HomeMy WebLinkAbout2001-HVAC (furnace) ED CITY OF OSHKOSH No 91456
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 250 N SAWYER ST Owner CITIZENSFIRST CREDIT UNION Create Date 11/21/2001
Contractor GARTMAN MECHANICAL SERVICES Category 510 - Ind. & Comm - Heating & Ventilating Plan
Fuel Ill Gas I Oil 1 Electric I Solar Solid
System ❑ New 0 Replace ❑ Other 1
j Forced Air J Radiant J Steam J A/C J Vent
1 Electric Hot Water 1 Suppl. Con. Burner
Chimney Type () Chimney A 0 ) Chimney B 0 Direct Vent 0 ) Not Applicable
Heat Loss K) As Approved () Existing ❑ Not Applicable Value
BTU Rate ❑ As Per Plan ❑ Variable ❑ Other Value
Use /Nature COMM/ CITIZEN'S FIRST/ Replace existing furnace. *EIV form from Cumings Electric.
of Work
Fees: Valuation $2,480.00 Plan Approval $0.00 Permit Fee Paid $42.50
Issued By: j(%'Y\ Date 11/21/2001
❑ Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number (920) 231 -5530
CO „''.--: Division of Inspection 8srvtoom
715 Church Avenue
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P.O. Box 1130 ► ” r+
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Oshkosh, WI 56903 - 1130
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Csil�� Pax M (920) 736 -5086 ,/ _ .f4 A , ,r r ,,
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Phone (920) 236-5040 '� ��, • �� ' � ...
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All fields /inform tjk gr�i4 Ar� �bOI:a11;40440110 ' �. i 4 ' .i. . Incomplete sppl4aatlon Will ,ng : hA' p ,RniA • ,- , ,
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JOB ADDRESS a o M. ,�.::.
f � , l�, x -�l.�l
OWNE AI_1 i ,
CONTRACTOR , a •
CIRCLE ALL 'APPLICABLE '
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UBE CATEGORY SINGLE FAMILY DUPLEX t'IUI ITFAMIIi4X ` �" `` l' ` t., .
�.'DMM ' `�ff
a 1 a �i Y,
FUEL OAS OIL 1iI,EC� sow* ' A '. ' ',.� . ; x•: ` ±
i � v E
• .40 SYSTEM NEW OTHER i.. n,.
TYPE FORCED AI RADIANT STEAM. Ah 1 ..
ELECTRIC HOT WATER BUPPI COWL' RJR ;; I.
I8 CHIMNEY BEING LINED I4WER SIZE •
Note; All chimneys shall be sized per the ETU' beteg vented,' � t ~ 5 '''''''':7
CHIMNEY TYPE CHIMNEY A CHIMNEY B pTRHt Y 'D
HEAT L088 AS APPROVED B7tISTIM)t3 `
No APPTa i*H ,
,•
BTU RATE AS PER PLAN VARIAHI.E • O�'HgR VIE ' .
•
NATURE OF WORK:, • i3
VALUE (Including labor and matgriAlg) $ �t�, +. \
•
ELECTRICAL CONTRACTOR •
Electrical installation of new/replacement equipotent Shall bo done by lieeeee4
contractor's . ;x., •
Valuation' Fees' ,
• $0 to $1,000.00 .... . ». »... 20,00 �
•
$1,000.01 to $10,000.00 »..„....„„».; ..». : ..».„.......„.».».».».» .... ». ».........„ 00 . for. ei $. , ;
01,000.00 plus $1.50 per $100.00 valfiq ion or part . t hereof r {u'w
$10 000.01 to $25,000.00 ». ».» .... «.... ». . ... ».... ».. ... ... ...» »
»» »..»»»» —.41.55,00
. ... . . ......... for '�iret I
$10,000.00 plus $1.00 per . $100.00 valtigtipp or,. pAr1 ,.thereof w t ,,'
Over $25,000 0 0 »....»..»».». .. ».... »....,...»...». ».., .. 00 us . f 4 , 54 ;'
par 100.00 Valiiai.Of'' Or part thexepg� -
• Submit payment with application. Failure to pay within �A,d #ya Wi I rEAti _
fees being doubled or $100 pl.Ne ha, normal permit'; fae, ; which . ever ,ia . 0
greater.
Nov 19 01 08:23a CEI 920 722 0769 p.1
City of Oshkosh
Division of Inspection Services
215 Church Avenue
PO Box 1130
^
Oshkosh WI 54902 -1130
Of I -F(c)_ ' rl Office 920-236-5050
On THE WATEa Fax 920-236-5084
Electric InstaIIation Verification
(I) (We) CUMINGS ELECTRIC INC.
(Electrical Contractor Name)
1414 COUNTY RD J J, NEENAH, WI 54956
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for 64 / 2 - rr file..C4AAJ iCAL
(Name of party contracted to)
at the following address: (9-O 4). '!F .2 S1: L' i T� Z 05' A 2-S L'o ( • ,
(Address where work will be performed)
The nature of the work consists of : (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $ IOO '
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
RICHARD J WENZEL 11- le( - o
(Signature ompany Officer) (Print Name of Officer) (Date)