HomeMy WebLinkAbout0105702-HVAC (boiler)OSHKOSH
ON THE WATER
.lob Address 1635 MINNESOTA ST
Contractor GARTMAN MECHANICAL SERVICES
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 MICHAEL S PONZER
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
105702
12/10/2003
Other
Vent J
Use/Nature SFR/Replace boiler. *EIV form from GMS Inc.
of Work
Fees: Valuation
Issued By:
$2,900.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$48.50
Date 12/10/2003
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.
Electric Installation Verification
(We)
Ga~' ~l~n Mg~chanical
(Electrical Contractor Name)
520 W. Southpark Avenue Oshkosh, WI 54902
(Address) (CiW) (State) (Zip Code)
have been contracted to perforea electric installation work for Mike Ponze r
(Name of party c°~traCted to) "'
at the following address:
1635 ~innesota
(Address where work will be performed)
The nature of the work cons~ off (Cheek One or Describe th~ Nature of Work)
Reeonneetion or new circuit for replacement Hcatin~ Plant an,d/or A/C Condcr~er;
Reconncction er n~w circuit for replacement Elec.~¢ Water Hea~r or power v.en.~t~l
water heater.
Reconncction of thc Service Enlrance Cable, Meter Box, alterations m r~ep~acles
and lighting ~Xtures due to siding / soffit installation, Note: New
Entrance Cables will require a separate permit
Reeonnection orhew circuit for the rePlacement'of ether permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual d~elling unit (house or the
individual systems in a duplex or eondor~inium), including required sv~rice
electrical
Other
The vaine of this work is $ 150.00
I hereby verify this work will be performed by an employee of~his company and further verify
thc reeormeetion / installation will be done in compliance with m~nufacturer and Eicon9 code
requirements.
(Signature' of ~o/~any Officer)
(Print Name of Or?ricer)
12/8/03
(Date)
5/O2