HomeMy WebLinkAbout0133326-HVAC (furnace)/~'~ CITY OF OSHKOSH No 133326
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 806 OAK ST Owner KENNETH L BENDER Create Date 10/07/2008
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 Existin Not Applicable Value
BTU Rate As Per Plan Variable Other _] Value 80,000
Use/Nature
of Work
Fees: Valuation
Issued By:
Plan Approval $0.00
^ Permit Voided
Date 10/07/2008
Parcel Id # 1105380000
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.
Permit Fee Paid $52.00
CT-06-2008 02 51 PM
1~1-r- of ~~shl:osr,•
C,JShhash, 1~~7. 5.19(ia-]'.,Cl
Phone (9~(,) X36-5150
Fay (92 U) 236-~O~q.
HV~C PEF~IVIiT /-~F~PLIC~TIQ~'
All infor*ne;ior. a`;.r bold csreeories mu,r be rfGVi~BG.
Inco;,],rlet~ epnlic~,:ior.~s \~'ill not be prc~esr;r.
~ -J~~~
~' _J
.~
Applicatiol7(s~i and fec(sl czr. be brouahi io Cif H.ali, R,-• ~•r ?r~~ .
OShI<oSh ~~=I ~~9(li- ~0•-+ - _ Cr!77&Jl~d i0.75!~CC::~'.~i. SCl"~'1~"t~, PCl Bud: 1 l~u;
1 l:.$. Col7]mel]cil7~ \tprl; u~iil70l~ipel'i]7itf~) \\'Jli 7'e5i!I~ jl7 ~S iJ.i.']1•'~ dC~WL'1~~ Or ~IOtJ.C)0 p1U5 Tl'1:
l7ormal permit fee; \~~1]ich ever is g7'eater. `
OR
'"" Adti~isar}- -Fox applicable p7,•ojects, ara Flectxical 7a7sta]lation ~'cz-iiGatian (F_1~T) form; signed bz' the E]eetxi~al
Contractor or I3omeot~~nex (fox instaIlatioris allo«~ed is be per..fa]xoed 1}\' the ho]ueo«-ner) must be subn7itt:ed
t~'i'[}7 the permit application. Applications subrr~itted ~~>ithoi]t an E.T~' \i°hen such is required, ~t~ill not be
processed fox Permit Issuance and ~~ilI be returned fox eozt]pletion,
JOB ADDRESS ,t~0(o Qu It ~ ~~
CONTRACTOR GiriS /hc .
CHECK C~! AX.,L APPLICABLE
LTSE ATEGORY
'Single Family ^Duplex C~Iviulti-Famil - ^Rent~l
FUEL E-~as []Electric ^Solid S2'ST]rM
^Oi1 C7Solar •
E~'F E
orced Air C7Radiznt (]$team QA/C OVcnt ^Electric
P. 01/02
D ATE o
^Commerci2l ^?ndustria?
DA'e\j- emplace
^Other
I~Hot ~','aic'r L~Suppl. CJCon, Burner
IS CHI11I'\tEl' BEING LZNL•D ^No IB'Sres -LINER 5]•Z~E._ ~ ~
Note; All chimneys shall bo sized per the BTU's being vented. •°- ~' I~'LA?~-GFACT2iRER ~ ~ ~ lod~~
CFIIAZ:~E~,T TYPE []Chimney A 'JChi ev E ~ecr t'e-]t t
HEAT LOSS DAs A roved Ca0 l,er
BTU RATE pp xistir~ ^'~c,t ,Arplicable
^.4s Per Plan ^~'at'iebie CU.Ctf-er Vai~~ic ~y,,GaU 1'~"RJ
DESCRIPTION' /SCUPS OF ALL u'ORK BEI?~G DOTE '2e ~ ~ ~,
Gt'r`-t ~ 4 h h ~.
VALUE (Including labor anc~ materials) ~_ _aP~'jp - `v '
••----_.
ELECTRICAL C0:ITRACTOR (for protects not reguirSng ran EIV Form j ~
/r..f Lv~~r-
G7/Q7
OCT-06-2008 02 51 PM
Jun. 2. 2006 9:32AM inspection services
c:ily dY1~Nkt~li
r~~ of Ir~ulin~ AAnvir,w
SIS (h A~
ip Itoa 1130
~~~~~ ocpkodl WI ANf1.1.111A
016Ce 9:o-S~SOw
Pul 9~136~SQt~
Electric In~tallatfon Verification
I (we)
1~c~c BC•~.c~.-.
P. 02/02
No. 6964 P. I
(print hnmoownoiC~(s) name)
the homeowner(s) of ~p b Oa k S~-,
(address where work is to be performed)
accept the responsibility for performing the eIeetrical work as ~tataci below for the property listed
ebOVe.
'lie nature of the work consists of (Check Ors or Describe the Nature of Wark)
~y/ Reconnection or new circuit for replacement Heating Plant and/or A/C Gocidortsor.
Roconnection or new circuit for replacement Electric Water Healer or powor vented
water hater. .
Reconnection of the Service Lntrencc Cable, Meter $ox, alteralione to recoptacle6
and ligt:ttiry3 fixtures due to siding / eotTit ingtaJlalion. Note: Naw Sorvico
Entrance Cables will regttirc a separate permit. ~ .
Reconnection or new circuit for the roplaoement of other permanently wirod
applianacs /fixtures.
Ncw circuit for the additioa of A/C to as individual dwelling unit, including
roguucd 9Grvlcc Cleetrical Outlets. Nora: Ho»ieowners oan only da tltalr own
electric on a single fa~nJly ownxr n~cupie:cl home. Wor~E an a aondo~initan,
duplex, rental, or multi-use building would require a lice-rsed master
eleetrlclan.
Other
The value of this work ie $ /~ o `"
I hereby vorify this work will be performed by me and further verify the rcconaectioa /
installation will bo done in co~mpJiaace with manufaoturcr and Elcctriic code requirements.
HA s) Signature
l ~ ~-D
(Date)
~~