HomeMy WebLinkAbout0143489-HVAC (furnace) l CITY OF OSHKOSH No 143489
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 765 FOX FIRE DR Owner KARL J /LORI A WENDT Create Date 10/07/2010
Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential- Heating & Ventilating Plan
Fuel U Gas 1 Oil J Electric Solar 1
J � Solid
System [ 1 New I ❑✓ Replace I ❑ Other
u Forced Air J Radiant J Steam ❑ A/C J Vent
J Electric l f Hot Water [J Suppl. ❑ Con. Burner
Chimney Type ( ) Chimney A () Chimney B • Direct Vent ❑ Not Applicable
Heat Loss 0 As Approved 0 Existing O Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / Replace furnace. Install 3" chimney liner. EIV signed by Witzke Electric. * *debit acct.
of Work
Fees: Valuation $3,280.00 Plan Approval $0.00 Permit Fee Paid $59.50
Issued By: Date 10/07/2010
❑ Permit Voided Parcel Id # 0657380000
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 (Le. 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.
ili Oct. 7. 2010 7:56AM GMS INC No. 4785 P.
City of Oshkosh i\
Division of Inspection Services �
P.O. Box 1130
Oshkosh, WI 54803 -1130
Phone (920) 236 -5050
......,.
.•, S
Fax (920) 2 36 -5084
HVAC PERMIT APPLICATION Lug tHE WArE0
'All lnfbrmation after bold categories must be provided.
Incomplete applications will not be processed
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to
fees Oshkosh WI 54903 1128. Commencing work without permit {s) will result in fee being doubled or $ 00.00 plus the
normal permit fee, which ever is greater.
OR
.1 , ar a .nirrctor , arty. ' '
th .Pe it -e , con S em and ave ad f e ands check h -
1 _ wa th' •r, s - • thr,
o - (2C •u7
" Advisory - For applicable projects, an Electrical Installation Verifiication fo
Contractor or Homeowner (for ' � � signed by the Electrical r a permit c h ( installations allowed to be performed by the homeowner) must be submitted
app 'cation. Applications submitted without an ETV when such is required, will not be
processed for Peiio it Issuance and will be returned for completion.
DATE / 0/91 1]
JO3B ADDRESS 7 Ge S x ;
OWNER C c.. w l we ,ci. A-
CONTRACTOR G Iry S. 1 v C.
CHECK ef ALL APPLICABLE
U4. CATEGORY
Ingle Family °Duplex ❑Multi - Family ❑Rental ICommercial Olndustrial
FUEL ICeas °Electric ❑Solid SYSTEM ONew
d0i1 DSolar C+
V Other
edAir :Q�tidiant ClSteam dAjC [iyent
°Electric CHot Water °Suppl. ❑Con. Burner
IS CBIMNEY BEING LINED ❑No tares - LIFTER SIZE 3 " & MANUFACTURER /h.— 1 [—a
Note: All chimneys shall be sized per the BTU's being vented.
Cill:YIlVEY TYPE DChir A ❑Chime B
HEA '.L.QSS 1A2 Approved s • g �t Vent OOther
:BTU �,� �,� Per Plan , � lallot Applicable
]Variable belle Value Sc a c•
DESCRIPTION /SCOPE OF ALL WORK BEING DONE g:4-7 lc' c.c- s,..L•,.I .rs""., t'"e
VALUE (including labor and materials) $ O • `L
ELEcTEICAL CONTRACTOR (for projects not requiring an Eiv Form) f . h- e e_. _t .
07/07
Received Time Oct. 7. 2010 7:55AM No.3156
Oct, 7. 2010' 7:56AM'' GMS INC ����R�� I 0.4785 FP. 2L
F " /°- /^/°
��,o a,87'�1
pO Beg 1130
Oshkosh WI 54003.fl3O
4 Tl� ( T/= ofGee v2az1woso
Fu 910436-50114
Electric Installation Verification
I(We)
(Electrical Contractor Name)
155 c • Pad e — Ayen ( �CO5�1 .L 5490
(Address) (City) / (State) (Zip Code)
have been contracted to perform electric installation work for . 1ya .slg I�e ay�.a C
(Name of party contracted to)
at the following address: 42 5 c ii l.9 eti4)
p• w
(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.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and Iighting 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 $ ) 6 .
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.
. .'"'"3.i. ,,• Ck , 17 rvk ___(:)_\.‘c_____ . _, o '., -iO
(Signature of Company Officer) (Print Name of Officer) (Date)
Received Time Oct, 7. 2010 7:55AM No. 3156 s,(12