HomeMy WebLinkAbout0128091-HVAC (boiler)
G
OSHKOSH
ON THE WATER
Job Address 621 JACKSON ST
CITY OF OSHKOSH
No
128091
HV AC PERMIT - APPLICATION AND RECORD
Owner LEZ PROPERTIES LLC
Create Date 12/07/2007
Contractor GARTMAN MECHANICAL SERVICES Category ?_1Q..:ln.c!,~S()ll!m_-Hei3!ln9_Il._Yen!il_a-'i!1_g_ Plan
Fuel ~S3~~____-:=J U_()i1 _==J U_E!ect~~-_=-~:] D-=Sol8!~:-::::-::] OSoiid----
System 0 New _~ ~R:e[J!~~________ __~ On_Other
ITForced Air []Radiant- _J U Steam-] ~C------l D~-VenI-=~__~:_]
U_E_lectric l~LHot Wat~ U Suppl. ] rno~-,-[urneIJ
Chimney Type '-:9.imney A ---.-0 Ch-imneys-=-====--D-Dire:~L'{~!__====Q Not A.2p]~ahle --:-~
Heat Loss IT As Approved ________ Existing__==:=:=--=::O Not ~.2~~i3..b~==-] Value ___________
BTU Rate rr~~=:_===O__""~iabl~_=-~.-_=:::--_=__=._Oth~.r -:-==::--:=:] Value _ _____1.75,900
Use/Nature ICOMM(6 unit) / REPLAC-ES01I.E-FCEIV SIGNE-OSY BOWMANETECYRIC-**de5Cacct-(one--boiTeiservlces-all i3-unlts)
of Work !
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Fees: Valuation $3,950.00
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Issued By: ~Q.
Plan Approval $0.00
Permit Fee Paid
_ __~ZO.OQ
Date 12/07/2007
D..p_<:rmit ~~d~
Parcelld # 0701990000
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
(9?ot2~ 1:.5_5_~Q____. _
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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.
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'HVAC FlERMlj APPLICATiON
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_,1~;,.','~',;:.:,.: O.hko,h WI 30903-1128. Co=elo, work with", I"""il(') will ,""III. feu bemg doubled" SI 00.00 plu. lh,
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:'c.Y-' . ~ ..Ji~.tJ~!E...' ClAshrPlan DV!lnlibl~ ~"r"Vlllu~ /~5~O~
1;{;~~:~nON OF ALL :ORK~lNO DDNE_ 41'1~~~..1- 4u,(~ ~
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DEC-07-2007 09:02 AM
p, 02/02
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City nC Oshkosh
DiviBlon onn.p~"tl()1I Scrvi<:cs
21 S Church A vcllll"
1'0 ao", IU(l
O.hkosh WI 54903-1130
OffICe 920.Z3~50S0
F&lC. 92.0.236-50&4
Electric Installation Verification
I (We)
2,ow~'^- E'l~~(,-. L-L L
(Electrical Contractor Name)
I~ I J-. d:- A-~~ Cht\ KDsJ....
(Address) (City) (State)
have been contracted to perform electric installation work for L:-SLYf\l)P
(Name of party contracted to)
lid-I ~tt?o\
(~j~ where work will be performed)
9/4
wE.
s: Lj 9I.J 2-..
(Zip Code)
at the following address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant audior AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable1 Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual sy~tem~ ;':1 $,\ duplex or c,ondominiu-TIl), including required service
electrical outlets.
Other
The .value of this work is $ \SDL1J
I hereby verify this work will be performed by an employee of this company mid further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements,
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(Signature of Company Officer)
{.!./7~ c:t gDl4Jm,~Y1
(Print Name of Officer)
JQt~U1
(Date)
5102