HomeMy WebLinkAbout0131607-HVAC (furnace)CITY OF OSHKOSH No 131607
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 718 HAWK ST Owner CITIZENSFIRST CREDIT UNION Create Date 07/17/2008
Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & 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 Chimne A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 70,000
UselNature FR /REPLACE FURNACE, EIV SIGNED BY SLIM'S ELECTRIC **debt acct
of Work
Fees: Valuation $2,180.00 Plan Approval $0.00
Issued By:
Permit Fee Paid $43.00
Date 07/17/2008
^ Permit Voided ~ Parcel Id # 1603860000
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) 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.
L-16-2008 02 57 PM
C'It;~ Gi~(~shi:os:~
C)shkasi~: ti~'1 5490-] J ~!~
Piiune (>20") 236.5051)
Fax (9ZU) 236-5034
P, O 1 /04
REGI`VED
JUL 16 2008
DEP~~RTP•1ENT OF
COMN1tJi~lTTY DEVELOPMENT
HVAC PERMIT A;PPLI~G~~~vls~oN
All information after bald ceteeoeies mus; be provided.
Jncotnplete ap~ili;:alit~ns ~a'ii1 rio( !~c prnres.sed.
r ~ri,: ,- x-13. ~aQ
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e Applicatioi7(s) and fee(s) can be t7raught to Cite 1•ia1L ltoc~rr- 2U or -a'iaile.d to lnsp~::.rini~ Services; YC) I3o~ ] ] S,
(Jshlcosh 1~%1 549Q3-11213. Com-neneing ~~orlc without permit(s) will result in fees being doubled or ~] UU,OC plus tl;e
normal permit fee, wlt.ich ever is greater,
If Ynt.r crre u co~rR-uclvr arri.c, uri» ;n r/+e Pe_r r fee .9eco-a»r Sv_,rer~~ crnrl lave adcr+~,, r_r~re,,, urads chick herd
~voir wcrrtr rl~is p-•oceSSed,rlTl•UN ~„,~ot~r [recount
** Ad•visoXy -For app.lieable projects, an Electrical Listallation Vcri~cation (EIV) form, signed by the Electrical
Contractor or ~.omeowner (for. installations allowed to be performed by the homepwner) must be subxni.tted
with the per n~nit application, Applications su~bmit~tcd without an EIV wheza such is rcguu-ed, will not be
processed for Pennit Issuance and will. be reta.rned far. eo1nlrletion.
DATE_,.~7 CQ --
JCIII ADDRESS.,...,? ~ Nz, w~ .S'F' , ,_._ _~
OWNER G(~"'- ~.•. ~S (S ~" r~,t,~` ,~-' y `^ t a ~ ,__
C O 1V T 1itA CT OIt_,,,,,,~_ W C~ Y1n S l I~ ~ ~ __,,,
CHECK d ALL APPLICABLE
USEJEATEGORY
angle Family ^Duplex ^Multi-I'anxily
FUEL C~Gas ^Electric ^Sol.id
^Ui] DSolar
^Rental ^Commercial
SYSTEM ^New
^Other
p~nclustrial
~~tceplace
T
orced Air ^Radiant ^Stean~ ^A/C Vent C7Electric ^Hot V~rater ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED [fib ^Yes -LINER S1Z.T:: , & lv1A1v'Ul'ACTUKFlZ ..
Note: All chimneys shall be sized per the J3'TU's being vented,
CHIMNEY TXPE ^Chimney A CJChimney B -rect Vent C10ther
HEAT LOSS ^.As Approved x-sting ^Not Applieahle
}3'TCJ RATE ^As Yer Plan ^Variable ~.r Value __,_._~~~~• 41 --
DESCRII'TIO'~T / SCOPL O:P ALL'WORIi BJEIJV~ DON~E_~e~,~.._.... ~ ,~•~ ~ ~~ -_
VALUE (ltrc}uding ]abor and materials) ~. ~/~(,,,Q~ ~ ~~~ ,_
ELECTRICAL, CONTRACTOR (fvr projects not reyuiring an EIV I"`orm) ~~a, S ~~« 1"''i ,
o ~ 1 n'1
JUL-16-2008 02 57 PM
ClgsfO~MloIY
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CLlkari WL li903~1130
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Electric Iu~tallation VeriPcation
ttwe) SLIM'S ELECTRIC INC.
(Electrical Contractor dame)
circle Oshkosh
(Addreae) - (Cry)
P, 02/04
WI 54904
(Zip Code)
have besem contracted to perform electric inatalladem work for ~~~'`
(Namd~i party contractead toj
at the fo]lowing address: ~ l ~
(Addt~esa 'where work will ba peerformed)
The natura of the Work cottaista of (Chexk One eN Desers'be the Nature of Work)
,~,,,,,~ Reconnection or ne:w circuit for replaemaont Halting Plsnt and/or A/iC Corrientes.
Reconnection or nesw eirc~t for rtplacegnemt Electric Water Iieatex or powea vented
Wateu beatear.
Reconnection of the Service Entrance Cablq Meter Box, alterations to rocxptacleae
~ ug~B ~~ ~ ~ admB / soffit ituuallation. Nae: New Service
F.ntnarece Cablaa will require a seta pemnit.
Reoonnection ear raw cQCUit for the tnplacoment of other pemnanontly wicod
applitncee I >ixttpresa.
Ne:w circuit 2br tlu aaditiem orlVC to an lmdtvtdaa! dwelJt-~- eaii~ (t~oute or tries
individual systams in a duplex or oondomireitun), inehedittg ceeµtired aexvioe
electrical outlets.
Other
ThC value: of t~lit Work 16 $ ~„~~ ~ ~-~
l he+roby verify triie weak wi]1 be perfornied by an emtpbye~ of this company atxi fbrlher vesrify
the roconneeztion / ittttallatiem Will bo done in eom~plianco with manufacturer and Electric coda
r'agai~nemta.
.~
1~/9y. u1y ~ v ~
(Sigt>ature of C.orap cer) (Print Name of t'Jff~ CDate)
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