HomeMy WebLinkAbout0132844-HVAC (boiler) CITY OF OSHKOSH No 132844
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 EVANS ST Owner GARY D VANDRE Create Date 09/12/2008
Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Pian
Fuel / Gas Oil Electric _ ~ Solar Solid
System ~ New ~ 0/ Replace ~ ~ Other ~
Forced Air Radiant Steam _~ A/C Vent
Electric Hot Water Suppl. _] Con. Bumer
Chimney Type Chimney A Chimney B Direct Vent _ Not Applicable
Heat Loss As Approved Existing Not Applicabfe~ Value
BTU Rate As Per Plan Variable Other___ ~ Value 70,000
Use/Nature FR /REPLACE BOILER, ElV SIGNED BY SLIM'S ELECTRIC **debt acct
of Work
Fees: Valuation $3,500.00 Plan Approval $0.00 Permit Fee Paid $62.50
Issued By: ~~~ Date 09/12/2008
Permit Voided
Parcel Id # 1108560000
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 (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-12-2008 09 07 AM
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Fax (y20) 236-~04~
vac ~ER~~-r ~~~~icaT~or'~
All infon~atiur. afer bald categc.ries must be p~uvic~d.
lncamplCLp EF~pIJCEt14n5 will :,nt be processed.
a AppJicatioi,ls) and i'ee(sj can b: brou~~ht to City' Hali. Rr,nrl~ ?G c- tna;i2':~ i0 n~J~zcti~,;, Se.;•~•icz_; PU $as 1 ]?3:
Ush]<osh 1~'1 ~`~9U3-1 123. Couttne;~rataa wc~rl; tit'itixoca i~er:niti;j ~~~ilJ re~ulx.ii: ccs b;:ith" dcl~L~lzd car S10r~.0,J plus tJr
normal permit fee; ~~~hich ever is greater4
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Jf i'P1; 47r& Q CGJ9l]'G1CfG1' y~%Tl1Cl,~+A/117F !/i i~1P• ~~Y,17717~E° ~;'CC~7li7f S•,~:_l-'^7 GT17~~ J~C~1'F :7c7~~1;L21B •if/la,~S. C1ftCJ~ ~1~YC'
tf VGir li'pli! f/tIS D>•OCESSP.~i f17TOirgEl 1+pLrT GlCCO'-r~;! ~ -
'`* Advisnrr- -For applicable projt:cts, an Fl.ecrrica] 7iist~llatiort ~'exi.fcation (~?~n') tcn•rr.; si`ned b}' the Eleetz'ical
Cunzractor. or Tzomeo~a~x~er. (for uistallations allo~j~ed to be performed bz• the laazueo~;-~,xer.) must be submitted
vt-i.th the permit applxcatxoil. Applications subinittcd 'withotxt an EI'~' ~•hcn such is required, •t~'i1J nut be
processed for Perruit Issuance and ~°ill be rzt~rned for completion,
D A TL,~,,, S ~~ o ~ •-
JOB ADDRESS, ~j~.0 ~vff~. r. g _ ..M
OWNER G-a ~. rcl~
COI~'TR.ACTOR_ ~{K1S~ ~Y1C ,
P, 01/04
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CHECK 8 ALL APPLICABLE
USE CATEGORI'
Lingle Family ^Duple~ ^Multi-Family ^Rental
~Commerciul
^Industrial
FUEL @Gas Electric ^Solid SYSTEM
X011 ^Solar
TYPE
^Forced ,4ir ^Radiant ^Stcam ^A!C ^Vent ^EJec~ric
^New
^ Other
place
~t 1\'atcr Q5upp1, ^Gcn. Bw•ner
IS CHIA~NEY BEING LI?~ED l~io ^Yes - L1NE1: SIZE ~ M.a';t"rACTtiRP.R
Note; All chimneys shall be sized per the BTU's being vented,
CHIIIZ:'~E~r TYPE ^Chimne~~ A Ct~C~iirznCy P ^Ditect 1'e;xt QOtner
I~FAT 1,OS5 OAs Approved []a~xxsttr.r, C_r~ct AppliesiblE'
BTU ]~~TE QAtis J'er Plan C]Z'ariableC1J~tJier V5l'ue _,.,~ '~'LUOb
DESCRIPTION /SCOPE U~' A.LL V4'OkK BEI~'G DONE ~ ~~ c..e.....rv~ -~,,,^I~~o~ ~..t...r--
VALLTE (lncludin~ labor and material-) S 3a~B(.~'c~"r ,~ .
ELEC?R1CAI. CONTRACTOR (for prrJjeets not reguirin~ stn )v~1V Form) ~ i~,7..~ L~!• /~^~ c
0107
SEP-12-2008 09;08 AM
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Orllee 976276.!0!0
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Electric InstaUatiaa Verification
P. 02/04
i (wc) SLIM'S ELECTRIC INC.
(Faecttieal Contta-ctor Name)
2608 Oakwood Circle Oshkosh WI 54904
c~ cC~) cState> czlp coaE)
have been coatsacted to perform electric itlstallatiaa work for
~} (~eme arty COtttraCtpa t0)
at tha fo)lowing addreetl: `7 o1E~ ~~V~'-n S
(AdMeps wheee weak will be perfortt>ed)
The nature of the work coaaists of: (Check One or Describe the Nature of Work)
,,,,~ Reernrntection or new circuit for replaoetnent Hosting plaat sad/ar A!C Condeaser•
Reaonnecdon ar new circuit for replacement Electric Water Heatea oa~ power vsatoa
water beater.
Reconnection of the 5erviee Entrance Cab]v. Meter Box, altozstions to ramptacloe
and lighting fixtures due to siding / so!$t installation. Note: New Service
Entrance Gsb]es will require a sapea~ate perutit.
Reconnection or new oiresit for the rapleearnent of other permaoeady wirod
appliances / 6xttlros.
New circuit tvr the addition of A/C to m tirdtytdtral dwwallir',g nnN (houeer or the
individual systems in a duplex or otmaoeaiauum>, itscMdiag e~equired service
olec>irlcal outlets.
ou>r=<
The value of this work is S ~ ~ _.
I hereby verify this wank will be performed by an ernployea of tlsis oorapstly and Pluilta• verify
tha region ! installation will be done in cotapliauce with manufacturer and Electric coda
r+oyslir~emer3ta.
.~~v~~ ~~~~ ~~f/~ 0 8
(Sigaature of Co car) (Print Name of Offiq~ (Date)
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