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HomeMy WebLinkAbout0132159-HVAC (furnace)OSHKOSH ON THE WATER Job Address 15 LAKE ST CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner DANIEL D NORDHAUS ETAL No 132159 Create Date 08/11/2008 Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-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. Burner 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 FR /Replace furnace. EIV signed by Slim's Electric. '" of Work Fees: Valuation $3,795.00 Plan Approval Issued By: Qjyjtl0 $0.00 Permit Fee Paid $67.00 Date 08/11/2008 ^ Permit Voided Parcelld # 0803670000 In the pertomtance 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 pertomt 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, Finai, 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. acct I , AUG-08-2008 02 53 PM •.7:'.'....u!l cf !r~sr.~crian tic!-•~iC.-: +~.1.~. !jli?. l~l) c:)Slrk;:•s?t. \'.'1 .x,90;-11U 1'!•~o:tc- (9yU) 236-SUSU lax ('92Uj 236-508 Hvac Pr~zn~~~r ~~~~_~ca7iort ~I1 information after bold cateenries mu=t be pio~~ided. Ltcamp!ete e~pplirs:inns will nut bc: processed, ~'t.- Tr4~ ~.~f f.-~r~~ ~t...~l ~ Applic~ttior;(s) and foe(5) can b~ hrouglrr to City' IJall, Rnarn 2(l or 1'17silcd to ln:~.l7~ctio;~ tiervice~, PO 13ox ] ] ~S; Oshl<t7sh V1%I S~a9Q3-1 128. Cammc,uine ~wr,rklwithout pea-niit(;;J will result in fives C7cir)~~ douhled or Sl 0(J.UO plus tl;e normal permit fee, which ever is greater. 1 ~o7r crr~ a cyOz~i nrlU1' t~nrtic! +f~.r.?7 in z1~~ 1''e;',m;~ e .~0001a71_S1_c!~777 ~r,ril hc~~'e,aa~r~i;n;.~, ~•r>7=:s'• -~7ei1~ hey-e rft~otr ~•ui7t this r7rpr.essed lhrotr~h vOwn•.accn7rnz ** Advisor}- -For applicable projoets, an ~;lcctrical Iz»Callati~rn \rerificaticm (El~~ forru, signed b~~ the Rlecta-ic:al Contractor or Honaeotsner (fur anstalldCi~~ns alluvt~e^.d to be per..furntt:d b~' ilte hortteoH~ater) must be submitted vvi.ih the permit app]icaCion. .Applications sul»n.xtted without an :F..;f1' ~~~1zcn such is regtt.ircd, will not be processed for Permit Issuance and will be returned for complet:iar-. DATE_ ~~ i JOB ADDRESS /.~ 1r~~ S OWNER ~~ ~c~ r- ~,r~ CONTRACTOR-- -- '1'~ ~` l+"+ CHECK C~ ALL APPLICABLE t~15E~CATEGORY lixSzn.gle Family ^Duplex ^lvlulti-Family FUEL as ClElectric ^Solid ^Oil ^Solar P, 05/11 ^Rental C1Comrnerc;al SYSTEM l~Nrew ^ C~t}l~'T ^ Industri al replace orced Air ^}Zadiant ^Ste.am ^A/C L7Vent ^Flectri~ ^Hot \~`ater ©Suppl. ^Con. Burner I r~ IS CI3I]12NEY BEING LI;\Ell io ^Yas - LL~1ER S1ZE~,_,,,~,-,-T 1~ MANIJ3~ACTUFEIt .,.,,_ Note: All chimneys shall be sized per the B`TU's being yenned. CHIM>\EY TYPE ^Chimney A I:7Ch'I ney L' I-i~;AT LOSS ^As Approved C~xisting BTU R_~,Tl/ ^As Per Plan ^ti°ariable DESCRIPTION /SCUPS OF A,LL V1'ORJL BEING DC ir•ect Vent ^Other ONoyP:ppli::dblr C~}Cfher Value ..fir!/ Uc~y -- J, 00 VALUE (locludin~ labor &nd mpterials) S ~'r7~ ,_.,~,___,,,_,. _ _„_. i ' i ELECTR1f:AL CO]\'TRAC'TOR (for projects not requiring an irri~ Form) `~ ~r•, ~~ ~;~,- G ._ o~~o-, AUG-08-2008 02 54 PM rayoraaoah ~, olrbfo.ofJMp..densa+k~ ~e c~.ti M...w j DO ~ 1130 OrYYwM ~I s190~1130 OAIx ~ia(i.7M0 Fa 420.30.3061 Electric In~tallatioa Verlficxtion fie) SLIM'S ELECTRIC INC. (filectrieal Contractor Name) P, 06/ 11 Circle' Oshkosh WI 54904 (Address} (~v) (Zip Colo) have boon contracted to perform electric installation wank for ~ n ~4 rG~ ~S _, j (Name of party contracted to) at the following address: ~'~ ~.-ac..~-•~- ~~~ (Address where work wiu bo perf'o~cmed) The aaturc of the work consists af: (Check One oc Doscribc the Nature of Work) _~Recormection or new circuit for rvplacoomant Heating Plant and/or A/C Condcpser. Reconnection ar new circ~t for replacement Tslectric Water l3aater or power vantod water beatar. Reoanneeiaion of the Service Entrance Cable. Moor Aox, aloerationa to receptacles and Ughting fixtures duc to siding / soffit installation. Noto: New 3orvicc ~tr~ce Cablos will require a separate paretic. Reconnection or new circuit for tho raplacatnertt of other permaaantly wirod app}iances) fixtures. Ncw circuit for t1u ac~dttton of AJC to an trldlvidua! flwellir{S cwt (house or the individual systa»s in a duplex ar oandomiuium), incMdiug rvqua~ed sarvioe electrical outlets. OL13rr j The vshte of this work it ~~'S~ 1 hereby verify this work wi]I be performed by an enzployeo of this company and !'urtverr verify the reconnection / inetailation will be done in compliance with maaufactut~er ar-d lloctric node requirements. (Signature of Comp oer) vi,p,.9 u,v •~r~R 0 (Print Name of ~~ s~a2 I