HomeMy WebLinkAbout0090952-HVAC (furnace) 0 1 CITY OF OSHKOSH No 90952
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1740 SKYVIEW AVE Owner LAWRENCE B SCHOCK Create Date 10/30/2001
Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential- Heating & Ventilating Plan
Fuel ✓ Gas I Oil Electric Solar Solid
System New 1 0 Replace 1 L Other
j Forced Air u Radiant O Steam u A/C u Vent 1
1 Electric 1 Hot Water Suppl. Con. Burner
Chimney Type ) Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss `) As Approved O Existing () Not Applicable Value
BTU Rate ) As Per Plan E) Variable 0 Other Value
Use /Nature SFR/ Replace existing furnace.
of Work
Fees: Valuation $1,950.00 Plan Approval $0.00 Permit Fee Paid $35.00
Issued By: m Date 10/30/2001
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number (920) 231 -5530
ii
5i-1
1
"A i
,,
.,
, .,,,
,.,
, . . ..,,i
Division of Inspection 8ervi0e4
215 Church Avenue
P.O. Box 1.130 +
Cal Egg] WI 54903 -1130
Fax N (920) 236 -5084
N INf Phone (920) 236 -5048 ' '`°
. HV�A.0 M UT . AP?LSQATZ Y 4
S7T '7R RT�� ;;•
1
All fields /information *film b014 oAkRgax #AR' lia pp1/i004
Incomplete applications will not be'proagasd4, .
OTR - • IO &Q t n I ,
JOB ADD' r SS I ty0 VIMA / '
OWNER / t ��
11 &11 .t- "
v
CONTRACTOR R ail
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMIL DUPLEX MULTI - FAMILY CQMMRR(IlI+ INDUSTRIAL ;
r
FUEL GAS OIL ELECTRIC SOLAR SOLID {
',
SYSTEM W REPLAC OTHER
TYPE FORCED AI RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPI,, CON, BURNER
I8 CHIMNEY BEING LINED LINER SIZS
MANUFACTURER
Note: All chimneys shall be sized per the RTU'a being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B DIRECT VENT OTHER
HEAT LOSS AS APPROVED BXISTING NOT APRTICApLE )
BTU RATE AS PER PLAN VARIABLE OTHER VALUE . wf t •
ATURE OF WORK: 0A2-jZ—J
Ir VALUE (Including labor and materials) $ )4501 00 .-
,:
ELECTRICAL CONTRACTOR /6 1 )nn x
Electrical installation of new /replacement equipment phall be done by licensed .
contractor's.
Valuation ' • Feea / "
A
•$0 to $1,000 00 .»».. »......: ».» ...... .... ». ». »....... ». ».».....» » ..$ 2 0.00 • *;
$1,000.01 to $10,000.00 ;..».:..».».».».».».».» . »,... »..... ». ». ». »..» ...:.$W O° for. f iret , v
$1,000.00 plus $1.50 per $100.00 va1jation or part• thereof
$10,000.01 to $2 5, 0 0 0. 0 0 ................. ------- ...... --- ......... .......--....—............m.........055,00 for 'flint
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
A "a
Over$25,000.00 ............................................».».».».».»...... . ». ». » ».... ». ». ». »....... ». ».» .........4305.00 plus $0 , 50 % b ,
per $100.00 valuation or part therept - .
• Submit payment with application. Failure to pay within 30 days will result in ,
fees being doubled or $100.00 plus the normal permit fee, which eyer,ia
greater.. F
City of Oshkosh
Wiliam ofb roo =rerviees 4Cik. y� 1
sus w,�w.. l.J
0
PO Heat 1130
Weed WI 34903 -1130
l7/ i don: zi soso
-\°•-
Electric Installation Verification
I(We) SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for Gartman's
(Name of party contracted to)
at the following address: 1740 Skyview Ave
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X 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.
Reconnection 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 ;,, L
• individual systems in a duplex or condominium), inc . "i i , - n'7 , VE
electrical outlets.
other
SFP Y 1 D1 b 2uJ!
�UMMUNI ENL OF
The value of this work is S 125.00 DEVELOPMENT
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
. ...i.... 4 David A. Youngwirth 10/30/2001
(Signature of Comp; 1 ' cer) (Print Name of Officer) (Date)
I sAx