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HomeMy WebLinkAbout0132160-HVAC (furnace)OSHKOSH ON THE WATER Job Address 808 W 10TH AVE CITY OF OSHKOSH No 132160 HVAC PERMIT -APPLICATION AND RECORD i Owner LAWRENCE EGNOSKI Create Date 08/11/2008 Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan Fuel System Chimney Type Heat Loss BTU Rate Use/Nature of Work Fees: Valuation Issued By: / Gas Oil ! Electric Solar Solid ^ New ~ ~ Replace ~ ^ Other / Forced Air Radiant Steam A/C Vent Electric Hot Water ~ Suppl. Con. Bumer Chimney A Chimney B Direct Vent Not Applicable U As Approved ~ Existing Not Applipble ~ Value As Per Plan Variable Other Value. FR /Replace furnace. EIV signed by Slim's Electric. I ~ , I Plan Approval $0.00 Permit Fee Paid $46.00 Date 08/11/2008 ^ Permit Voided Parcelld #1306090000 In the pertormance of this work, 1 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. AUG-08-2008 02 54 PM r~non~ (S>ZO) Z,6-SUSU :`irs,lr_ri nn•d.i~.7re uc~~g.uq~e~'ilncls.,.,.cher.k,1!e!•e HVAC s`'ERMI~' AI•'E~I~ICA'1'Ial~ All iltforrnatiai; after bald categories n;u~t be priwidre!. Incar~iplete a{?plicatiuns will ix~t bz hroressed, .~pplic1?:ion(s) e;id fee(sj clan he l;rau~lr tc Ci~,~'!l-I+aJL Roam ?(.1~ er n'f~+iled <<~ I;tspecticn; ~erviccs, 1'n Licx ] l"3, Oshkash 4l~ 1 54yU3-] I ~fi. Confinencing ~rgrk N~ithrna; pcrn!iu;s) ~~~iJl r~:,ult i.; iee~ b~in~, Co~!bled or SJ OU.00 plus the normal permit fee, which ever is greater. (lR i (j,}~.~zr_nre a cunll-pclur ,c r.+r.ticirari»g iii the rf..,~~o~f ti+•nnl Ibis prnce.ssec! ~lrroz! h v.Qur ace ** Ac~visury - :For apl~licable projects, an 1?lectri~cal Lnstal.lation ~'erificatic~n (lr'1V) form, signed b}~ the Electrical Contractor or, lia~;ieowneY (.f'or installatinils a11~H'cd to be. perforiut:d l+~` the hui~aeown4x) must be. submitted with the pr.rmi.t application. Applieatioits subzanitted without an I:;J.~' when Bach is rtfluil~ed, will not be processed f'or k'eranit Issuance and Kill be rettu-ned for completion. DATL._..~~_G~--. JnB ADDRES OWNER ~. ~ ~ r-c. n. ~ ,,.~`''^ ~ CONTRACTO CHECK C~j ALL AFPLICASLE L'SE CATEGORY ®~gle Family ^Duplex ^Multi-Family FUEL ~s ^ElectTic ^Solid ^Oil DSolar TYP orced Air Radiant gSteam ^A/C ^Vent ^Reatal GCo~rtnerciaJ SYSTEM ^l~ew ^ Other P, 07/ 11 /,~, (~ ' ~~~' _X ~.J~~I--~Kc._~Ir-_~ ` •;~fJ •?~=F V~?TAR CJlndustri al Die-place ©Electric C~llot 1~%ater ^5upp1. C7Con. $urner I5 CHIMI~TEY BEING LIh'FD ~ ^Yes - I.I'~11=,R SIZE _ _ cl. ?v1A?~-liFACTLIREK _ _.,, Note: All chimneys shall be sized per the BTU's b~eing~vented. CH1M:'Vh.X TYPE ^Chimney A PerGhz ~ney B ^Dircct Veit C~O:Jier HF.A'Z' LU55 C7.4s Approved -xistin~; ^Nat Applionble BTLI RATE ^As Per Ilan ^Va.riabJe f~•O'1'fer l%alue .^ ~=~'i ~'~~~ ~•'~ .- I ..... DLSCRIPTION /.SCOPE OF ALL WORK BETI~'G llONF~~I~:~:.+~.~• /"~-~~-~ •s ~~ r ~~_• ~ ' VALUE (]Deluding labor and materials) $ ~~%'~ •J ELl'rCTRI,CAL CONTRACTOR (for projects not requiring an EJ~' FD1'm~ ~!"~ r-> J ~l~r'~' ''''"rG. _ D7/D7 AUG-08-2008 02 54 PM c~roror~ DlvNlaoo[IrpMdollBwlee~ ~» na..u ~..~.~, PO ~ 11]0 Qa10a,-w~ ~sosai3o afllw fQas~6.lMO Fan P10•T76.i011 Electric P. OS/ 11 Verlficsitlon i I(we) SLIM'S ELECTRIC INC. (Electrical Contractor Natae) Oshk cam) have been c~utraeted to perfo~n etecriic installafiaa work for az the following addraea: W ~ ~~ WI 54904 (Zip Code) l.~~re~c~ n k=c (Name of party contracted to (AdQt'eae whecc work will bo performed) i 'The of the work consists of: (Chock One or Deacribe the Nattaro of Work) 'on or aew circuit for lacmaent Pleat aad/ar A/C Condooscr. Recotmeea rep ~~8 Rocoanectioa or ~- circuit for replacement Electric W afar Reefer err power vaatod water healer. Reconnection of the Service Entrance Cable, Meter Hooc~ altoratioas to troceptsctei and ligbtiag fixtures duo to siding / soffit iaatalletion. Note: New Service Entrapco Cabled will require a separate permit. Reoonnection or new circuit for the reptecemle>it of other pernnsaently wired appliances I iixtlure. Now circuit ~ the aaoicion of.4~C to as tndtvtr~al dwe~lltn~ Witt (house or the individual systems in a duplex or condominium), iacbdinR iequit'ed oervice oloctrical outtete. Olbcz The vahte of this work i~ S SU Y hereby verify tike work will be performed by as eraptoyee of tluis oompsny and fluthvr verify the rocoanection 1 it~etaltatian wilt be daa~ m cotnpliaace with manufecttu+err and Electric code roquu~onraonta. (Signature of car) ~ (Print Nerve of Offs ate 5102 I