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HomeMy WebLinkAbout2008-HVAC (boiler)/~'~ CITY OF OSHKOSH No 133025 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATE R Job Address 1369 WASHINGTON AVE Owner PATRICK FHUGHES/S M ANDERSON Create Date 09/22/2008 Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating i£ Ventilating Plan Fuel / Gas Oil Electric Solar ~ Solid System ^ New ~ ^/ Replace ~ ^ 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 Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature FR /Replace boiler. EIV signed by Slim's Electric. ""debit acct of Work Fees: Valuation ~,~ $4j 765.00 Plan Approval $0.00 Permit Fee Paid $82.00 Issued By: (~YJ~f~p Date 09/22/2008 ^ Permit Voided Parcelld # 0203750000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231-5530 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. P-19-2008 03 19 PM ~j, 1~.+ Cif Q5}]Kp$}, rr~~ !. J~: ]' ~ `r, ~~ ~) ); ! i ~ it Phone (9~L1 X36-~05~ Fs~ (9~r}) 256-:084 HVAC p~C~~IIT /~PPLIG~TIa~' All in ~rrn£,tic,n a,"',er bold categrrics ;;;us] oe pr~r!ced. ?ncamr:la~e epplicztio;~s u~i11 not be prnce;;ec. ° Apr]ic:utiol;fsl ar,d feels) ezrl be brou?ht to Cit,' l;lsli, Roc,r, ?G ~ c,l- rr.~,ilv~, t~=. ,7;~~~~cric~]', Se,'•~'iee_, ~'C713a:'; i i iF. Ushl~:osh 11'] 5~9U3-I 1~8, 1..o1nR'ie]7C]n~ \\'Grl; u~i:17GGi permit(s) \~°i l3 ;esu!'~ in 4.s bei7-~M dauoled or Sl ~Ji1,0~ plus i17: ]tormel permit f e, which ever is o eater. OR ff i'G1i! C11'B Q C 117O'CClG!' f7Gl'*ICi~0i'1J1g ! 117 F•. i^$.''1!SI1 iE: ~rCr~t~~;,~ l•~•~,r.M17 ^i7c~ l" 1' r- a r ;,,~ .. _ _ ,n c G'~IC'.~ ~rcte I~r1,C'.~'. ,; h2Ck. %1~ r~ I~l%ptl 'rI•'.?)7! l{ilS' D)'pCESS~'Gi 111Ypiagh VpUI' ACCpa17( ~~ '`'" Advisors- - F•or applicable projects, an F.,lectri.GZt] Jr,stallatiou ~'ez-~catiot: (ET1') form; signed b~' the Elect>:ical Coi~tzactor or Tiomeo~;'ner (far installatiolts alll~~~~ed to be Perfumed b\~ the hor~eoz~'ner) uins~r be submitted 'v-•ith the permit applicatipii. Applications submitted ~-ithout an ~:1~' `:•b~n ,rush is requizcd, ~~i11 xict be pzoteased for Permit Issnanee and r~'i,ll be xeturned for completion, JOB.4I~DRESS (~~Co~'! ~ti~c.~1 ;h~;urJ own~E~ _ _ C~~-~ ~, 4~ ~. CONTR~,CTO12,~_(.~~5, ~hGl P, O 1 /02 DATL 1 /5 c $ ~ ~~ Yu ~~M' ,.~ _~_ _ CHECK C~ ALL APPLICABLE >.ngle Family DDupiex (wlMulti-Family ^Rental ^Conamerca3 ^Industrial FUEL L~GGas QElectric DSolid SYSTEM C]Oil DSola]• TYPE ^Forced Air QRadiani C]Stean7 IJA/C OVent ^Eleca'ir. 1~2~Tetir ^C)ther I~p~ece ~V4~'ater C75upp). ©Con, Burner IS CHYA~1~*EY BEIl~G LINED f~Go C~1'os - LL~ER SIZE ~: MA'~~,'FACTL~Rr;R _ Note: All chimneys shall be sizeel per the ]3TU's being ve~]ted. CHT>\Z'~EY T1'P>/ DCr]imne~• A C~iimney B Dl;~irect ~~ e„t ^Cltber HEAT LOSS D.gs Approved LC~xistir.~ DNc:; Applicable BTU R.~TF~. ^.4., Per Plan ^1'ar,zbie ~:ner 1~ glue 13~ ~tx~ B77/ DESCRIPTIU!~ I SCOPE OF ALL WORK BlrI:~G vUNE_~ ~~ 1~.~.,,~~~,~ 61, ~~ VALUE (Yr,cluding labor end m©terials) ;L _ ~~(aS "~ •-~ _ fiLECT127CAL COI~TR~C7'pR (fax protects nat re9uiring an EIY Furrr,) _~,~..~ ~/1,..,>~~..r s m~~,. SEP-19-2008 03 20 PM cxr.~aw~n s~ °r w~°" s )0 aer ~ ~w a.~ro.e wi a ~o one no~soso Fui 9I0.436.SON Electric In~taUAtioo Veriffcation t (We) SLIM'S ELECTRIC INC. - -- --- (Electrical Cantrector Name) P, 02/02 _608 Oakwood Circle Oshkosh WI 54904 (A) (Ciry) (State) (Zip Code) have been contracted to perform electric installation work for •.S (Name of party co od to) at the following address: (Address whore worl(,~ill bo porfarnaed) The aaturo of the work consists of: (Cheek One o: Describe the Nahue of Work) V Rec;orntectioa or new circuit for replacement Heating Plant and/or ~-/C Condenser, Roconnoctioa or sxaw circuit for replaeesnent Electric Water Iieetet or power vented watat tlOatOC. Recaneoctian of the Service Entreats Cable, Meter 13ox~ alterations to roceptaclos and lighting fixtures due to siding / soffit installation. Note: New Service Ent~aiuce Cab]ea will require a separate permit. ,._~._ Reoottuection or new circuit for the ropiscement of other perrAanontly wired appliances) Nocturos. New circuit for tbo adGidon of A/C to an tndtvtdeia(dwelliirg emit (house or the • individual systems is a dupleoc or oondomirrium~ inolnding cegerired service electrical outlets, Other The value afthis work is S I hereby verify ilea work will be performed by as employee of this company and further verify the recomtection !installation will be done in compliance with maaufacteuer and Electric code regaircmonta. ' d/ JL D /~ .9 r~ irf~, ~ ~ O p (Signature of Comp ter) (Print Name of Offs (Datej • sro2