HomeMy WebLinkAbout0131933-HVAC (furnace & a/c) SHKOSH
ON THE WATER
Job Address 2323 ASHLAND ST
Contractor GARTMAN MECHANICAL SERVICES
Fuel / Gas Oil
System Q New
/ Forced Air Radiant
Electric Hot Water
Chimney Type
Heat Loss
BTU Rate
Use/Nature r
of Work
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner CHRISTOPHER SCHMUDE
Category 502 -Residential-Both
Electric
Q' Replace
Steam
Suppl.
No 131933
Create Date 07/30/2008
Plan
Solar Solid
Other
/ A/C Vent
Con. Burner
As Approved Existing Not Applicable
As Per Plan Variable ' Other
R /REPLACE FURNACE AND 2 TON A/C, EIV SIGNED BY SLIM'S ELECTRIC '*deb
Value
Value
80,000
acct
Fees: Valuation $5,285.00 Plan Approval $0.00 Permit Fee Paid
Issued By: (~~~~. f
Permit Voided
$89.50
Date 07/30!2008
Parcelld # 1517490000
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
Agent/Owner
Address PO BOX 2264 OSHKOSHI 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.
-29-2008 02 35 PM
Cite of Oshkosh
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Phanr (920) 7;~-_,USO
Fax (920) ~;6-SU~4
P, O1/11
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HVAC PERMIT APPLICATION
All information af-~er bold ratc~c~r;es mus? be provided,
L?carr~plete applications will rat be pr~ccssed,
s Application(s) at?d fee(s) ca?; be brought to C;ii~r lialL Rooan 3p~ c~r:.n~tileu to lnsp~c?'ior~ SF.r~riccs, P013ox ] 125;
C)shJc~sh Varl 549p3-1 135. C.anttttencing ~~-ork ~yithottt permit(s) «~ill result ire ;e:;5 being doubled or S10U.0U plus tl;c
normal permit fee, which ever is ~~realer.
Old ~
-r r-1tB a cOr~!!'act~iprl7G'iDl~lin~ in the Fe~an•itjee Acco,r.rn~ 5'r~lem unt~,1>,q~~g° Qu'BGiirrllE tlrTa,`,',,•-check ilerE
i ~ur.r titi;ar>> lhis~roc•essed hr-o~+ h vour nccour,~
...L_..._....~--- ~
~'" Advisory -For applicable projects, an Electrical Jaxstallation Verification (FTV) form,, signed b}~ the Eleet~ri.ca]
Contractox or Homeowner (for installations allov~~ed to be perfot'>.tted by the ltonren~~-~ier) ivust be submitted
'arith the permit appliration..Applications submitted without an E:I1' whezl suclt is rcg•ui_red, will not be
processed for Pexmit Issuance artd wi..lJ be :returned fox connpletion.
.I OB AADRESS .~ :3,~ 3 ~ !~ ~a ~ cI
CONTRA CTOR_. __ 6 6'-`~ ~~ I ~~ . ,~~_~
CHECK ELI A.LL APl'LICABI.E
USE CATEGORY
~3ingle Family ODuplex ^Multi-~'amilv', ^Kental
FUEL ®'Gfas QElcctrie QSolid
^Oil Solar '~
TYPE
(~rced Air C1Radiattt ^Steam ~/C: DVent
RATE 7~,~~Iox
C7C:ommercia] (~InC1LlStrlal
Sk'ST1rM C7New ~p7acc
Other _ _ ~~~~w ,~
Electric OHot \~'ater ^Suppl. ^Con, Burner
IS CHIMNEY BEING LINEll 6~1Vo ^Yes - L17~TER SIZE 8;. MA?~riJFAGTURFR
Note; All chimneys shall be sized per the BTU's being vented.
CI~IMNEY TYPE OChimney A ^Chimney B ~-ect Vert QOther
FEAT LOSS ^As Approved ~istin4 l~Not Applicable
BTU R.~,TE C1As Per Plan ^Variable Other Value ~u~ac.o ; ,.~ 7;~~...i
DESCR.1PT10N /SCOPE OF ALL j3rORK B)/ING DONE, ~,. ~,,,,.•~,~~.yr~~-~,~.,- ~, ~;,~~/~~
--
VALUE (lncluding labor and materials) S :~ ~;~ ~~ ' • ~• "
- . ,.
ELECTR].CAL CONT.R.4CTUR (for projects not requiring an EIV laorm) ..~~... 'S ~,,,~t e..~~-~
o~in~
UL-29-2008 02 36 PM
cb orc>ar.~
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PO Eoit 1170
owoerp~ ~ 7t90Y~ i7o
onlw ~ave.~oes
Fa oto.>~.soN
Electric In~taUatior Veri~cilltion
P, 02/ 11
t(we) SLIM'S ELECTRIC INC.
(F,.loctrical Contractor Negae)
2608 Oakwood Circle Oshkosh WI 54904
(Address) j (City) (5tato) (Zip Code)
have boom caatraoted to perform electric installation work for -~•d.1~1~ ~,r 1 YY1(,(~.~~
I (Name of party contracted tie j
at the following addressa: c~.~.3 ~S~'1 !Q-r.G{
(A4Qrees where work will bo penfortaed)
The nahu+c of the worlr consists of (Check One or Desia:ibe the Nature of Work)
~ Reoomtectioa or aelw circuit for taplaoament Heating Plant audRor A/C Condenser.
Re~conaectioa or sew circuit for replacement lskotric Water Hester or power vented
water he~stea~.
Reeont~ctioa of the Sorvice ~3ntraaee Cablo, Me:tea Hox, alterations to rotxptecle+s
sad Ughtiag fixtures due to aiding / soffit iaatallation. Note: New Service
E~atsaace Cables will regaitle a eepsrsw permit.
Reooaaeetion ar nerly circuit for the riepleeemeat of other pemnane:ntly wicod
epphisacea) ffxtuatie.
Naw circuit for the aOGitiaat of ABC to an lndtwldelal ahweUing sear (house or the
ittdividltal systems in s duplex ar condomrmium), irichedittg cegttired setvioe
olectrioal outlets.
Otbesr
-- -
Tltie vallza of thl8 wOY!(1B s
J hereby verify this work will be parfotrned by ao aa>>ployae of flue company and fiuther verify
the r~eatioa / inetallatioa will bo dc>tu im eomplisaao with manufacturer and Electric coda
roquiivmente.
(st~>~ of Cottlp car) (Print Name of Of~lc (Date)
i
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