HomeMy WebLinkAbout0134067-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address 407 E IRVING AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner C K PROPERTIES LLC
No 134067
Create Date 11/17/2008
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
^~ _ _ _ Q
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
__
_ _
se ature Rental /Replace furnace. EIV signed by Slim's Electric. **debit acct
of Work
I
i
Fees: Valuation $2,370.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: L~ Date 11/17/2008
^ Permit Voided ~ Parcel Id # 0405240000
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
Address PO BOX 2264
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.
Agent/Owner
OSHKOSH
NOV-17-2008 02 58 PM
P, 02/02
~~. av
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phune(920)236.5050
Fax (420) 236-50t~4
HVAC PERMtT APPLICATION
All information after bold categories must be provided.
incomplete applications will not be processed.
n
• Application(s) and fee(s) can be brought to Gity Hall, Room 2G5 or trailed to Inspection Services, PO Box 1128,
Oshkosh WI 549(13-1128. Commencing work without permit(s) will result in fees being doubled or $ 100.00 plus the
normal permit fee, which ever is greater.
OR
r t r r' er 'r c n c ec h .r
n
"'* Advisory - For appifcable projects, an Electtntcal Installation Vetrificadon (EIV) norm, sinned by the Electrical
Contractor or Homeowner (for installations allowed to be perfottxued 6y the homeowner) mast be snbtprdttcd
with the permit appliicadon. Applications submitted without an EIV when sack is repaired, will not be
processed for Permit Issuance and wilt be returned for completion.
DATE ~~~7`r/8
JOB ADDRESS yD7 ~, I r~~ ~-:~
OWNER. C.k~ Law•. ev]~
CONTRACTOR r'~~WI.S. I~• c. ~
CHECK ®ALI.~ APPLICABLE
USE CATEGORY
OSingle Family ^Ihtplex ^M.ulti-Family C~ental ^Commercial ^IndusttYal
FUEL ®Gas OElectric OSolid tiYSTEM ^New lace
DOiI ^Solar 170ther
~l~or~ced Air CJRadiant ^Steam DA/C 17Vent DElectric DHot Water C]Suppl. ^Con. Burner
1.S CIiIIMNEY BEING LINED ~o DYes - t.MFR SIZE & MANUFACTlJR1rR
Note: All chimneys shall be sized per the 13'1'l!'s being vented.
CHIMNEY TYPE ClChimney A l7Chimney !3 ~ t Vent C]Qther
HEAT LOSS ^As Approved Ming ONot Applicable
BTU RATE CIAs Per Plan OVariabl.e Lt lt6er Value ;]~f ~~p0 .(4TY _
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~~~;~_,.,f,...~- hi.-~~,4
VALUE (Including lshor and m•terials) ~ _„93 ~o ' ` r~
ELECTRICAL CONTRACTOR (ior projects not roquiring tut EIV Form) rs~~ 1 ~/1`~ ~.
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V-17-2008 02.58 PM
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Electric InataWttloa Veriffcstion
I(we) SLIM'S ELECTRIC INC.
(lileCtrical Corttra~ctar Niame)
P, O 1 /02
od Circle Oshkosh WI 54904
(Address) (City) (State) (zip Codc)
have boon cantractod to pe~sform electric iaaWlation work for ~ ~~ i,,,,Q„
(Name of party contracted toj
at the following address:
(AQdtnaa wDere work
The acttu+e of tlu; work caaaists of: (Cheek 4n~ or Doecribe the Nature of block)
,,,,~, Recotnnection or new circuit far replacaomont Heating Pleat and/or A/C Coadcaaer.
Reconnection or new circuft for replacelttent Electric Water Heater ar power vettlAd
water hector.
Roconnecticm of the Service Entrance Cable. Meter Boac. aherationa to raxptaclea
and 4ghtiag fiaturas duo waiding / soffit installation. Note: Now Service
Entrratce Cables will require a separate permit.
Reoonsteedon or taw circuit for rho replscemaat of other petmanoatly wired
appliaacxe) 6xtuttie.
Now cirouit fot rho r-dQitfon of A/C to as tndtvrduat dwelling tar/r (house or tine
indi.VldWtl 8yatetge tri a duplex oT COtlQorninlulri), iaehtdittg rOquired Rervioe
CIeCtL'1Cal OLtt1Ct8.
Otlwr
The value ofthis wank is S .,
I haroby veri~r tf~is wank wilt be performed by an employee of this company snd Fwthes verify
the recoutteotion / ittatellation wilt be do~ae in compiiaace with maaufecturer and Electric code
rogair+omenta.
(Signature of oar) (Primt Name of OfE (Date)
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