HomeMy WebLinkAbout0143701-HVAC (furnace) 0 CITY OF OSHKOSH No 143701
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1050 GREENFIELD TRL Owner VICKY J REDLIN Create Date 10/19/2010
Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential- Heating & Ventilating Plan
Fuel U Gas u Oil I Electric U Solar Solid
System [] New n Replace ❑ Other
u Forced Air ❑ Radiant U Steam J NC u Vent
J Electric __ Hot Water _f Suppl. 1_,J Con. Burner
Chimney Type ) Chimney A O Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate ) As Per Plan 0 Variable 0 Other Value
Use /Nature SFR / Replace furnace. Install 3" chimney liner. EIV signed by Slim's Electric. "debit acct
of Work
Fees: Valuation $3,580.00 Plan Approval $0.00 Permit Fee Paid $64.00
Issued By: a Date 10/19/2010
❑ Permit Voided Parcel Id # 1314280000
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.
Oct. 19. 2010 8:14AM GMS INC No. 5049 P. 1_J (Y,.)
Division of W
P.O.Box 1130p�hon Services
Oshkosh, WI 54903-1130 Phone (920) 236 -5050
Pa (920) 236 -5084
O
•�9N.
HVAC PERMIT APPLICATION err EwAr
All for on after bold categories must beprovided.
Incomplete applications will not be processed.
• Application(s) and f ee( s) c an
Oshkosh be Fought to City Ra11 Room 203 or
WI 54903 -1128. Commencing work without �� to Inspection Services, PO Box 1128,
normal permit fee, which ever is greater. p�t{s) will result in fees being doubled or $100,00 plus the
I . tire a cant ac or .
tic
l 'ou wa, t t 1 , r o t .. ti - 'n he P it a Acco rnt Svstem and have ad • ua a ds c, ea ere
oc ss d s h but rc •unt
r•
'.'Y.Adgisorp- For applicable ro'e cts, an Electrical
Contractor or Homeowner l' J
caner (for install allowed to tz� b on ( form, su by the itte drical
with tie permit application. Applications p r the homeowner) mast be submitted
processed for Peraut Issuance and w be returned for co without Ie tYO ETV when such is required,
mp n.T will not be
J013 ADDRESS to I DATE iL► y io
CONTRACTOR rvt I..
ClitECK 12I ALL APPLICABLE
'USE CATEGORY
Tingle Family CIDuplex ❑Multi Faintly °Rental ❑
Commercial L7Industrial
FUEL Ls Gieotric Maid
SYSTEM ❑New L
- 1:10i1 IDS
TYKE • 1]Oth� �R�eplaae
llarorced Air :dRediant C1Steam pAjC QVent
CaElectric
IS CSTI►DVEY BEING LAVED ONo des L � � DHot 'Water ❑Suppl. dCon. Bier
Note: All chimneys shall be sues r - vest c SIZ ,3 `,� MANUFACTURER
per the BTU's being ve,Dtd. Z`LTRER /74.— .4 o- L j
cEIBENEY
TYPE oA ..DChimneYB .erect Vent
• 14 44.045S 'till RAVE 1 ed g Tot Other
�-E]As Per Plan Applicable
�7Vaiieblear Value
DES pAz /SCOPE OF ALL WORK BEING DONE P- __
•
•
VALUE (Including labor and materials) . c v
1FI.ZOTRICAL CONTRACTOR (for projects not requiring an ETV Form) s
) 4 r+,. J � � � c
D7/07
Received Time Oct. 19. 2010 8:13AM No. 3322
Oct. 19. 2010 8:14AM GMS INC No. 5049 P. 2
er awe overawe,
, 5eivici
PO Hw 1130
aeuv WI S4 -1130
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Electric Installation Verification
I(we) SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
() (City) (State) (Zip Code)
have been contracted to perform electric installation work for V i[` t
(Name of contracted to)
r
at the following address: 03D A o
( w be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
k Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vested
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / sof5t icatallation. Note: New Service
ranrance Cables will require a sapatat6 permit,
Reoonnection or new circuit for the replacement of other permanently wired
appliances) &tunes.
New circuit for the addition of A/C to an tndivfdual dwelling tow (house or the
• individual systems in a duplex or condominium), including required service
electrical outlets,
Other
The value of this work is $ fl61
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.
v„yd./,0,, ve 40, 1r , OtRk6
(Signature of Comp / . cm) (Print Name of Oft c (Date)
sum
Received Time Oct. 19. 2010 8:13AM No.3322