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HomeMy WebLinkAbout0133417-HVAC (furnace)/~"~ CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1770 S WESTHAVEN DR Owner DIANA M ULRICH 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. Sumer 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 j Value 80,000 _ _ Use/Nature FR % REPLACE FURNACE, EIV SIGNED BY SLIM'S ELECTRIC "debt acct of Work Fees: Valuation Issued By: Plan Approval $0.00 Permit Fee Paid $65.50 No 133417 Create Date 10/10/2008 ^ Permit Voided Date 10/10/2008 Parcel Id # 1315600000 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 pertormed within two business days from the time the project is ready. CT-10-2008 10 05 AM P, O 1 /02 ~i'~~ hrf_?erkOSt.~ ~.l.l~ 1J 1~~.1i':~~ ~~~1 ~~ Phone (92;ii X36-~G:,D .~„ ~, r.~. - _ v~: ~=.~ t•~=~=r HV~C ~F_RI~IIT f~PPLIClwTIQh~ .All in;or;netior. eft2r hold ce:eeprifi5 must 't~~ I;ra~~ic!~.d. lncc,;npletf: a, F lic~tiars ~~'iil r;~t b~ p:•acesse:d. ~ Ap~IICAt1C)t}(~1 8,^,Q f •E(5) C2*; bE brou?ht-o ~~ir~' ]Mali, I~C~(11'.^, ~(~_ r~r• 1i78iiEt:i '~~~,;' ~ ~ r~ '''fit' l:~ ~.. ['C.i':L y::"; 1CES; I (,i .I3a.l' i ~~ }: Oshkosh 11`I ;=19U;-1 l ~8. Corr.~me;~cin~ ~~~c~rl: u~i:ho~,1 pern;~tis~ ~~liJ ;•z;G!: i)~ =~~~ b~il:~ dt~u•!ad cr S] G~~,Ou plu: c!:;- norma] permit fie, w~i;ich .•ver is ~~eater. 012 fir,TrG~)~~P it t!~ ?. G!:L~ ~'rill'L° C.'_'/c^!r' frlP~l:~"•'S,, ~/1P!'/f /)F)'E '* Ad'e'xSOn" -For a~,plical,le projects, an Flr.etrical Installatia^ 1'eir-if catior. (,Er\") ir,,Tm, siMnecl h}• the Elec,rical Coirtxa.ctor oz' I3omc:p`~-ner (for .i_n.staIlatioxl.s a1ln«'ed to be pe~~fuzivcd b~~ the l~fan;l~o~i•iier) >.uust be sul,mirted ~~~ith the permit applicatiun. Applxratiairs sul,.mitted ~~°ithotr an L-I~~ ~~'hen such is requi:r~d, ~viJl not be^ pzocessed for Permit Issuance and ^~i'ill be returned far campleTion. JO$ ADDRI:;SS ,/`J'lLl (. Gvr j f'~~~,'c n ~r_ _ OWNER Ui~~n,C ~' CONTRACrOR,~~rf~>.~ s,c CHECK ~ AI,L APPLICABLE USE CATEGORI' ~gle Family ^Duplea C7Multi-Family ^Rental ^Conamercial Qindustria] FUEL ~ ^$lcctric OSolid SYSTE>t~ ©)\e~v ~p)ace CJOiI ^Solar ClOther T~ orced Air ^Radia»t ^Ste.ax» CIA/C ^Vent CIEJec,rir ©Hot V,'ater CSuppl, DCon, $urner IS CHIIIZNEY" BITING LINLU Imo C7Yes -1~INER 51ZE ~. M.~r':1:tACTUR~.k Note; All chimneys shall be nixed per the BTU's being ve;lted. CHI112NFY TYPE ^Ghimney' A ^Ghimney $ ~irzc; Ve :t CJOtI-,er HLAT LOSS ~I,As Approved tir.c. ^?vr.~t .Acplicsble BTII R4TF ^A> Per Plan ^Varizble p~-e; 1~at~,2 ~~ iC~ ,(sue ~ _~ DESCRIPTIO'~ / SCOpE OF ALL ~~'OItK BEI>\G DONI``--J~s.~.~w~ f ,~i•iruy, c:.~ ~,~ _ _. VALUE (including labor and materials) ~_ .3 G' ELECTRICAL CONTRAC7'012 (for projects not requiring an E1•ti' ]: orm} ,~ir, ~~zlC~ 4~, ni;o~ OCT-10-2008 10;05 AM /~ Electric Io:~taU,atio~ VerificAtion i(wt) SLIM'S ELECTRIC INC. P. 02/02 (Electrical Contractor Nuns) c,~adr~a.) od Circle Oshkosh WI 54904 (3tatc) (Zip Coda) have beaa coatractod to perform oloctric iostallatioa work for I Q,I~1-~- ~ ~ •~1~ (Name of party can~tractea ~) at the foalowing address: ~ ~ S~ (~e~~-~~~ ~/2. . (Adds where work will be perfornnoda The naturo of the work consists of (Check One or Doscnbe Wa Nature of Work) Recormection or new cil,cuit for replacert-eet Homing Plant and/or A/C Condenser. Reconnection or new circuit for replaeamont Electric Water Iiaate: or power vaatod water hoatair. Reconnection of the Service Entrance Cable, Meter Hox, alterstions Zo roceptacles and lighting fixtures due to siding / solflt installation. Note: New 3eavice Entrance Cab]ea will regntre a separate permit. Reconnection or new circuit for the replacement of other pcatna~deatly wit~od appliwces I fbcttu+es. New circuit for the addition of A/C to an iadlwdaat ahvelliag knit (hottso or the individual systems in a duplex ar co~adorr~iaium), inclnding required service eloctricel outl~. Other rrF erowr~aw .~ ~ PO Bea ~ 130 ow~wb wi ~of.~ -30 oleo v~ava.wso Fa 92Y$76.~ The value of this work is ~ '~ `~ I hereby verify this work will be parfornaed by an employee of this company and fwether verify the reeoanoction / installation will bo done im eompliaace with mauufacttu~er and Electric code regavomorlte. f~ o 0 0~' (5igaature of oar) (Print Nairn of Otfi (pace) seal