HomeMy WebLinkAbout0127770-HVAC (boiler)
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OSHKOSH
ON THE WATER
Job Address 25 SENNHOLZ CT
CITY OF OSHKOSH
No
127770
HV AC PERMIT - APPLlCA liON AND RECORD
Owner MICHAEL J/JOBY A WOLFGRAM
Create Date 11/12/2007
-~.~.._._-
Contractor
GARTMAN MECHANICAL SERVICES
Category 500 - Residential-Heating & Ventilating
Plan
Fuel ~ Gas _~ U Oil _~ l_ j Electric U Sol~__~ U.soli~~=:~:]
System 0 New_~ 0 Rep-'~__~__J D__9Jh_'~L__~___ __j
UForced Air D:Radiant I U_~~~~__==J U!JC==~==-~ D-y~:r;I==~=J
U__~~ectr~__J ~H_~W~~~J U__.s_~piil~-~-=-J ITCori=-E3jJ-~~r_-~
Chimney Type (II~Jr:n n~'i.~_-==----.~_f.6Tii'-ne~B==~:::ITlS-il"~cLY_e-iiC --:=nOH~L.A:pplic~~I~=_ __:
Heat Loss ITJI..s_~~____~=:-:=-_.~il)!it:Jg_==-:==_~==O~ELoI.A:ppji~~~ie_:==_:J Value _______
BTU Rate IT As "per Plan --==-TI_~!Table -=:=_:_~=:===.-Qlher::==::_~:~===:] Value____________ 70,0Q.9
Use/Nature ISFR / Replace boiler.
of Work I
I
I
EIV provided by Slim's EleCtrE**DEBlf7\.CCT**:-- ------------~~------------
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$3,390.00
~
Plan Approval~_____!o..:QQ
Permit Fee Paid
$61.00
- ---------- .._- -.-
Fees: Valuation
Issued By:
Date 11/12/2007
o Permit Voided J
Parcelld # 1413202600
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO_E:l<:lX 226~________ ________________ Q~f::I.l5.2~Ij_____~_ \i'l,/I_ 54903 - 2264 Telephone Number {~~()t2~_1:~~~9__..__
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
NOV-12-2007 12:23 PM,
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AI11tl!'Clrm.atiClIl ancr bDld t:d~gPrI~$ must be prlJyld~d,
.1lJ~o.mpicj~ 8pplicBtionl w'ill M,l b~ proce~~~d.
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Dshko.b Wi 54903-1128. Com.'1i~.nclng ,work "Yilhout ptrmit(s) will reswll in fees bdng dou1:fJ l!.Q or SJ DO.DO pJUl1 tbe
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NOV-12-2007 12:24 PM
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Electric Iostan.tloa Veritlcation
I (We)
SLIM'S ELECTRIC INC.
(Electrical Contractor Na:rne)
2608 Oakwood Circle
(Address)
Oshkosh
(City)
WI
(State)
54904-
(Zip Code)
hove been C01\tr9Cted to perform elec1ric installation work fur
The nature of me work consists of: (Check One or Describe the Nature of Work)
..i- Recormection or new circuit for rmp1accmC!l1t Heating Plant and/or Ale Condenser.
Reconnection or new circuit for rDplacmlent Blectric Water Heater or power vented
wafer heater.
Reconnection oftbe Service Entrance Cable. Meter Box, alte.rations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entnmce Cables will require a separato permit.
Reoonnection or new circuit for the replacement of other permanently wired
appliances) fixtures.
New circWl for the a4attion of Ale 10 an tndl\lttlutll dwelling un" (house or fhe
indi vidual 8ystemfJ in II. duplex or condominium), including required service
electrical outlets.
OUter
Tbe va1ueofthis work is $J~ DO
I hereby verifY this work wil1 be perfonned by an employee of this company and further verify
thct reconnection I installation win be done in compfi8nc:e with manufacturer and Electric code:
rcquiremcnu.
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7)4~II)A ~~lyI4
(Print Name of om
u \ \~IUl
(Date)
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