HomeMy WebLinkAbout0138796-HVAC (furnace)0 CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 661 FRANKLIN ST Owner ALL AMERICAN INVESTMENTS LLC
No 138796
Create Date 10/29/2009
Contractor
GARTMAN MECHANICAL SERVICES
Category 500 - Residential- Heating & Ventilating Plan
Fuel
✓ Gas
L Oil
=lectric
L Solar L Solid
System
❑ New
❑✓ Replace
❑ Other
✓ Forced
Ll Radiant I
U Steam
A/C Vent
Electric
L Hot Water J
LJ Suppl _
Con. Burner
Chimney Type
Chimney A
0 Chimney B
Direct Vent
Not Applicable J
Heat Loss
As Approved
0 Existing
Not Applicable
Value
BTU Rate
Value
As Per Plan
0 Variable
0 Other
Use /Nature FR / Replace furnace. Install 3" chimney liner. EIV signed by Slim's Electric. **debit acct
of Work
Fees: Valuation $2,480.00 Plan Approval $0.00 Permit Fee Paid $47.50
Issued By: (/(,/fi,Yl� Date 10129/2009
❑ Permit Voided
Parcel Id # 0703100000
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
Agent/Owner
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.
CT -28 -2009 08:48 PM GARtMAN MECHANICL 9202310486
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, W1 54903-1130
Phone (920) 236 -5050
Fax (920) 236 -5084
HVAC PERMIT APPLICATION
All information after bold categories must bo provided.
Incomplete applications will not beproeessed.
P. 01/02
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WT 54903 -1128. Commencing work without permits) will result in fees being doubled or $100.00 plus the
normal permit fee, which eves is greater.
OR
** Advisory - For applicable projects, an Electrical Rw ailation Verification (EM form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
JOB ADDRESS
OWNER Alt Wlr.� .�. �rvca.•,� -�,
CONTRACTOR 6V�
CHECK 0 ALL APPLICABLE
USE CATEGORY
[]Single Family ❑Duplex ❑Multi - Family
FUEL 01<s ❑Bleatric OSolid
DOil Molar
DATE--! 0$ i O
ER(ental ❑Commercial
SYSTEM MNew
❑Other
❑Industrial
M- Replace
TYTE
Mfor
erred Air ❑Radiant ❑Steam ❑A/C []Vent []Electric ❑Hot Water C]Suppl. OCon. Burner
IS CHINMY BEING LINED ONo Ues - LINE.R SI,ZI 12 i i & MANUFACTURER f�- � .r Coorle
Note: All ebimneys shall be sized per the BTU's being vented.
C FE Y1NEY TYPE C]Chiruney A ❑Chimney B Qf&ect Vent ❑Other
HEAT LOSS OM Approved UhM ie#ng ONot Applicable
BTU RA'C'E !]AB Per Plan DVariable DOtTter Value
YO, 0 0C /-? 7-V
DESCRIPTION / SCOPE OF ALL WORK, BEING DONE �°-e/v 1�, ce ••• -,rte. �-e
VALUE (Including labor and materials) S a'ff30 ' n
ELECTRICAL CONTRACTOR (for projects not requiring an RIV Form) �; 1 •,,' F I r
07/07
OCT -28 -2009 08:49 PM GAROAN MECHANICL 9202310486
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Electric Installation Verification
I (We) SLIM'S ELECTRIC INC.
(Electrical Coattnctar Name)
26
(•)
P. 02/02
e Oshkosh WI 54904
(State) (Zip code)
have been contracted to perform electric installation work for
(Name of party contracted to)
at the following address: �i�� _
(Address where work will be performed)
The nahule of the work consists of (Check One or Describe the Nature of Work)
Reconnection or now aimuit for raplaeetnent nesting Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water beater.
Reconnection of the Service Entrance Cable, Meier Boat, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will mp4re a separate permit
Reoote melon or new circuit for the replacement of outer permanently wired
appliances I ffxtutt:s.
New circuit ibr the addidoo of A/C to an indmdmd dwelling emir (house or the
individual systems in a duplex or condominium), inchtding required service
electrical outlets.
OLher
The value of this work is $1 Uv
I homy verify this weak will be performed by an employee of this company and fwiher verify
the receaneation t installation will be done in eAmpliance with manufactm and Electric code
-/,0 16tnj OLq
sogniroygmrlta.
(Signature of car) (Print Name of Offi (Date)
sas