HomeMy WebLinkAbout2007-HVAC (furnace & a/c)
~
OSHKOSH
ON THE WATER
Job Address 1415 RUSH AVE
CITY OF OSHKOSH
No
127618
HV AC PERMIT - APPLICATION AND RECORD
Owner JOHN C SANDBERG
Create Date 11/02/2007
~~--
Contractor GARTMAN MECHANICAL SERVICES Category 50~::.Besidenti.<JI:Both___
Fuel ~(:3~s_~~-==J D~Oil-_=--==:=J D]!~:aric_=J O=~ola:r==1
System 0 New --.J [~,LF3.e~________J
~Forced ATrl O-Radiant --J OSteam ----J r:7r------------,
~ _ . _ _ _ ~~l~_~___.J
U Electric ITHot Water :=J U Suppl. J ITCon~~Bur;,er I
Chimney Type ffihimney A () Chimney B ~~L=--==O_KQ!]\ijpiiC?-ble-==J
Heat Loss rr~~s!_____.~g______() Not Applicable___-:J Value
BTU Rate D~.i\~_i='er Plan:::I:t'{.ariable______-~====. Ot~E?!_____~~~:::===] Value
Plan
IT~_()IT~::::::-==~:=]
Other
D~_Vent--=-:___.
Use/Nature :SFR / Replace furnace and a/c. Install 3" chimneyTIner. EIV-provided by Slim's Electric-:-**i5EBIT Atcf..~---------------------~-
of Work i
I
1
1
i
I
I
I_~-
Fees: Valuation
___.______j~_&Cl.Q.OO
~'YL/O
Plan Approval ______ ______~g.q.9
Permit Fee Paid
___ _ _!~i':QQ
Date 11/02/2007
Issued By:
O!'.:r.r!l.il.Y.9_ici~9J
Parcelld # 1609510000
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 BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number (920}31-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
~OV-01-2007 03:09 PM
"
:.t.~?; r'~,~:'~'<_~',
:i0r' . .,' :', ',tHy ofo.lJ,kosh
r~..\ '.:- Dlvfa:lori tl(ll1~p~cUQn ScrvIcclI
;.. .. i',Cl,Eo,:I'30
! ': ~ O.h/.:o'sh. Wi ~490.3.lljO
.. Phoije rhb) .i:i6-56~u '.
;. ~A1~. ('92d) 236-5084
P.01/02
... w .
,r.~~:.'
'~!:':i;~':
1," ~"
~ '.1!.~.'
~.':J.
, ,
:. Appi~OIl.dor\(!'} end fee{R) talt'! be GrtJughi to CJty J-ltdl, Room 20.5 Of iU..nc;.j.] Lu lnllpoolion Sc:rviC~E, PO 130x 1128,
Oshkosh Wl 54903-1128. Co.tnrn-..ncing .work \yJthot1t ptrmit(Q) wIll n:suJl in [t;e.s bcjng doub'lrld or $1 00.00 plUlllhfi
iioi"TtiAI ~t fec, wnjDh ever is ifc-ll!cr, '
'bR '.
" t
',,",VAG PERMIT APPLfCATlON
A111afpnnJ!t1oJl n!l~r bold t:IJcgDrles musl be prc,:Ir:l~d.
.3t'compi~Jc appficat/om ""i11 !lO,t b~ ptoccD~~d,
C),I)..eD
.~...
'D~!H
--"--",
. ,,.,'.:.
:. .,:
:..~.t3."
'. "!.
.. :~," .
: ,;"
I . ,.-
'.I .....
., ,
~..- r:
;,
DATE
&ti' , .tP1i ibb1lESB /~~ .e", j ~~ .
t>w;,,', . ;.k~" ' "I / ....r-; . //
~~W~:..: '.' Orrf'l~:R. ....- JdhM.QIt.f; vi~n J;"h~4>>('7
1~;jf.;1i, .:> ~>'~dNli.(tiot( ~#V/~.c"
t~t~;~~...., .':. ,:..:'. ".
t<{r..: ':':',,:\ .b.~Ji:ck: Eti ALL )urpttcA1:ltic
h", . ~: "j . '. . ~ . . . ..
;;.;';f . , :. USE' , . TEGORY .
f!~~. , ~ Family DDuplcx DlIluJU..Fmnily
?i~~~.~:~." " .
