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HomeMy WebLinkAbout0140003-HVAC (water source heat pump) CITY OF OSHKOSH No 140003 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1545 ARBORETUM DR #230 Owner BRIAN J TAYLOR Create Date 03/10/2010 Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential- Heating & Ventilating Plan Fuel I I Gas 1 Oil U Electric Li Solar U Solid System n New n Replace n Other u Forced Air u Radiant U Steam u NC u Vent Li Electric I Hot Water I Suppl. Lf Con. Burner Chimney Type ) Chimney A () Chimney B 0 Direct Vent • Not Applicable Heat Loss C) As Approved • Existing 0 Not Applicable Value BTU Rate 0 As Per Plan O Variable • Other Value Use /Nature Condo / Replace water service heat pump. EIV signed by Slim's Electric. * *debit acct of Work Fees: Valuation $3,750.00 Plan Approval $0.00 Permit Fee Paid $67.00 Issued By: Date 03/10/2010 ❑ Permit Voided Parcel Id # 1223380000 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. MAR -10 -2010 WED 08 08 AM FAX NO. P. 0,,11l City of h ofins Division flnspection Services P.O. Box 1130 .irt,. Os1 kosh, WI 54903 -1130 -, Phone (920) 236 -5050 �� • Fax (920) 236 -5084 Phi THE W)TFR HVAC PERMIT APPLICATION -All inforination after bold categories must be provided. Incomplete applications will pot be processed. . ! Applioation(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903 - 1128. Commencing work without pemiit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR • • •u are a •n racier c z• •tir • ' , -. Perna ' . -ceount System and ha a ade.•u•ie , ds c eck here if you wont this processed ihro • , acco 7 Vii ** Advisory - Por.applicable projects, an Electrical Installation Verification (E1V) 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 EIV when such is required, will not be • processed for Peixuit Issuance and will be returned for completion. DATE -/io/ /G _ JOE ADDRESS 4.2 3 0 e w-k , 1 1 ce --C1, c. S - i ' 41 S /4 .-- I- - C 41• �■ CONTRACTOR GV►. S ) (► - c • • CHECK 0 ALL APPLICABLE USE CATEGORY ' CS:Single Family DDupleac OMulti Family C IRental O Commercial Oludustrial FUEL 0Gas C3gectric ❑solid SYSTEM DNew Liatip 1aoe '0011 O Solar .Other TYPE forced Air ❑Radiant . DSteam DA/C DVennt ❑Electric OHot Water D Suppl. DCon. Burner IS CHIMNEY BEING LINED DNo DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall ba sized per the BTU's being vented. 410i ' CHIMNEY TYPE DChi A CIChimney ti pDirect Vent ❑Other "Pi SAT, LOSS ' C]As Approved ©3 fisting CTNot Applicable • BTU RACE . OAs Per Plan 0Variable C Otther Value 11 To w DESCRIPTION / SCOPE OF ALL WORK BEING DONE QtP I LA.• 4.. wj. --- ,S %,--• CA- k-r- 4-4 W L•-sy • VAL,DE (Including labor and materials) $ 3 7 5 • ° c "' • ELECTRICAL CONTRACTOR (for projects not requiting an EIV Form) - S/' . �. c1 /o Received Time Mar,10. 2010 8:08AM No,0142 MAR -10 -2010 WED 08 08 AM FAX NO. P. 02 chaarauaat IMvldeoo[lwrabn Poeox 1130 Oshkosh WI aca3113O in: Am: Pa �o • Electric Installation Verification I(We) SLIM'S ELECTRIC INC. (Electrical detractor Name) 2608 Oakwood Circle Oshkosh WI 54904 (Address) • (City) (State (Zip Code) have been contracted to perform electric installation work for Ppla _L . (Name of parry co ad to) • at the following address: 4 14 • . 1 . I. t _' ` a• •l . .� • (Address where work will be performed) • The nature oftlte work consists of (Cheek One ur De cr be the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or ACC Condenser. Reconnection or new circuit for replaixment Electric Water Heater or power vented water heater. • . • • Reconnection of the Service Entrance Cable, Meter Box, attentions 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 )Enures. • New circuit for the addition of A/C to an individual dwelling unit (house or the individual systems in a•dupl x Or condominium), including required service electrical outlets. • • • • OUwr • . The value of this work ie $ C O L) • I hereby verify this work will be performed by an employee of this company and further verify the recomtection /installation will be done m compliance with manufacturer and Electric code requirements. • . • • / 1 vl am e, im A 1 (Signature of Compi ' cer) (Print Name of Off (Date) • sin Received Time Mar, 10. 2010 8:08AM No,0142