HomeMy WebLinkAbout0130162-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address 1635 KENTUCKY ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner HEINZ HABERMEHL
No 130162
Create Date 05/27/2008
Contractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Plan
Fuel / Gas Oil Electric Solar Solid
System ~ New ~ ~/ Replace ~ Other
i
Forced Air Radiant Steam / A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimne A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
A/C SYSTEM, EIV SIGNED BY SLIM'S
Fees: Valuation $2,390.00
Issued By:
Plan Approval $0.00 Permit Fee Paid $46.00
Permit Voided
Date 05/27/2008
Parcel Id # 1501810000
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
Address PO BOX 2264
Agent/Owner
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.
Y-27-2008 09 30 AM
'iry of Oshkosh
ivision of lnspection Services
r'.O. Box 1130
Oshkosh, WT 54903-] 130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
^Renta] ^Commercial
~ Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to lnspection Services, PO Box ] 128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR - - ~ ~- •- - -
** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Elcctrieal
Contractor oz Iiomeowncr (for installations allowed to be performed by the homeowner) must be submitted
with tBe permit application. Applications submitted without an EfV when such is reynired, will not be
processed for Permit Issuance and will be retarned for completion.
DATE ~ p/u~
JOB AbDRESS~~~c•+~~
OVNNER ~~/n z ~~r-~,{~ ~ - -
CONTRACTOR Wt~ ~ I nc_ .
CHECK Q1 ALL APPLICABLE
USE ATEGORY
Ingle Family ^Duplex OMulti-Family
FUEL C~'C,`as ^Electric ^Solid
C]Oil ^Solar
TYPE '
^Forced Air ^R.adiant ^Stearn ~'A/C
SYSTE1Vi ^New
^Other
P. 01/02
~~~
o H of
4N TNF W~TFR
^Industrial
>f~eplace
^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shell be sized per the BTU's being vented. /v//4
CHIMNEY TYPE ^Chimney A ^Chimney B ^birect Vont ^Other '~~'~
HEAT LOSS ^As Approved l~xisting ^Not Applicable
BTU RATE ^As Per Plan ^Variable [~fher Value ~ ~. ?dni
DESCRIPTION /SCOPE OF ALL WORK BEING DONE /~,~C S~s,~.•, /~i~~~ ~"/ori
VALUE (lncluding labor and materials) $ a3~'~
ELECTRICAL CONTRACTOR (for projects not requirin8 an EIV Form) 5 (~~+,' e- c-
o~i~~
MAY-27-2008 09;31 AM
~~~or~
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Electric In~taUAtio>n verificntrion
t (We) SLIM'S ELECTRIC INC.
(131ectrical Cotttrector Name)
2608 Oakwood Ci
(Aaareat)
P, 02/02
)shkosh WI 54904
(Brace) (zip code)
have boon cana~actod to perform electric installation work for
(Name of.p y contracted to)
at the following addrosa:
•vbaro woaic a-ill'bo performed)
The nature of the work conaiste of: (Check Ono or Daooribe the Nature of Work)
~, RecotnupCtion or new circuit for replacerncnt Heating Plant atldMr tVC Condenerr,
Reconnection or new circuit for repta~catment Tslectric Water 1!ieates or power vmued
water heats.
Reeaffiection of the Service F.actrance Cable, Mctar Hox~ ah~cratione to receptacios
and Ughting fixtures due to aiding / eofft iaatallemion. Note: New Service
Entrance Cables will requite a ate permit.
_,~_,_ Roooaneetion or nevv circuit for the raplaeement of other pamtanouttly wired
appliances I ffictutea.
New circ-tit for tbt+ addition of A/C W as lnd~vildaal dwelling tit (house or the
individual uysteeuus in a duplex or oondomirriutn), including ra~uired eervioe
electrical outlets.
Other
The value of this work is $ v 1
I hereby verify thin work will be performed by an mnployee; of this ooropany and further verify
the reconnection / installation will be done it: com~pliarsce with rnsnufacturer and Electric code
togaircmaente.
(3igaatiue of )
~lpv~,G' ~9 Y y~ ~ ~. iy~il ~ ~~ c~
(Print Name of O c_ (Date)