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Home My WebLink About0143762-HVAC (furnace) C _2 CITY OF OSHKOSH 143762 143 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD No No 143 ON THE WATER `'O 4_10 Job Address 407 W 10TH AVE Owner JOHN M /MARGARET WINN Create Date 10/21/2010 Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential- Heating & Ventilating Plan Fuel I ✓i Gas U Oil I I Electric U Solar LlSolid System 0 New J 0 Replace 1 0 Other u Forced Air LJ Radiant u Steam U NC u Vent _ J Electric L J Hot Water LJ Suppl. LJ Con. Burner Chimney Type 0 Chimney A O Chimney B y • Direct Vent 0 Not Applicable Heat Loss J As Approved • Existing () Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value 100,000 Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY THE HOMEOWNER (John Winn) * *debit acct of Work Fees: Valuation $3,780.00 Plan Approval $0.00 Permit Fee Paid $67.00 Issued By: Date 10/21/2010 ❑ Permit Voided 1 Parcel Id # 0906420000 • 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. 21. 2010 9:38AM GMS INC No. 5116 P. 1 • r 4. Qty of Oshkosh �� Division of Inspection Services P•O -Box 1130 Oshkosh, W1 54903-1130 Phone (920) 236 -5050 Fax (920) 236 -5064 CA n1. 1 HVAC PERMIT APPLICATION °f THE WATER - All information after bold categories must beprovided. Ineonmpleteapplicetions will not be processed. • Application(s) and fee(a) can be brought to City work Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh W1 54903 -1128. Cou�meatcing wor nominal permit fee, which ever is greater. permit(s) will result in fees being doubled or $100.00 plus the FOR . you e a on roc or .. rti i • • tin in the P.e mi . -e Account Svst • and .ave a • e, uate unds the here I .'ou w• ,.f t,is . oc•ssed hr.u-, ■ r •ccsvn i n * *.,Advisory- For applicable projects; an Electrical Contractor Poi fl owner (for Installation Verification (EIY) form, signed by the Electrical ( instafaiions allowed to be performed by the homeowner) mast be submitted with the penult application. Applications submitted Without an EN when such is required, will not be processed for PetinitIssuance and will be rued for completion. k .T033 ADDRESS DATE J6 /al�i Old NER '� �.. W.� COIVTR.ACro G % 4 , Cam 0 ALL APPLICABLE USE CATEGORY Lingle Family ❑Duplex OMu1ti Family °Rental CI Commercial Olndustrial .FUEL Ili ClElectric CJSolid SYSTEM IJNew Matti= bill °Solar DOther . • 131rorced 4.7Radient - pSteam IBC . ClVent CJBloctric DRot Water ❑ Suppl. OCoa Burner IS CHIMNEY BEING DCaYes - LINER SIZE Note: All chimneys shall be end per the BTU's being vented "` & MAN[JFACT[JRI Il�TEY TYPE ....... Dchizriney A pin .... .;00:0 .�.4s A �'B ctVeut °Other BIT lithl 'OAR er P] Not Applicable er Value Ma c..ev _________ DESG 'T1ON / SCOPE OP ALL WORK B E ING BONE VALUE (Including labor and materials) 3 �a ELECTRICAL CONTRACTOR (for projects not requiring an EN Form) S h,,,, S ac. . ..... r , 07/07 Received Time Oct. 21. 2010 9:37AM No. 3380 Oct. 22. 201024 :00PMj2 GMS INC eC t ion services N No. 5154 p P. 2 City i nofI. q 1 5 c hnof Avemt tipve i I ex 115 chinch Avemie PO19u4 1130 V� ._._� Ccc Oshkosh 920. $49(13-1110 1n J fF KO.1Jl �� 0.216 5D$n UN 1111, WAILW P14 " - 5o$ Electric Installation Verification I (We) JUYIq (/l )�� rl (print � homeowner(s) name) the homeowner(s) of L I 0 (..)■.) c5 (address where work is to be performed) accept the responsibility for performing the electrical work as stated below for the property listed above. 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 Tntrance 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 unit, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi -use building would require a licensed master electrician. Other The value of this work is $ (W LO U . I hereby verify this work will be performed by me and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. kolfa\t6 Homeowner(s) Signature (Date) ( ) /eAl-ii () 4,)itt AA „_. L. situ Received Time Oct. 22. 2010 3:59PM No. 3411 (1) CITY OF OSHKOSH No 143762 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 407 W 10TH AVE Owner JOHN M/MARGARET WINN Create Date 10/21/2010 Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential- Heating & Ventilating Plan Fuel ✓ Gas El Oil Electric Solar ', ❑Solid System ❑ New Q Replace 0 Other U Forced Air ❑ Radiant Steam ❑ A/C 1 ❑ Vent ❑ Electric ❑ Hot Water ❑ Suppl. ❑ Con. Burner_] Chimney Type o Chimney A Chimney B • D Not Y YP — Y 0 Y � irect Vent _ - -- _ � Applicable -_ Heat Loss 0 As Approved • Existing U Not Applicable Value BTU Rate 0 As Per Plan O Variable • Other Value 100,000 Use /Nature SFR / REPLACE FURNACE, EIV SIGNED BY SLIM'S ELECTRIC **debit acct of Work Fees: Valua' n $3,780.00 Plan Approval $0.00 Permit Fee Paid $67.00 Issued By: Date 10/21/2010 ❑ Permit Voided I Parcel Id # 0906420000 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. 21. 2010 9 : 38AM GMS INC No. 5116 P. 2 cbero w�a� »sCImeh Awor PO &z 1130 daub WI see0.1130 iT /: An: an k ° 4 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 foQ:ik fl , i _` 1 ame of parry contracted to) at the following address: 40 W ` (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) - Rocomtection cr new circuit for replacement Heating Plant and/or A/C Condenser, Reconnection or new circuit for replacement Electric Water Heater or power vented water beater. Reoonnection of the Service Entrance Cable, Meter Box, aItotalions to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconnecdon or new circuit l r the replacement of other parmanendy wired appliances) fixtures. New circuit floc the addition of AIC to an lndlvidua/ dwelling ram (house or the - individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is Lori,. 00 . I hereby verify this work will be performed by an employee of this company and Sher verify the reconnection / installation will be done in compliance with manufacturer and Eleatic code roquiremeotn. a .,..,...,.... „,,.„,,,„.„,„...,4 .,0 (Signature of . —1 0 ii cer) (Print Name of Offic (Date) Received Time Oct. 21. 2010 9:37AM No.3380