HomeMy WebLinkAbout0131974-HVAC (boiler) CITY OF OSHKOSH No 131974
OSHKOS H HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 602 W 8TH AVE Owner LEZ PROPERTIES LLC Create Date 07/30/2008
Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil I Electric Solar Solid
System ~ New ~ ~/ '' Replace ~ ~ Other
Forced Air Radiant ~~ Steam A/C Vent
Electric / Hot Water Suppl. Con. Burner
Chimney Type Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existin ' Not Applicable Value
BTU Rate As Per Plan Variable ' Other Value 105,000
Use/Nature FR /REPLACE BOILER, EIV SIGNED BY SLIM'S ELEC TRIC **debt acct
of Work
Fees: Valuation $3,290.00 Plan Approval $0.00 Permit Fee Paid $59.50
Issued By: ' Date 08/01/2008
Permit Voided
Parcelld # 0601750000
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
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.
JUL-29-2008 02;36 PM
C'i;y r.~r Clshkn~~J
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Oslixnsh, 1~'f 5,9U3-; f;4~
}'hone (92 L') 2,6-5050
Fax (92U) 236-SUS4
P, 04/11
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HVAC PERMIT APPLICATION
All infcrmatinJt lftcr hold cafe+gnries must. be providea,
1ncGmplete applications wil! oat be processed.
• Application(s) and feE(s) can be brought to City ~~}iall, Konen 2U` cr mailed to lnspectit>n Services, P~3 Box 1 1~5,
Gshkosh Wl 54,003-1 12R, Commencing N~urk witltot~t perrrrit.(s) ~~'ill result in fees being d~lublucl or $] UL-.UO plus t1•,e
normal permit fee, which ever is greater.
OR
~nar are a cp)rlraC.lur~nrliCfpGring in the F'er~nrt,jee_9CC~unr S'>'stern rrncl hate aC(2rJFrU1e funrls. check. here
+ Moir >, am this Dr ~cessed rhroz~eh voter accnul~i
** Advisory - ]cot applicable projects, an Electrical Installation Ver~catiun (E11') form, signed by the: Elech'ical
Contrac[or or Iiorneowner (for installations allowed to be performed by- th.e homeowner) must be subtni:ttcd
with the permit application. Applications submitted without an FIV when such. i~ requu-ed, will not be
processed for Permit Issuance and will be retarn.ed for completion.
llATE 7~aS~og
JOB ADDRESS ~o ~ lit/. ~~"~'`
OWNER __(~ ~Z, ~,~.r,.~.eS '~ ..._..~
CONTRACTOR ~YNz < . I wc_.
CHECK m AI,L APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family'', fia'1~nta1 C]C:c,mmercia] ^Industria]
FUEL G}~as ClElectric ^Solld SYSTEM ^l~tew C~iZ`eplace
^Oi] ^5olar I ^Other _ _ ~~
TYPE
^Forced Air ^Radiant ^Steatx~ ^A./C ^Vent ^Electrie ,t V4'ater ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED CJ~ ^IYes - LII~'EF S1ZF & MANUFACTURER __ __
Note: All chimneys shall be sized per the BTU's being vented. - "'~'"
CHIMI~iEI' TXPE ^Chimney A L~g,,G~h~m~'ne}~ U ^Direct Vent ^Other
HEAT LOSS ^As Approved Lti'E,xzstin~ ^Nat pplicable
BTU RATE ^As Per Plan ^Variable her Value _ /Q,~, ~y0 $Tl/
DESCRIPTION /SCOPE OF ALL WORK BEING DOTYE ~, (~ ~~ ~~(~,.
VALUE (lncludin~ labor and materials) $ ?~ri ~ ~i ~
--.-,-
ELECTRICAL CONTRACTOR (far projects not requiring an 1]\' Furm) S (~ ~ S L. (t G'Ty1. G
07/0
JUL-29-2008 02 37 PM
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Fa 4t6~776~SON
Electt~c Ia~tall~tion Verit~cation
Y(~,vG) SLIM'S ELECTRIC INC.
(Electrical Copcractor Ngnae)
2608 Oakwood C
(Addrew)
Oshkosh WI
(State)
P. 05/11
54904
P Cam)
have bees coatzaeted W perform alpctric ioataltadon work for ~ ~ ~e..r~~~,S
(Name of perry cantr e~ to)
at the th]]owing addro's:.~0
(A~dctr+eea where vaork will by performed)
The nattrt+t: of the work cotuaiet6 0~ (Cheek One or Dascdbe the Nature of Work)
,]~ Reeomteetion or tvo~v circuit for replaoeracrzt Boating Plartt sad/or A/C Condelueer.
Re+aonnvctioa or ne+v circuit for replacergent Electric Water Heater ~ power veoted
water heater. .
Ra~nacctiaa afthe Service Fntraaeo Cable, Metter Hooc~ alta~ationa oo r+oceptaeles
and lighting fiaturca due to aidinig / soffit iasta]laoEion. Note: New Service
Entrance Cables wilt require a separate permit.
Reoonnoction or new circuit for the replecemant of other permanently wired
apptiancaa) ffictwns.
New curcult for the a0dition of A/C to an lndMdtta! dlvelling sett (house or tht
individual syaterno in a duplex or candomiaium), inciadirrg eked service
elecicioal outlets.
Olber ~I
I~
The value of this wank io a 'I
] hereby verify this wa~r]r will be performed by an empkryee of this cana~pany and ftuther verify
the reeortneedon /installation will be done ir, eQmpliaaro with n-at-ufactru+er~nd glec~ric code
ragniroaneats.
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(Signature of cer) ', (Print Name of Ot~"i ate)
sror