HomeMy WebLinkAbout0132748-HVAC (boiler)CITY OF OSHKOSH No 132748
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2580 W 9TH AVE Owner CALVARY LUTHERAN CHURCH Create Date 09/09/2008
Contractor GARTMAN MECHANICAL SERVICES Category 510 -Ind. &Comm-Heating & Ventilating Plan
Fuel Q Gas Oil ~ Electric Solar Solid
System ^ New j Q Replace j ^ Other
Forced Air Radiant Steam A/C Vent
Electric / Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature Replace boilers. EIV signed by Slim's Electric. **d ebit acct
of Work
Fees: Valuation $13,000.00 Plan Approval $0.00 Permit Fee Paid $190.00
Issued By: ~~ Date 09/09!2008
^ Permit Voided ~ Parcel Id # 0613600000
In the pertormance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number (920) 231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P-05-2008 02 40 PM
r. iti cif (75hkosF~
Ocinkirsh, ~i~ri ~"9U~.11ap
P`~c,ne f;a30) 2 ~6-5050
Fay (5'20j 236- U84
H'VaC PEF~IV{iT AP'1'i~(CATI01~
,F111 in~'crrrtaticr)1 afar bald categories n;u:,i he rro,~ided,
Incomplete applicztions Neill nat he i~rnressE:d.
C~'C.ommercia]
~ Application(s) and fee(,) can be brotishtta C:ir~' Hall, Ruorr) ^G~ yr m~ril~_d to Inspection Sc,~vicE~, F'O BO?, 11?F;+
C)shh:osh 1~~] 54903-] l2$. Commzncit~g work ~~+iatout ~rermitis) ~r~il! result in *Gcs h~ ir.e douuled or ~N1 UU.UO plus 11'~
norms] permit fee, w.l7ich ever is ~>reater. 4
c>'x
If1•'Ott c)re G' c:hnlracr4,~~.,~~c,rt,%cipa717tP irr ~{7f _.~~1'r7711_~C~ ACCC+t!17l y1+S!emnn~! bare p~__~rtrn~~~ uh:Js, ch~_ck here
-f votr wul7l !hr's pr•ocesxed.,rhrou~h ?rote' account
** Advisozy -For applicable projects, an Electri.caT li~stallation Verifi.cal,io?n (ITV) form; sipa~ed by the Electrical
Contractor or Iiomeo~t~'nc:r (for installations allruwed to be pet:foa.-mt:d by i~he ho~neo~~~nrr) must be submitted
v~~ith the peiiuit application. Applications submitted without an l1IY when such is rcquixed, will not be
processed for Periuit Issuance and will be retuxned for conipleti.on.
JOB ADDRESS X580 Gv. 9~ ~.,•._,.,-.,.
OWNER_ Cc. I ~.~.~ G1,.,,.-~.I.,
CONTRACTOR Ghti.~ ~~~' .
CI-IFCK Q ALL APPLICABLE
USE CATEGORY
^Single Family C7Duplex ^Multi-Family ^Rental
FUEL ~3Uas ^Electric Solid SYSTEifJ
DOi] ^Solar
TYPE
^Foroed Air ^Radifutt ^Steant C7AJG 1^Vent ^E)~ctric
^I~'ew
^ Ot}sex
P. 01/03
i~ ~~
~1;,
-1
;;rd TI'a vl.-7Fk
^Industria]
I&Rtp]ace
!~- of V,'ate.r ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED 1i~o ^Yes - LINEF SIZE & IvLAI'~ti~ACTU>;T.k __
Note: All chimneys shall be sized per the STU's being vented,
CHIN.[NEY TYPE ^Chimney A C~Chimriey B C~ e~.t Ver.~t C]0'.her
HIa:AT' LOSS ^As Approved ~stirg ^Not A}+plicable
BTU RATE C~.AS Per Plan C]Variable G~CSther Vslue ~~ /2,40__0 ~4~YY ,d?o. /~~s-
DESCKIPTIO'~ /SCOPE OF ALL WORK BEIIIG I)ONf:~ / ,~~„~,~~,~- [,~eil4,~-s'
VALUE (including labor and materials) 3 OCJ ' ~" ~
ELECTRICAL CONTRACTOR (for projects not requiring an lrTlr Form) a ~ ~ ••~• ' S L `~~--~•^^•~
07/~~
SEP-05-2008 02 40 PM
`~ ~
215 C1w~h A,~ww
PO amt 1130
d~LrY W1 14901-1130
OdMs 60.176.1010
Faa 17A.Z16~1011
Electric Inetallatio,~ Veritlcation
I ~,~,e) SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
P, 02/03
shkosh WI 54904
(Address) (City) (State) (Zip Code)
have been co:mraeted to perform olociycic ittetallation work fore. ~ 1~~1.1M ,
(Name of ~ cantrscted ~o)
at the following address: °~~~ ~' ~ ~`
(Addross where Work will be perfortaod)
71te nature of rho work consists of: (Check One or Describe the Nature of Wank)
'!/ Reconnection or new circuit for repleeetnent Heating Plant and/or MC Conde~or.
Recomr~ecdon or nevv circuit for replsaement Electric Water Heater or power vented
water bOatOC.
Reconnection of the Service Entrance Cable, Mctvr Hex, alterations to receptacleB
alyd lighting fixtures duo to siding / soffit installation Note: New Service
Entsenca Cab1~ win t+egt:ire a separate permit.
,~ Reoont-octiott or new circuit for the repiaceanent of otltar perrrtettently wired
appliances) ~ctuzas.
New circWt for the aQditiOtt of A/C to an brdtti/daat! dwl~elling Breit (bouse or the
individual arystema in s duplex ar condonninuitun), irichidistg roquimd service
electrical outlets.
Ober
The value of this work is S
I hereby verify this work wi31 be perfornled by an eaaployee of this conaparty and fiuther verify
the roconmection / ittatallation will bo dozfe is compliance with manufacturer and Electric code
rogairmneats.
(signature of Comp car) (Print Name of OftTi (Date)