HomeMy WebLinkAbout0127287-HVAC (boiler)
G
OSHKOSH
ON THE WATER
Job Address 316 W 10TH AVE
CITY OF OSHKOSH
No
127287
HV AC PERMIT - APPLICATION AND RECORD
Owner DAVID EILOIS A POTRATZ LIVING TRUST
Create Date 10/16/2007
Contractor GARTMAN MECHANICAL SER'{I~ Category 500 - Residential-Heating & Ventilating
Fuel ~G~_~J U_~__J U_Elec;t~c _=1 O-Solar--~.=-J
System [L~~ aR_ep~_c~_. ________J
OFOrced Ai~ U_ Radiant ~_J D-Ste-a~=-=~:J O~~~=:==:~==]
U~!~l!:!c;.___J [~[~ot~Wate~:] O--~~PEr::~~==] O~g:~ri.J~~rr;e~J
C h im ney Type .---Q:'!im ney ~.__.___O~6II11-'!e.y B -===::-:-_:IJgJr~Ci \j~nt:--=:~:_=-TI_~()t!\Fiilc~b!E?.:-=]
Heat Loss ITASAPProved--------.--EXlslli19-:=:--------::..a: Not Appl~~~Le:==_~_==:J Value
BTU Rate D.As Per Plan-=:=---TI_ Variable .________._Qth~=:===~...J Value
Plan
D~.~of@===:=:]
Other
OVent----i
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Use/Nature IsFR I REPLACE BOilER, EIV SIG1\iTD BY sCfK/;'S-ElECTRic **debt acct
of WO'l
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F.." Valuallo" _ ~o.oo
Issued By: CJytl~
Plan Approval $0.00
Permit Fee Paid ______$_~4.00
Date 10/16/2007
D_!:ermit Voided I
Parcelld # 0903390000
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
AgenVOwner
Address
PO BOX 2264
. _____Q~!:IKO_~_____ WI 54903 -2264 Telephone Number (920) 2~1-5530 _
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.
OCT-16-2007 08:45 AM
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'HVAC PERMlT APPLiCATION
. All11:lll:r~IIC!Jl aIlDt bold ClJ~rPrlC:J milS! bc.pro):lr;l~d,
,Inppmplele applicatJom will f1o.! br p'roc=a~d.
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.,f:,< ' . .' · . AppifClllon(s) Ilrid fee(ll) can be brought to CIty Hajl, RODm 2.05 Or maill;.).ll.ll Inspection SC1'Vic~s, PO I3Q;t I J '28,
,'..:;'., Dehkollh WI '4903-1 128. Cornm~clng wDrk withDul permit(s) will n..-sullln fees being dou1:rlcd or sluo,ao plus LI
f, " ~o.tm./JI~ermltte!l,whiohevClr~sgre.lllcr.' . " .
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;...:;.:" . , . VS}jj .cATEGORY
(.~!i~>' .. . fjS!tigle Far.n11y ODuplex DMulti..FatnBy
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'i"'" , " "ClP.f..d Jut l:11l.di,.l bSt""" DAlc OV.., OEIeobia ~!, w.t<r DSuppI, DC,n, a1'lllor
1~'[~"':(~~;~~ ;~;t;ifi\;;;; t;;:;;-~ "l.lNER SIZ~ S 'I ~ MAIWfAcWJi,R, ;/.;.-/ -6"y
~~.9i..', ,.' ~,Mt.:.~!!. chJniii~y! !hall be Il.z~d per tm ~TU', hem: v.enled:
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':~:;'; .. :,'~full! 1liQ,l"",,,, A 'Dch!mrt,yB,tJoh;iV"", ,". POIb" ..
$' :,. ','ltEA t Loss, ' DAs AJiprov.d !:lll:tistiui ON" Appll,,;bl,
:':<V:" . . ;J31:V Mn '. DAa Per PIB!) DVlUillble ~)ei- Value. /O,.G OOD BTlJ
~? ;;~f:~fiON OF ALL :ORK 1l~ING DONE ~p /" ."" ~ ~ t:. /'sDI:6 ~
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;',:'j' .'. . ..,:-:. '. "': .ftfcif fippHcllbl~ jrrojeob, an Eh,r,tric L'lBb.:Jlation Vcrlfitletioii form, ~g.rlcd by th~ EJeclrloal Conlnctor, m'J..[ be
)f,,':'", ,:.~):. .;;./..; attiloh~. Uno! ~!tachcd 'or n~lE.pplicB.ble, ~ Separnle Bltotl"lt:al Pcrtnllls n:qLllre~.
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OCT-16-2007 08:46 AM
P,03/03
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PO 1Ial1l30
OIIllb8h WI U~1l30
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FAll 1120-2S605Ot4
Electric Instan.tloo VeriflcatloD
t (We)
SLIM'S ELECTRIC INC.
(EJecmcal Contractor Name)
54904
(Address) (City) (State) (Zip Code)
have hem COftttacted to perform electric installation work fu~<+b~~
(Name of party contract )
~\~ U-J \0 ~
(Address where work will be pcrforru~)
2608 Oakwood Circle Oshkosh
WI
at the followb\g address:
The nature of me work consists of: (Check One or Describe the Nature of Work)
~
Reeonnection or new circuit for repjacmnent Hcatins Plant and/or AIC Condenser,
ReconnectiOft or new circuit for replacement Electric Water Heater or power vented
water heater.
RCCQnnection of the Service Entrance CabJ.c" MClCr ao,c. alterations to receptacles
and lighUnI :fixtures due to siding I soffit installation. Noto: New Service
Enmmce Cables will ~re a separate permit.
RecoMcction or new circuit for the repbwfm1ent of other permanently wired
appliances l6xtures.
New circuit for tbe addition of Ale to an i1ldMdual dwelling unit (house or the
individua18)'1U!m1 in a duplex or condominium), includiq required service
electrical outlets.
Othr;r
The value of this work is $ \SD .Ot.,)
I hDt'oby vorify this work will be perfunned by an employee of this company and further verify
the reconnection I instaUation wiJl be done in compliance with manufacturer rmd Electric code
TCquin:mcnta.
{J,
7)4vlt>~ YR.~lyIA
(Print Name of om
\'ot\LPtg
(Date)
5102
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