HomeMy WebLinkAbout0133131-HVAC (furnace)CITY OF OSHKOSH No 133131
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2345 MOUNT VERNON ST Owner KAY R WOLFF Create Date 09/25/2008
Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ^/ Replace ~ ^ Other _ J
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl.____ _ [Con. Burner
Chimney Type Chimne A Chimney B Direct Vent ~ Not Applicable ~
- ---- - -
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
EIV signed by Slim's
Fees: Valuation
Issued By:
Plan Approval $0.00 Permit Fee Paid $47.50
^ Permit Voided
Date 09/25/2008
Parcel Id # 1517240000
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.
SEP-25-2008 11 46 AM
~`J~.'rif ~.)SJ7nOSJi
Phan (9?(.) 2;G-~(1~0
):ax (92Uj 236-;034
HVAC PE~M~7I~f~PLIC,~Tf(ahJ
All iniurmzti:,a a,.=~~r bald ca_e~ories 1,-,usi be provldcd.
lr,cc,m;:.lete zpalicatiors ~+•ill nol be proces:~ed.
~ AFPlicatioi;(sisnd f~e(sj G2ri ~12 )-iroll4i=i i0 f=1~' ]-I8]I; )Z.DGIr, ='Q; C~; r7Gi~,:;~ i~~ ~.;ljt'):.^l'iC~:, ~:i'~.'1Ce~, P~ P,C~\ 1 i _'4,
Gshhosh `~'~ J?~(Jj.] ~?s CO7T'i~T211Cl1i~ ti~`Orl~. V~'i:i~OGi CfiPEt'a' ~~'lll "c5 ~ r` Lr.'~,T _a c
l? ~ ul~,n .~e,, „-~,.e dou~~i..c, or .,'? GO.OCi plus tL
norrra] permi? fie, rrllir_1~ ever is greeter.
OR •
d. •.,.~•%~ co,7rracf[,l' c'r!ici ~r~,~ino it 11;e nr
i,f~:c,_u tivnn/ f/tir nrocessed ~hrnu lr YUL,~^aC~p~,
P, 05/06
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~~~~ ~~
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C'•,.r
"'' Advisor}° -For applicable projects, an llecti7.eal T~istailatiou ~-ez~ilication (L'11') forma; 5iLrled bS• the electrical
Contractor or Iiomcoz~~z~.er (for iztstallatio~xs allotr~ed tc~ be perfo~rp.ed L'r the hrzueu~~-nerj must tie submitted
vs~ith the pe~nit app]ication• Applications submitted with.ont an EIZ- ~i~hen sucl-~ is required, zt~i11 not be
processed for Permit Issuance anal vc~iI1 be returned for completion.
JOH ADDRESS_ _ ~ ~ YS /y~~. !/e .-,-, ~ ...,
OWNER ~C, , ~//u ~~ _.
CONTRACTOR~f~~1•~.f, /,~~
- - __ .
CHECK Q ALL APPLICABLE
USE CATEGORY
~ngle Family Duplex C~Multi-Family ^FZenta]
FUEL alias ^Electric ^Solid Sl'STE?17
^Oi] DSolar
T~.
orced ,4ir ^Radiant ^Steam DA/C DVent ^Eleczric
DATE~~ r G
^Lndustra a]
^ Corimerci~ 1
l~-~Cepl ace
IJ?\'ew
^Other
DHot V~'atr ^Suppl, DCon. Rurne•r
IS CHI]12]\'E~' BEING LINEb G3IQo OZ'es - LI1Y~'F. SIZ1= ~ 1\4.~L?~-L;I=ACTL~RER
Note: AJ1 chimne~~s shall be sized per the BTU's beinc Vented.
CHIMNEY T'A'PE ^Cr,imncy A DChimne~~ B p~li=zct ~'e:~, ^C~the;
HEAT LOSS ^As ApFroved C7L'X stit:~ DNr.~ •~lpplicable
BTLRATE DAs Per Plan Ca~'ari~:bia C~rterValae 1, o,c•cp ,~/7J
DESCRIPTTO'~• /SCOPE OF ALL VVORK BEING DONE ~ '~
VALCIE (Including labor and moterials) ~ • ` ~
ELECTRICAL C0;\TR.4CTOR (for projects nut requiring an EIS' Form) S , J ~j~i<~.-s.;.G
o~ro~
SEP-25-2008 11 46 AM
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oar ~atMaoso
Fu 920$16.i0t1
Electric In~taUation Verification
P, 06/06
i(y~re) SLIM'S ELECTRIC INC.
(sleovical Caatr$ctor Ilaime)
26.
(~~)
Circle Oshkosh WI 54904
(city>
(Zip Code)
have beaaa e~traeted to perform electric inetallation work for (~
ame p y contracted to)
at the following addrosa:~~
(Address wbete work
bo porformod)
The aature of the work conaiate of: (Check One or Describe the Nature of work)
~ Reeorgteetion ~ new circuit for troplaeetnent Hoatiag Plant atul/or A/C Condenaec.
Roconreedon yr new circuit for replacement Electric Water Hesiar or power vented
water beater.
Roconnoction of the Sen-ice Entrance Cable, Meter Hox. alterations to recoptaclea
and lighting fixtures due wsiding / eo~'it iaatallation. Note: New Service
FdltranCO Cabled will require a aaparate pe[miL
Reconnection ar new circuit for the replacement of other petnnane~ntly wired
appbances) fbcttaee.
New circuit !or me addition of wC to au indlvtdtlal dwelling rmtr (lwtum or the
individual syatem~ in a duplex or wndomiaitmr), er~cluding teQtired service
electrical outlets.
Other
The value ofthia work is S
I hereby verify this work will be performed by as employee of tbia cotttparty and further verify
the reconnection /installation will be done in compliance with manufacturer a~ Electric code
roquirnrnouta.
(Signature of Comp car) (Print Name of O~ ate
~ )
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