HomeMy WebLinkAbout0126124-HVAC (a/c Room 157)
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OSHKOSH
ON THE WATER
Job Address 1100 W SMITH AVE
CITY OF OSHKOSH
No
126124
HVAC PERMIT -APPLICATION AND RECORD
Owner OSH AREA SCHL DIST NORTH HIGH
Create Date 08/01/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel U Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type 10 Chimney A C) Chimney B
Heat Loss () As Approved () Existing
BTU Rate ,() As Per Plan () Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
U Solar
U Solid
o Other
U Vent
~NC
U Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature Room 157 /Install a/c. EIV provided by Oshkosh School District. "DEBIT ACCT".
of Work
Fees: Valuation
$4,450.00
(/l/YX/J
Plan Approval
$0.00
Permit Fee Paid
$77.50
Date 08/06/2007
Issued By:
o Permit Voided I
Parcelld # 1219400000
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
AgenUOwner
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.), Acc.ess 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.
fL -31(~~~0 07 0,8~UOh7 ~:M 0.4 DI120p O.hko.h .lnsp.ot. on. .
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!;1:~~:~:(. .. :,~~~..'tt~y J3~.1NQii:NEb bNo DYes _ LINER SJZE
tW/.:.' N~tei.~I~. llb1um~YIJ .shall be .had per t1!I:l ~ro" beirlg v~nled,
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6t<. . . D!~d~fi6N OF ALL 'WORXllElNG DONE
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JUL 8 1 2007
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DEPARTMENT OF
COMMUNlTY DEVELOPMENT
INS~EcrION' SERVIC~S DIVISION
'HVAC PERMIT APPLICAnON
All Infptnlllthm Ilfl~r bold clJcJ.:prlel mllU! be pro~ld~d.
.lnt::omplele .pplic~tionJ will no} be: procc/lscd,
: · . Appitctt!on(s) and [ce(ll) eEl'! be btuughi to ell)' Hell, Room 20.5 or mailc;! ~11 In8'p~ciion Scryice5, PO Do;c 1128,
OShkOBh WI 54903-1128. Comrn~J1cing work wJthout p~rmit(s) wi!! resLi11 in fees bejng doub'J ~d or SI 00.00 plus tbe
noHrill1 permit f!!eJ whlph ~Ver is gI:'e.Aler. . . .
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DATE_ ?"hQk7
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,ittih~icAiljbmMCT01\ . 6';$,),,,,,; D.~'Ccf- ~L.~~M<.~
. ".>'" '::::. tJ For' Iipphc~blc Projeots, an .E:lc:c:me: lnstallnUon Vcriih:D~Or1 form, Bi{;.neo by /lIe EJ~c1rioaJ ContrEotDr, mi..l"lbe
:,; e" ":':'.'. l!.boh~. If .t101 ill-taohed 'or nOl.apjjllcablc, Ii. Ilepllnlle Eleob-j>:al Pennit [s required, .
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~G-06-2007 12:54 PM
P,01/01
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elL)' of051Jkt'sll
Dlvl.jc)n <'(Inspection Services
21S Church Avenue
PO llo~ 1130
O~h~()~h WI 54903-1 DO
orn"c ~20-2~6-S0S0
Felt 920-236-5084
Electric Installation Verification
I (We) C)&P.IlL/J;J. Af.?cA .kl'la-x D l(,....,i2<:I
(Electrical Contractor Name)
J 3,7 ..s. cArli PBE"LL 1"2 ("'j
(Address)
~.rI KO-S.,..l
(City)
Wl
(State)
{;;r..I70 2..
(Zip Code)
have been contracted to perform electric installation work for Osh kosh School Die s tri~ t
(Name of party contracted to)
at the following address:
1100 W. Smith Avenue
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X Recormection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofthe 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 permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual sy~tt'\m!l ft'l ~ duplex. or condominium), including required service
electrical outlets.
Other
cP
The value of this work is $ -ZCO -'
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
~ AyYlS-~
(Signature of Company Officer)
~M ,4 iVk.l~CX;H
(Print Name of Officer)
~~;0 I
(Date)
902