HomeMy WebLinkAbout0091315-HVAC (rooftop unit) ' � CITY OF OSHKOSH No 91315
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 825 N WASHBURN ST Owner MILLER INVESTMENTS INC Create Date 11/14/2001
Contractor GARTMAN MECHANICAL SERVICES Category 502-Residential-Both 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 OMM/Replace existing rooftop heat/cool units. Customer supplied rooftop units. 'EIV form from Beez Electric.
of Work
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Fees: Valuation $2,250.00 Plan Approval $0.00 Permit Fee Paid $39.50
Issued By: �� Date 11/14/2001
� Permit Voided �
In the performance of this work, I agree to perform all work pursuant to rufes governing the described construction.
Signature Date
AgenUOwner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
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� Z15 Church Avenua .Q� 11� ,�;
p.o. Box 1130 � �� N ` q.,� � � � t ;
_ Uehkoeh, WI 51903-1130 � ,�(l ��/ =_
u�tw � Fax N (9Z0) �36-5084 � V J � '�F" • �� -W '`-=
Phone (9Z0) �36-50�8 . �� � � 1� , :1;
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All fielde/inform�tion ���pr bo�d oAKq�ox�ep��p�. �p ��CQy��pd� � �t
. Incomplete appliaation� Will not be� p�ppqps�c�, ;
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JOB ADDRS88 � �
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OWNER ;�:
CONTRRCTOR
CIRCI,E ALI, APPI,ICABI,B ;
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USB CATE(30RX SINGLE FAMILY pUPLEX MUI,�I-gAMII,Y CO�SR4I ��pUBTRIAL �+
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FUET, GAS OIL $L�CTRICJ BOLAR �O��p ��;
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SY�TEM N REPLACS ' OTH�R
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TYPE FORC AIR F.ADIAN�' ' 9T13AM. A/C �'
„ V�l'IT � . �r�
EI.ECT C !iOT WATER BUPPI�. CONf aURNBR . .�?
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I3 CIiIMNSY HBINa I,INBD I,INRR 9IZS MANUFA�}'�RSR :'
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Note: All chimneye ehall be elz,ed par the 8T�7'p being vented. �
CHIMNEY TYPB CHIMNEY A � CHIMNFY B Q��tBG"�' yBW'j! p'pH$R � � ;
NEAT I.�88 AS APPROVED $XIgTI�TC3 . ND'1' APPI�ICAF�I�R� '• '
HTU RATE AS PER PLAN VARIABI,E � OTHSR Y�►LTJF ' _ �� '
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NATURG OF WOR� . .,� �� �C � �� . . ,. F
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VALUE (Inc uding or an ma a 0)C�`�n oCq��U. U V ' f
ELECTRICAI, CONTRACTOR ' � '
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�:lectrical inetallation of new/raplacement equipment ehali be dona by lioanaad s
contractor's. ' � ''3- : �
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Valuai_ion � • • Feea ' � �.
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• $o t o $1 , o 0 0 .o o............:...........................................»............:..._..........».............».».............».».......»..$a 0.00 • ; i
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�i, 00n . o� �o �10, 000 .00....................................... ...:........ .........».......» ._.�.». , :.$�0.0o for• �1rat �:
$1, 000.00 plue� $1.50.per $100.00 val�ation or pa�t. thereof � F
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�io, o00 . oi co �25, o00.oo...................................»..........:...................».»..........:...._....».».».....$155.00 for '�ire� ��� ` _
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$�o, 000.00 plua $1 0o per $loo 0o v�lu�tiop or part�..thereof {� .
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Ove r $'l 5, 0 0 0 .0 0....................................................................»....»..........»........
..».».............»....».....»»..$305.00 p1uEi �0.50 ` : �'e
per $l00.00 valuatioq or pa�r� thor�p� '� �
. su►�inic payment with application. Failure to pay within 30 daye Will roault in ';
�eea being doubled or $l00.00 plue the normal permit �ee, which ever .ie �
greater. . . • . • ^ • . '4 �
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• • • 11-06-2001 07�32PM FROM BEEZ ELECTRIC TO 2310486 P.02
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� I��oele�ee�pa Savias ; , ,
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k�Hox 1130i
��WI 54903-II30 i
O&a 920-Z36.SOS0
n .c F�c 920�236�5084 i
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� j ,El�ctriic Inst�.�latia�n Verif�ca�ion ; !
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(n(We) B I 'c� Inc. � � ' ' i
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� 521 'W?;12th � Oshkosh WI 54902 ' ' I
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haue been contr�Cted t�p�rform electric installa�on work for�IV�echanicai Services, I
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- at.the folla�ry�� �ddress: 825 N. Washbum. ' ' I
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: The nature o�th,'wor�C(c�si;sts of: (Check One or Describe the Nature of Work) � ; '
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� •R .ecorinectiq'n ar new circuit far replaicement Heatirig Pla�rt iand/or A/C Conde��er.
'.� R, ectidn ox new circuit for repiacemertt Electric Water Heater. i i
❑ Re�ec�'q�n o�the Seivi.ce Eatra,nce Cable,MeterBox, al'terado�s to recepta�cles and �
; lfghfisn�fixt�re�due to sidin�/soffit installation. Npte: N�w Serv�ce Ent�ance Cables
' will r�equire�a separate pernut. : �
-[� R�cc�inection oi new circuit for'other peFina.nently wired applian�es/fixtures. ; �
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; Tfie value o�thii�work�s$250.00 � j i :
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I hereby vezi£y �`s wo w�,l be perforrned by au employee of this co��pauy and furtl�er veri,fy the �
reconnection/" stallati�n will be done in com liance with manufacturer and Electric code � i
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r uirements. � ' � �
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� t � ' C t,�iesir�elr l.lffl6/O1 i
(Signaxure o y Officer) � ' �
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TOTAL P.02