HomeMy WebLinkAbout0105193-HVAC (boiler)OSHKOSH
ON THE WATER
567 MOUNT VERNON ST
GARTMAN MECHANICAL SERVICES
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner BEATRICE SCHRADER ETAL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
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
105193
11/06/2003
Other J
Vent J
Use/Nature DUPLEX/Replace boiler. *EIV form from GMS Electric.
of Work
Fees: Valuation
Issued By:
$2,850.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$48.50
Date 11/06/2003
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.
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cir/of Oshko~
Divisi~a af Inspection S¢o&es
Electric Installation Verification
I (We) ~
(Electrical Contractor Name)
(A~ss) .... ~Zip Code)
~vo be~ con~t~ to p~o= elec~c ~t~lation work for ~. /~e~ ~
at th~ follow~g ad.ess: . ~ ~
(Ad.ess wh~e wo~ ~11 be perfo~)
The nature of the work consist~ of'. (Check One or Dcseribc the Nature of Work)
Reconnect~on or new c~rcmt for replacement Heating Plant and/or A/~
Reconncction or new circuit for ~'eplacement Bleetriq Water Hca~er 9~' pgw~ v~ _tgd
water heater. ,~-,
Reconnection of the Service F~lrance Cable, Meter Box, alteration~ to re~ep[ae!es
and lighting ~xtures due to siding / soffit installation. Note: New sm,ce
Entran.ee Cables will require a separate pean'nit. ~ · '
R~connectton oraew circuit for the replacement'of other permanently wired
appliances / fixtures,
New circuit for the addition of A/C to an individual d~.~!linff #~it (ho. use or the
individual s~!ems in a duplex or condominiUm)~ including re~mred s~ ~ervice
electrical outlets.
Other
The value of this work is $ 1 C"~L~ C"3t~
I hereby yerify, this. work will be. performed by an employee of this company and f~rther .... veri fy
the recorinect~on / installation wdl be done in compliance with manufactur~ and Eloctri,c code
requirements,
(Signature of 5~l~5eny Officer)
(Print Name of Officer)
t eOa, e)
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