\W:.!tY ~ g~~i~bi' DSoJid. . srsn~I
.,':{.' ... ., ~.Air OJ\;dl,,1 bs""," Ie!t7C r:iy"" m",lrl,
,--,- ~":'''''''':~'-; -,;":i-1~" :.'~I:;:>::~".....'__":" ..._ ,.. _. __ _ ".. __,_ ._...., ..__. ,
~h!J,'E':r: ," l~,}~i'cBfi\.!N'jy ilE!NG i.JNEb DNo ~ . LINER SiZE
i~~f(, ..' N.M!: /il! cj,jniii~~s "bl!! bulud per the ~11J'! bt!/ng 'V,enfl:d,
\~u. . ."~li fu:li tidttmn,y A DChlmti,y B
r~"',llEAft6ss '. DA. APPro"d ElllOJ'!il.,
;~" . jli~tI~rt:. DA. PorPJ," DYsriabl,
tf:h\..,.. :, b!S~noN 01< ALL WORK ~ELNG DONE
~,~:'~~,~t,;.' ~_:.'(." . . .: . .....
I'" ,.,::.., ';.' " .
::I~!i.~..\:;. -, ." \"" ~'.
~~;tr :'.
"'.~'.::- .
!:t ."~.:;.. .
:".':'"
- .
ORen!al
OComm~ciElJ
DIDdl.l5lrl al
DHi:W
DOrner
~a=~
DB.i~.WBt~r DSuppl. DC~~~. B~~:
3 't. -" ..d. / ~"'/
' t!. &. !vLA.NtJF A~, ' r-r:r ~~ ~
,. ,
. ".. ..,. .,' , . , " G.(."
:rf, Y ~~. ~~juding }2h.OT.., aQ!~ all mlOllerllils !n~ludILlg ll~hf ful~rt$) J; ...:5'li't;)~ .
r:f, Jd,Jit#!CAt CoiffiiJ.cron _ $,4~:> ~ ~ . . ... .. .
"".i .', . ..y ':. /iHi'Of 'ppl.i"bl. p..,J.,j" '" EJ"lri, lu'~ll.""" Vona"",, io,,", oi.,,,; by tho El,olri ,oJ C,",,",ol", ro", I bo
.}.\\.>, ,:.;:;j' ":,1,, ~~"hbd. .l!ho! ~Haohod or not.:5.pplicB.bi~, a l!ep~'ilL= !:Ieotrlcal Pormil is n:qulred. '
,/.' " :;,' '''', '."," '. ':
..;
"
'.~tVC.tl! ,/" DO!.he:r .
0140t Applio.abll:
lJetl1e: Yll]u'e 6~ 60 ; ~ -,4?'Lo '
/,.." /.../ / "ft/"k "" ."t-~a ,,'/4"'<:
'. -~ .
"
"~~."" ...
. ~ ;'.....
:,,~ .
.; ~".' .
. I~:' .'
, '.:",:-~ ".
,I~.:;~' .
'!:,
"/DP.
~
':, ......
"'- ",
.J .. L ,
111;... T..
NOV-01-2007 03:09 PM
p, 02/02
.:0. . _ ..
0&
Chy(\r~
DM.b1 0(1...... 5avIm
:lSClwoohA_
PO 110II: 113(1
OIllWh WI UW)J-.IJ:lO
Oftlw 92~1J6.tII5O
FIlll ~!6..
Electric InstallatloB VeriOcatlon
I (We). SLIM.S ELECTRIC INC.
(Electrical Contractor Nam~)
2608 Oakwood Circle Oshkosh
(Address) (City)
54904
(Zip Code)
have been contracted to perform electric in&tallatioo work to
\~\S:)~
(Address wbere.wOJ'l( will be performed)
The nature of the work conaistl of: (Check One or Describe the Nature of Work)
at tbe following address:
~
Reconneetion or new circuit for replacmumt Heatins Plant and/or Ale Condenser.
Reconnection or new circuit for fl'JPlaec:ment Electric: Water Heat_ or power vented
warer beater.
Reoonnection of the Service Entrance Cable. Meter Box. alterations to ~Clptacle6
and lighting :fixtures due to siding I soffit inatallation. Note: New Service
BntnmCCl Cables will require a separate permit.
RecoMection or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for tbc addition of Ale to an mdJ\ltduaf dwelling unit (hoUSl'l or the
individualll)"ltl'll'Ds in a duplex or condammium), including roquired 861'Yice
eleetricaJ outlets.
OUlm
The value oftbis work is S \~ -l ~ .
I hereby verify this work wiU be perfonned by an employeo oftbis company ODd further verify
the reconnection I installation will be done in compliance with manufacturer and EJecm<: code
TCquin:rmenUl.
{].
'7)4~ II? d )1,:JJ.A.' 11'14
(Print Name of om
l~\\l67
(Date)
5101