HomeMy WebLinkAbout0147015-HVAC (furnace) 0 CITY OF OSHKOSH No 147015
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1950 CLIFFVIEW CT Owner LAWRENCE A JOHNSON Create Date 07/28/2011
Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential- Heating & Ventilating Plan
Inspector John Zarate
Fuel L)✓ Gas Lf Oil u Electric Li Solar Li Solid
System ❑ New 0 Replace 1 ❑ Other
Forced Air u Radiant u Steam ❑ NC ❑ Vent
Li Electric U Hot Water U Suppl. I Con. Burner
Chimney Type Q Chimney A O Chimney B • Direct Vent O Not Applicable
Heat Loss 0 As Approved • Existing O Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 60,000
Use /Nature SFR / REPLACE FURNACE FOR UPSTAIRS, EIV SIGNED BY SLIM'S ELECTRIC * *debit acct
of Work
Fees: Valuation $2,780.00 Plan Approval $0.00 Permit Fee Paid $52.00
Issued By: k— Date 07/28/2011
❑ Permit Voided I Parcel Id # 1525950000
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.
Jul. 27. 2011 10:36AM GMS INC No. 1349 P. 2
-v -1 Jawcosn
Division of Inspection Saviors
P.O. Box 1130
Oshkosh 69 • , �
WI 54 903 - 1 1 3 0 % � ; F �(
Phone (920) 2 36 -3050 ; . "
Pax (920) 236 -5084 -
HVAC PERMIT APPLICATION 1 TE t
All information after bold categories must be provided.
Incomplete applications will not be processed,
• Application(s) and fee(s) can be brow
Oshkosh WI 5 4903 -1128, Comrnen to Hall, ��' Room 205 or mailed to Inspection Services, PO Box 1128,
normal permit fee, which ever is *greater. without permit(S) will result in fees being doubled or $100.00 plus the
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''`* Arhisary - Far applicable projects, an Electrical Installation Y
Cp�tractoz ozHomeownex for ' eiificetion (1� form, signed by the Electrical
with
Contractor
permit a installations allowed to be perfomaed by the homeowner) must be submitted •
application. Applications submitted without an ETV when such is required, will not be .
processed for Pezinit Issuance and will be returned for completion.
JOB ADARESS gs7� G/� �✓ DATE 9 k 7 /
O 61./
CxNTRACx'O (rf. rn '
caBoc 0 ALL APPLICABLE
USE CATEGORY
mingle Family ODuplex OMultb-Pamily DRental CI
13 Industrial
rum. ti • C7Electric DSolid SYSTEM DNew Dace
1'XTE p other
° - .rced Air :�.dient • dSteam DA/C . .
C�Veut ❑Electric ORot Water ❑Suppl. DCoa. Eimer
IS �TEY BEING LINED �o DYes
Note: All chimneys shall be sized per the BTU's being vented. ' 8: MANUFACTURER
CIIININEY TYPE pChimneyA ,p .
$EAR' Li7,St; .. ' • "" ey P Get Vent C1 Other
E2, R.A1'E :PAS A pproved ' :+ 'sting . bNot Applicab]e
'ais Per Ply 4Vefiable
bESCrt>pTION /SCOPE OF ALL �p 0°ar Value � c.�.�, "'IV
BEING DONE
•
VALUE (Iucludta labor end materials) 7 O ' a
ELECTRICAL CONTRACTOR (for projects not reqtdrnly, an EDI Form)
D7/07
Received Time Jul. 27. 2011 10:34AM No.6480
Jul, 27. 2011 10:36AM GMS INC No. 1349 P. 3
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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 h) /1 `vAllSA r .
(Name of pany contracted to)
at the following address; j9 ) C ti ' y; L
(Address where work will be performed)
The nature of the work consists of; (Check One or Describe the Nature of Work)
?_ Recortneetiou or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
UMW heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding 1 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 $ / 7S
.
3 hereby verify this work will be performed by an employee of this company and further verify
the reconnection / insta will be done in compliance with manufacturer and Electric code
requirements,
. -,,v,,o ,� y un „ „,, 7/ 7 /i1
(Signature of Comp 9 - cer) (Print Name of Off et (Date)
s/az
Received Time Jul, 27. 2011 10:34AM No. 6480