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HomeMy WebLinkAbout0104206-HVAC (boilers)OSHKOSH ON THE WATER .lob Address 224 STATE ST Contractor Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD GARTMAN MECHANICAL SERVICES Oil Owner GANNETT MIDWEST PUBLISHING INC Category 510 - Ind. & C0mm-Heating & Ventilating L~ Electric Replace Forced Air I ~J Radiant Electric I ~J Hot Water L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I Heat Loss I~ As Approved ~ Existing O Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 104206 09/16/2003 Other J Vent J Use/Nature COMM/ Replace 2 boilers. *EIV form from GMS. of Work Fees: Valuation Issued By: $19,800.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $253.00 Date 09/16/2003 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 BOX2264 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. City nfO~kkos!~ Divisioa of Inq~lim~ P.O. B~x li3B Osh~li, W! 54g03-1 Phone {O2O) 236-5050 Fax (~20) 236-5084 USE CATEGORY E'ARinglo Family i]Oil I-ISoler .; TYPE C~Forced Air I~ CIIIMIq~E¥ ~Chimnev A" ' CHIMNEY T~PE I~AT LOSS BTU RATE DESCRIPTION OF ~LI. I~LECTRICAL For applioah!o atlache~d, lfno: Electric Installation Verification (Electrical Contractor Namc) (Address) ' (City) (State) (zip Cod~j ~' have been contracted to perform electric installation work for ~'~_3F, ~, xO~\ \~k ~Xi~?)~, f~ at the following aa&ess: :;a q' ' (Ad&ess where work will be p~rformed) The nature of the work consists, off (Ch~ck One or D~scribe the Nature of W0!rk) N/~ Reconnection or hew cimuit for replacement H.eagng Plant Reconnection or new circuit for replacement Electric Wat~ water heater. Reconnection of the Service Entrance Cable. Meter Box. a and lighting fixtures due to siding/soffit installation. 'Note: Entrance Cabt~s-° will requirc a separate p~rait. ' Reconnecfion orflew circuit for the replacement of other pema. an~$1y wired apphancea / fixtures. New circuit for the addition of AdC to an individual dwelling u,it Ololls9 or th_e individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $ c~©-~ *._2~-) . I hereby verify this work will be performed by an employee of this company and fggher verify the reconnect~on / ~nstallat~on ~qll be done in comphance wth menufact!trer and Elcc~tn~c ~c~ ~ode requirements. (Print Name of Officer) (Date) 5/02 '