Loading...
HomeMy WebLinkAbout0134035-HVAC (furnace) CITY OF OSHKOSH No 134035 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1916 MINERVA ST Owner CYNTHIA ELLEN OVERTON Create Date 11/17/2008 Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan __ Fuel / Gas Oil Electric Solar Solid System ~ New ~ ~/ Replace ~ they _ / Forced Air Radiant Steam [~A/C ~ - --J ~] Vent ___ _ Electric (- Hot Water -- --. ~ Suppl. Con. Burner Chimney Type - Chimne~A __ - Chimney B ___ - - ~ Direct Vent ~ Not Applicable Heat Loss - ~As Approved _ -- _~xisting __ -- _ _ _ ~_Not Applicable '~ Value BTU Rate As Per Plan -~ Variable ~ Other Value UselNature FR /Replace furnace. Install 5" chimney liner. EI V signed by Slim's Electric. **debit acct of Work Fees: Valuation $2,690.00 Plan Approval $0.00 Permit Fee Paid $50.50 Issued By: Date 11/17/2008 Permit Voided Parcel Id # 1213540000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Agent/Owner Address PO BOX 2264 OSHKOSH_ _ WI 54903 -2264 Telephone Number (920) 231-5530 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. OV-14-2008 05 03 PM Ciry of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, Wl 54903-1130 Phone (920)236-5050 Fax (920)236.5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. lneomplete applications will not be processed. P, O 1 /02 5c~ S~ OW TNF r/A ~~ • Application(s) and fee(s) can be brought to City Hell, Roorn 205 or mailed to Inspection Services, PO Box 112$, Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00.plua the normal permit fee, which ever is greater. OR *'" Advisory -For applicable projects, an Electrical Ixtstallation Verifilcation ~M form, siigned >by the Electrical Contractor or Homeowner (Far installations allowed to be pt:rfomxed by die hospcowncr) xunst be anbmitted with ttxo permit application. Applications sa6mitted witltant ae EIV when each is tt+egained, will not be processed for Permit Issuance axed will lbe rettxrued for completion. DATIE /! ~[ y I G g JOB ADDRESS l °~ l L M , -tit. r-yc. OWNER _ C, r.. l ..~ ~, ~. ,~, ,,~ CONTRACTOR /. -+~ _C . L ~ c CHECK ®ALL APPLICABLE USE CATEGORY ®'Single Family ODuplex l7Multi-Family ^Rental ^Cotnmercial ^Induett7sl FUEL li~ ^$lectric C1Solid SYSTEM C]New ~ lace Opil OSolar ^pthet. TYPE ~`orced Air ^Raditir-t ^Steam ^A/C ClVent ^Electric ^Hot Water ^Suppl. ^Con. Burner 1S CI:IIMNEY BEING LINED ONo CJYea .LINER SIZB_ ~ ' ~ & MAN[1FAC7`IJRI~R_ f~• -- ~ + l~~ ~ /c Note; All chimneys shall be sized per the BTU's being vented, yr CHIMNEY TYPE ~ timney A ClChimney B ©Direc:t Vent QUther HEAT LOSS ^As Approved G7~ating C1Not Applicable BTU RATE DAs Per Plan OVariable der Value _-- - ~, at ~ c, r~ ~~•- y-i~ DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~ .~,~ r~ r,~ ,~ ~~ ,~^'{j.-~-1 k ,~ vs VALUE (Including labor and materlala ~ " )~1~`~D ' ELECTRICAL CONTRACTOR (for proJecte sot requfrlnR ran E1V Farm) ,.,1'/~ ~, ,J ~/_~ G ~ ~ 07/07 NOV-14-2008 05 03 PM n Electric Installation Vetp~ication t(wo) SLIM'S ELECTRIC INC. (&lectcical Co~actar Namc) Circle Oshkosh P, 02/02 W I 54904 (~~) (CttY) (Story~e)~, (Zip Code) hwve been contracted to pas#'ortn electric irrsitallatica work for `~~ ~ 1 Y 1LY~~ ~ ~~t (Name of party contracted to) at the following addroea: (' The nahue of the work conaist6 of, (Check One or D~esesnbe tba Nature of Work) Reconnection ar new circuit for replaeemont Boating Plant and/or A/C Condemer, Reconnection or new cnrcuit for replaeemont Electric Water Heuer ar paws. ventdd weer heater. Reconnection of the Service Entrance Cable, Metar Box, altezationa m necaptaclos ~ ~t3~$ i7xtures due to ei4ing 1 soffit in~stallatian. ]dote: New Service Entt®ce Cables wttl requiro a aaparate permit. ___,_ Reconnection or new circuit ter ttse roplacanaent of other ptrmaAOatly wired appliances I Bxtures. ~.._ New eireutt for the addltbn of A/C [o as ttsdtvtdaa(ahHedlt~ resit (tsouoc or the individual syuems m a duplex or coa4or[siniura), inchuiia~ ~egseired ,ervioe electrlca] outlets. Ober The value of this woxic is ~_ I ~? ~ . 1 hereby verify this work will be perfornsed by as o[npbyae of this company and Fut~lher verify ~ reconnection ~ installation will bo done in eax[plis[pce with manufacusrrr and F.Iectiic code roquir+emcata. 1~~~iD,9~ ~ irf~ I I ~ I~(~ v~ (5igaatunr. of C~ eor) (Print Name of Oflic~t~ (per) s~oz cMrero~ » ~otAr.q.aa.s.+rrn roams irso ai s~o3-u~o arose rio.iu.~ r~ s~azs~sow ~rsaoraes wnorc wort w~u be porfarmod)