HomeMy WebLinkAbout0134122-HVAC (furnace) CITY OF OSHKOSH No 134122
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 928 W 5TH AVE Owner JERRI L PLATTA Create Date 11/20/2008
Contractor DENNIS GEHRT HEATI NG INC 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 Chimne A Chimne B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable _ ] Value
BTU Rate As Per Plan Variable Other Vatue
Use/Nature
of Work
Fees: Valuation $1,700.00 Plan Approval $0.00 Permit Fee Paid $35.50
Issued By: _ _ r% ~~~J Date 11 /20/2008
^ Permit Voided ' Parcel Id # 0604740000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the Ciry 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 7363 GARDEN DRIVE
NEENAH WI 54956 -0 Telephone Number 725-6063
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.
9-/5~ ~
Division of Inspection Services
215 Church Avenue
P.O. Box 11 30
Oshkosh, WI 54903-1130
ON THE WA ER Fax # (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE ~ ~ r- l ~" d
NOV 1 8 2008
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMIL DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC
SYSTEM __.NEW REPLACE
TYPE FORCED AIR RADIANT
.. `._~~
ELECTRIC HOT WATER
SOLAR SOLID
OTHER
STEAM A/C
SUPPL.
VENT
CON. BURNER
IS CHIMNEY BEING LINED 7~ LINER SIZE MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK : ~~e~~2~~~C ~ '" ~ ~ Q
~°~G ~~ _
VALUE (Including labor and materials) $ ~~ '~IJ1~, ° y
ELE~.".TRICr,L CCN;':tACTOt2
Electrical installation of x.ew%~-acemen .equipment shall be donFy by licensed
contractors.
Valuation
Fees
$ 0 t o $1, 0 0 0. 0 0.....»._.».......».».»......_ ..................._......._...._.».......»....».».».».»................_.»....».....$ 2 0. 0 0
~~. ~a
$1, 0 0 0. 0 1 t o $10 , 0 0 0. 0 0..»...:»....».»...._.».»......._...._.......»..........».»....».........._....»......._.».»..$ 2 0. 0 0 f or f i rs t
$].,000.00 plus $1.50 per $100.00 val~.lation or part thereof
$10 , 0 0 0.01 t o $ 2 5, 0 0 0. 0 0..~..» .............................................._.......».......».»...._....»..........».»...::,$15 5. 0 0 for f i r s t
$10;000.00 plus $1.00 per $100.00 valuation or part tr.ereof
Over $ 2 5, 0 0 0. 0 0..».»....».......-.»........» ................_...._....»....»._..........».»....».».......».........._......._.»..... $ 3 0 5 .0 O plus $ 0. 5 0
per $100.00 valuation or part thereof
• Submit payment with ap~~lication. Failure to pay within 30 days will result in
fees being doubled or 5100.00 plus the normal permit fee, which ever is
greater.
Ciryo(Oshtosh
Divisio, o(Impection Services
2I5 Churep Avenue
PO Box 1130
Oihkaah WI 51907-11)0
O(rice 920.216-SOSO
H M,~ ~ F,x 920-276-SOEt
Electric Installation Verification
I (We)
CQlQNGS ELECTRIC INC.
(Electrical Contractor Name)
P o sox 749, NE~AH, ~ 54957
(Address)
(City)
(State) (Zip Code)
have been contracted to perform electric installation work for nAVin PLATTA
(Name of party contracted to)
at the following address: 928 w 5TH AvE.
(Address where work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnxtion of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances /fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ ~) . ~.
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection /installation will be done in compliance with manufacturer and Electric code
requirements.
tea" RICHARD J WENZEL .,~
(Signature ompan fficer) (Print Name of Officer) (Date)
sroz