan o Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Solar U Solid
D Other
l!J AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
o Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature COMM I Replace office area #2 AlC unit. EIV provided by Drexler Electric. ."DEBIT ACCT"..
of Work
Fees: Valuation
$3,760.00
~
Plan Approval
$0.00
Permit Fee Paid
$67.00
Issued By:
Date 03/22/2007
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 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.
~
Q[t-F~?IH
,:hy of 05hko5h
ru'.riSiOll of II\SpC:CliulI ScrvJt:t=~
Z I ~ Clsurch A vllinuc:
I'O H(J~ 1130
O.IJ),u.h WI J4!OJ'1 j~O
()m~< 920.236.50SCJ
h.. 920 B~ ~G84
Electric Installation Verification
T (We)..
C)~_~XLr;-<<
[LECTR1C.
(Electrical Contractor Name)
p F- __....~ PiCt<eTT
(City)
YGlo & ((0
(Address)
WI, -s-L{ q t, '-f
(State) (Zip rndf\)
C, Ar~.....'i ..~ letrJ flA~,).../~_,J1 Ld
- ~
(N}lmp. Clfl\nrt~ r.nntr!l....tptltl'ol
have uecJI \,-lJIlLlal...ll:lllu perful'llI el~elric in~mll~TI(\n Wt1rl<: fnr
o.t t.ho follo.....ing o.ddrl;l33;
.~ J :::L':';- VI/\ c pt1 ""('>T::_Qt" ~ '~'"C.....
(Addrl:!J;s; WhCT~ work will be pIJrforrned)
'Ibe na.m.re ofthe work consISts ot: (Check One or Describe the Nature of Work)
~
R p,r,Qnnection Or n!i:W dr~uit for replncernont Hcutin,; lllant and/ol- Ale C01JUl;:U~CI.
U p.r.nnnf:: 11t'm Ol- UO;-W circuit f(lT r~phl.C:Cm0nl Electrio Wator Houter or POWl;T vented
wat(~r heater.
Recollncction of the Service Entrance Cablel Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note; New Service
Enlnmcc Cables will require a sepill al~ jJtlIlIliL.
Reconncction or new circuit for the replacement of other perrmmp.,ut1y wired
appliances / fixtures.
New cir~\~it tor the addi.t.iol1.o( Ne In ~m individual dWQllitlg UhiJ (house or the
individual systems iy/ a duplex or condominium), inciuding requircd service
el~t.;tli~al outlclS.
Other
The vallle of this work lS $ .3 50 I ().!:.-
T hr.~hy "~lify thli W....I k will b~ pcrfonned by an Crhployoo ofthi.J COmpimy And fudh';:'l" YCI1(Y
the reconnection I im:t>lIlRtinn will J;,P. dQn~ in complianClil with mamlfac:tursr tmd Eteotrill onnll
requirements.
o..o~.IL~
tCumpany Officer)
(?, 14.1.../ (' D I De (;'l((. rte
(Print Name of Officer)
.3 .Zt) -C?7
(Date)
5/02
10"d
Wd 01=S0 L00~-0~-~~W
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;>h. , '.tPB'MibR!i;ss ~1a.S M.lG(C" lts'~
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~i.;1tL;.>':' ;:.,..~~R.",'... /--:r:'K. h. ;~ J:~ef-17'/~'7
~.7i~'':,-. ,,,. .,. ) CONTRAcTOR ;;-/;1;' ~ //.lC-,
~;:\~r<:,<~Ck ~ALL APPLiCABLE
>:,;;" . . . USE .CATEGOR.Y
t.~:!F.' , bSingle family DDuplex DMu1ti~FamiIy
..:....
:.;~.~ =11:::' .
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.';~;{'; , ...: pFof6ecl Alr !:t.R.adiant bStl':"'..rn ~ OVent OEJeobio
'--:f[~~'t,;:.-'--:-:-d~~\~;;?~f:;,:(,"::-:': , -:..., '''.-.--.'','' ...:":".__..,- ,
i~' i~'('.:,;:.,: . ...'IS CBIM:..~y .llElNG LINED ONo Dyes . LINER SlZE
~61:,::1-' " N.Olej.~~!, thlmij~yuhllJl be sized per tm BTIl', beinE v~nl/;d:
\l;;( "c~ii fu~ bcilmney A ' Oci;nmey B
1i~r... . .~.,i@~t tOB~ o~s Appni"ed OExisting
:':;~;~'" ':JfJ:U 10TE, '. DAB Per Plan OYariable
. .' ..: ...1. '"
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~Jl:;f.:..
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, "v A.t~~i:iUding lllbor an~ aIi rol:lieTfals Includlng U~hl fn:tIjre>) $ 3'7C,(l' Cl.. 0
;'5' 'h!ttfucM; t'DrmUcroJ.t ;d?,V /'i,- E/.cd;":.. '
i~::~> ";'. ' ,:\.. }.jJ ~cii appHcabie ProJeoh, 'an Electric Installation Verification [o.rm, Big.n ".
. ;,~i;.:.. ':': . :':.J: ,:;'," :'}!taohe.d. If ho! ilt!:ached or noLapplicabie, Ii separate Blectrlca~ Permit is l'equired, '.
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:~~~~d~of6shkosh
i'~.. . i; ':. Divi.rlon at Irlspecl/on ServIces
; .:' ' 1',0. Box rho'
I '.'! .. O.shkosh, Wi 54903.1 Uo
.... l'hoii~ (920) 236-5050 '.
'?:' ~. ~it)i. (920) 236-5084
.~ ..:
Oshkosh .Inspactions
~cQ~238-50B4 p.E
, ~to 1,'00'
.@
~..
'OJI-KOfH
OlJ 1I-IE .II'AT}:' R
'HYAb PERMIT APPLICATlON
A111Dformaticm after bold csfcgorle~ must be pro,:,id~d,
.hlC:omplele applications w'iJl no.! b~ processed.
: it AppiJDalion(s) arid fceCIl) can be brought to City Hal1, Room 205' or inaikjJ LO Inspection Services, PO Box 1 J 28,
Oshko~b Wi 54903-1128. Commencing :work \'(ithout pennit(s) wiil result in fees being doub'lcd or Sl 00.00 plUl: the
nannal permit fee, whloh ever is gi'e.a ler.' .
'OR "
conti-de or . or Ie! ai/II in t e
Ij r u.d t rOlJ It v ul' ace
Account Svstc";,anrJ have
..V~eh 7
} .
DATE
DRentaI
~mmerciaj
OIndustriaJ
tJElectric DBolid '
tISolEu: fll'j4' .
~lace
SysttiYl
ONew
DOthei-
OHJt.Wllter OSuppl. Deon. Burner
& MANuF ACTUPJ3R '
"v//+
'.' ""
,OI?irectVent.' OOlljer .N//-1
ONol AppljCllb1~
DOmer VahiJ';l d2 J.- 7t3)t.:
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DEPARTMENT OF
~ COrvlMUNITY DEVELOPMENT
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