HomeMy WebLinkAbout0131608-HVAC (furnace)/~ CITY OF OSHKOSH No 131608
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 1127 BOWEN ST Owner DAVID L BUCHBERGER Create Date 07/17/2008
Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Sotar Solid _ _
System ^ New ~ ^/ Replace ~ ^ Other _
/ 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 Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 60,000
Use/Nature FR /REPLACE FURNACE, EIV SLIM'S ELECTRIC '"'"'debt acct
of Work
Fees: Valuation
Issued By:
Plan Approval $0.00
^ Permit Voided
Permit Fee Paid $52.00
Date 07/17/2008
Parcelld # 1108760000
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.
JUL-16-2008 02 57 PM
P, 03/04
City o''Osl~rkosh `~~ ~~~
L)i-,~isiC1-a 0 i1:5;>eG[i01: ,.erg's°.~
P.C.Q. r-sca 11~U
c~.r~osh, v,-1 5, 9n;-11=.~ JUL 16 2008
Pirune (9201 23C-5p5O .,... .:~~•~
Fax (~;'z0) 236-5034 L~EPRR7'MENT OF ~~~~ •° j~'\~)~f ~
COMMUNITY DEVELOPMENT-- r:ri ~r'~ w;f.T~r<
IN P T' r ICt~':~~;VISION
HVAC PERMIT APP~~~~,~P'I~~'
All inforn,atiun after bold cat~garies :nut be provided.
Incomplete a~plicatir,ns wiil not be processed.
a Application(s) and fee(s) coin be brought tc~ C'ity' I~3all, k.nom 20 ~ or n~ailod to lnspectiUn Services; I'~~ Rox ] ]2b;
Oshkosh V4~1 540;-1128. CommencinS work r~•ithout permits.) ~+'ilJ res[.ilt ir: fees beit?c do-.ibled or S100.~(1 plus the
nc,rmal permit fee, which ever is greater.
OR
l~vot.r ar•e a c~unlruclor pcrr-lieiyar~rn,~ in rhr: FFrrr~'1 ee,.;9ccoirr~1,S'~~_slem a»~l hn~~e. ad~~~ra7e :u,r:ils~ check hEr'e
if vpu ~rpl11 Ibis orocesse.[I Ilt-•o~~,h.„yvzrr• accnvr~r ~ ~~~~ ~ - -•~
** Advisory -For applicable projects, an Electrical Installation Verification (EIY) foram, signed by the Electrical
Conrractoz or Homeown.ex (for installations allowed to be performed by the ktomeownex) roust be submitted
with the permit application. Applications snbrnitted without an EIV when such is rctluired, will not be
processed for Pertuit Issnanee and will be returned for comp]etion,
DATL 7 / 7~~ _...~
JOL'.4DDRESS II~7 ~o~~---.~___....~__._...~.,
OWNER ~kv~~ ~,vu~~+c.~.-~,:o..---_.__.
CONTRACTOR G N~~ ~ Ih G .
CHECK C~! ALL APPLICABLE
USE~ATEGOFtY
Ingle Family ^Duplex C7Multi-family ^Rental ^GC~mmercial ^Industrial
FUEL L~fC,ias ^Electric C1Solid
^Oi1 ^Sol.ar
T
orced Air ^Radiant ^Steam ^A/C ^Vent
IS CHIMNEY BEzNG LINED L~ ^Yes -LINER SI
Note; All chimneys shall be sued per the PTt1's being vented.
CHIMNEY TYPE C7Chimnev A DChimney S
HEAT L055 ^As Approved l~F'xisting
BTU RATE ^As Per Plan ^Variab]e
SYSTEM ONc~v C~'place
^Other
C7EJectric ^Hot Vdater ^Supp1. DCon. Burner
ZE & MA1~'UI~AC'I"I.JRER_„
l~rect Vent ^Other
^>\ot Applicable
C~7'1.T1er Value _,_.,~ G~W cU
DESCRIPTION / SCC-FE OF ALL ~'VORK HEI?~'G TaONE (~,,,, ~ w. ~,, ~k ~-~- ..~,.~~,,,_.,,, <.e .W
~~
'VA.LUE (Including labor and materials) ~,,, ,:179d ~ _,~„
ELECTRICAL CONTRACTOR (for projects not requiring an EIY Form) .5~~ ~+ .,J ~/rc. ~-r e
D~/o~
JUL-16-2008 02 58 PM
CNIrMOINroq
Uivaioaof7eepeotiowbeaker
~If Chre6 M~
PO Rox 1130
OeOMrt-~ WI le0Q3-1130
Ofll» 020.178.1030
fax 020.278.f01~
Electrfc Ia~tallAtlon Verlffcation
I(we> SLIM'S ELECTRIC INC.
P. 04/04
(F,lectrical Contractor Name) - T~T
26Q8 Oakwood Circle Oshkosh WI 54904
(Addneas) (City) (State) (Zip Coda)
have bean contracted to perfoun electric installadoa work For~~~~~7U.~~1a.1~\
(Name of party cantracted~
at the fo]]awing adclrasa: ~ ~ ~~`~, (.3~1
(Addrose wbw+o woilc will be p~f'ormod)
The nature of the work cortsibts of: (Cheek One or DoacribQ the Nature of Work)
Reconnection or ne~v cirnnit for replacaraorllt I~atirig Pl~aat and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Hestac or powea vented
orator heatar.
ItacxinQOCtian of the Service Entrance Cable, Meter Hox~ altcratioaa to receptacles
and lightislg fixtures dac to sidiag / soffit installation. Note: New Service
Entrance Cab]es will royuire a separate permit.
_,~_r,_ Reoonneetioa err rxew arcuit far the replacaraaat of other permanently wired
appliances) Bxtures.
New circuit 8or the addition o#' MC to an tndlvtdrlal dwellthg writ (house or the
individual systems fn a duplex or oatdomi~um), irehuliug regeved service
electrical autlNs,
Olllcr
'The valuc of this work is S ~ 5 ~. o ~
I hereby verify this work will be performed by as eanployee of this company aad further veo~iiy
the recoaneotion / inatallatiaa will be daac im campliaace with manufacnu+er an4 Blcetric code
r'ogalnarnont~.
~~ I,~ . irfi~ ~1~~, lug
(5i~nature of Caron cvr) (Print Name of Offs (~~)
sm1