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HomeMy WebLinkAbout0130777-HVAC (2 furnaces)CITY OF OSHKOSH No 130777 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1002 CONGRESS AVE Owner OSHKOSH HOUSING AUTHORITY Create Date 06/20/2008 Contractor GARTMAN MECHANICAL SERVICES Category 510 -Ind. &Comm-Heating & Ventilating Plan Fuel / Gas Oil Electric Solar Solid System ^ New ~ ^/ Replace ~ ^ Other / Forced Air Radiant Steam A/C Vent Electric Hot Water Suppl. Con. Bumer Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature OMM (CBRF) /REPLACE 2 FURNACES DUE TO FLOOD DAMAGE (1-40,000 BTU & 1-60,000 BTU), EIV SIGNED BY SLIM'S of Work ELECTRIC "*debt acct Fees: Valuation $3,280.00 Plan Approval Issued By: $0.00 Permit Fee Paid $59.50 ^ Permit Voided Date 06/20/2008 Parcel Id # 1203980100 In the pertormance 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 AgenUOwner 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 10 08 AM ~iry of Oshkosh ivision of Inspection Services P.O. Box 1 l30 Oshkosh, W1 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. P. 01/03 J"IJV • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh Wl 54903-] 126. Commencing work without permit(s) will result in fees being doubled or $1.00.00 plus the normal permit fee, which ever is greater. OR _ , .- ** Advisory -For applicable projects, an Electrical Installati.oa Verification (E~ form, signed by the Electrical Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the permit application, Applications submitted without an ETV when such is required, will not be processed for Permit Issaance and will be retnzned for completion. DATE ~ ! v JOB ADDRESS I a a C~ ~.-~ as OWNER QS Y1 V~y- I~` I~'r<~~ ~v.a CONTRACTOR (rh'IS ~ I-~G. __- CHECK ®ALL APPLICABLE U'SE CATEGORY Single Family ^Duplex ^Multi-Family ^Rental C~o'mmercial FUEL IdLias ^Electric ^Solid SYSTEM ^New ClOil DSolar ^Other IS CHIMNEY BEING LINE Note: All chimneys shall be sized per the BTU's being vented, ~~~~ CH1<MNEY TYPE DChimney A ^C mney B Ii?J'Direct Vent ^Other HEAT LOSS ^As Approved xisting ^~N~~t Applicable , BTU RATE ^As Per Plan ^Variable Ga'Other Value ~/D~ GoQ_7 GT GO DESCRIPT)<ON /SCOPE OF ALL WORK BEING DONE ~A~ ~?t,~ .. .-.+r~,r~ s VALUE (including labor and materials) S .~~ ~~ ELECTRICAL CONTRACTOR (for protects not requiring an EIV Form) /is S ~~Gc.~ DIndustrial eplace T Dread Air ^Radiant ^Stearn A/C OVent C1Electric ^Hot Water ^Suppl. DCon. Burner D o ^Yes -LINER SIZE & MANUFACTURER 0^,/0~ JUN-20-2008 10 08 AM c~re~oswnea~ Fo say use osm,a~a~ swot-nso 01see rJai3A,loso Fnt 010.yd.lON Electric In~tlltilntior Verificntioa r ~,~) 5LIM'S ELECTRIC INC. ' (1~.lectrical Contractor rTazne) (Address) god Circle C P. 02/03 shkosh WI 54904 (City) (State) (Zip Code) have bovo c~atraot©d to perform electric installation work for ~ ~X~ (Name of party contracted to) at the following address: (Address w work wilt bo perfornoed) 'Ibe nature of the work consists of: (Check One of Describe the Nature of Work) Recamection or new circuit for replacement Heeatittg Plant atui/or A/C Candmser. Racormection or new circuit for replacement Eloetric Water Beata or power vented water' neater. Reconnection of the Service Entrance table. Meter Booc~ altarstions to tbcaptaaioa and lighting 5xtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Rooonttection or new circuit for the replaoement of other pvtrnsaently wired appliaacea / t~ttura. New circuit !or tlu addition of AJC to en tndtvldaa! duvetling rani (fiouae or tlae itidividwl ayatelgs in a duplau a caadominium), incladiag requi*ed tervioe elearleal outlets. Otbvr The value of this wait is S~~ ~~~ I hereby verily this wank will be performed by an employer: of this cam~pauy and Farther verify the rocon / irtstallatioa will be done in cotnplsae~e with maauficturer and tilactric code rogairosnants. ... ~~,~ ~ ~~- ~ ay (Signaam of ) (Print Nana of office (Date) s~z i