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HomeMy WebLinkAbout0130784-HVAC (furnace)CITY OF OSHKOSH No 130784 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 842 W 5TH AVE Owner NILA J STALLER Create Date 06/20/2008 Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating 8 Ventilating 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 Chimney A Chimne B Direct Vent Not Applicable Heat Loss As Approved Existin Not Applicable Value BTU Rate As Per Plan Variable Other Value 80,000 Use/Nature of Work Fees FR /REPLACE FURNACE DUE TO FLOOD DAMAGE, EIV SIGNED BY SLIM'S ELECTRIC **debt acct i I _~ Plan Approval $0.00 Permit Fee Paid $53.50 Issued By: ^ Permit Voided Date 06/20/2008 Parcelld # 0604670000 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. N-20-2008 1127 AM ity of pshkosh ivision of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone(920)236-SU50 Fax (920) 236-5084 P. 01/02 RECEIVED JUN 2 0 2008 DEPAR"fMENT OF COMMUNITY V MF~T" HVAC RI~1f~~II1kTrt~ ~~~~ All 'information after bold categories must be provided. Incomplete applications will not ba processed, vd~~ K ON TFtF WATER • Applictttion(s) and fee(s) can be brought to City Hall, Rootn 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $~ 00.00 plus the normal permit fee, w.Ilich ever is greater. OR _ _ ,. _-_~ ,___._ .. a.,....,..~ A,Mdc r.heck here ** Advisory -For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contxactor or Homeownex (for installations allowed to be performed by the homeowner.) must be snbm,itted with the permit application, Applications submitted without an EIV when such is repaired, will not be processed for Permit Issuance and will be returned for completion. DATE ~ ~o G~ - .~oB AnDRESS 5~1~ G/, s~''~ OWNER ~ ~~~ CONTRACTOR /~G --- CHECK m A.LL APPLICABLE USE~ATEGORY 6~ingle Family C]Duplex ^Multi-Family C~Rental C7Cammercial FUEL G3~Cias ^Eleciric CaSolid SYSTEM ^Ncw ^Oil ^Solar ^Other ^lndustrial ~p ace l9'Forced Air ^Radiant dStearn C7A/C C7Vent ^Eleetric ^Hot Water ^Suppl. ^Con. Hurner IS CHIMNEY BEING LINED Leo dyes -LINER SIZE & MANUFACTURER Note: All chimneys shall ba~~si~~zed per the BTU's being vented. CHIMNEY TYPE "~dChimney A ^Cht rtey S ^Direct Vent QOther HEAT LOSS ^As Approved xisting ^Not pplicable BTU RATE ^As Per Plan ^Variable er Value _~y,, ~'G~ .~ DESCRIPTION /SCOPE OF ALL WORK AEING DONE /~'~~.ca .•-.~ h ~ *°' '" ~' c.-o VALUE (Including labor and materials) ~_.,T~~~ )vLECTRl.CAL CONTRACTOR (for protects not requiring an EIV lrorm) /M ~~l1. r~~l ie D7/[~7 JUN-20-2008 11 28 AM c~roro.~s.or o~~ c~ ~r.... ro>o~ i~sa a.w.~wt swo~»3o also. ~azaeaoso wo r~ariasoa Electric In~talletioe Verifieattion P, 02/02 I(wo) SLIM'S ELECTRIC INC. (Electrical Contt~actor Name) 2608 Oa (Addraas) ircle Oshkosh WI 54904 (~) (zip cod~> have beet- convected to parfortn elochic inatallaoioa work for ~~~~ ~~`--Q,~~ (Name of parry contrractod to) at the fatlawing addtr~ea: ~~~ ~ ~~ ~~ (Address whec~e wait will be perforated) The nature of the waif consists of: (Check One or Describe the Nature of Work) aC Reconnection air new cirauit for ttiplacament Heating Plant andMr A/C Condeoaer, Reconnection or sew circuit far raplaeament Electric Water Heater ae power vested water beater. Reconnection of the Service Entrusts Cable, Meter Baac~ alteratios~a to racaptsclas and lighting fixtures due to aiding / soffit ituaallatioa Note: New 3orvice Entrance Cables will require a separate permit. Reoonnection or sew circuit Eor rho t+aplacemdmtt of other permanently wirod applianc©e I Bxtures. New circuit !bt the addition of A/C to aQ iadtvlQual dws~ll~tg writ (house or tha individual syaterr-s is a dtrpluoc or condominium), iachrding required eetvioo electrical outlets. Olhcr The value of this wank is S ~ 1 hereby verify this work will be performed by as atnpbyao of this oompatty and fiQtber verify the rooouuection ! ~natailadon will be done is corrtnlieace with manufacturQ and )~lectric code roquumnenta. ~~J~~ y~~, ~yf~ ~~~~~~~~ (Sigaatun of Cavtp tor) (Print Name of Oft'- i~ (Date) sNz