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HomeMy WebLinkAbout0147030-HVAC (furnace & a/c) el) CITY OF OSHKOSH No 147030 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 941 DOVE ST Owner TODD UCHRISTIE L TRINOSKEY Create Date 07/28/2011 Contractor GARTMAN MECHANICAL SERVICES Category 502 - Residential -Both Plan Inspector Nicole Krahn Fuel U Gas Li Oil Electric U Solar U Solid System ❑ New Q Replace 1 ® Other j Forced Air u Radiant ❑ Steam ✓f NC ❑ Vent Electric U Hot Water U Suppl. — Con. Burner Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable Heat Loss p As Approved • Existing 0 Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature SFR / REPLACE 80,000 BTU FURNACE AND 2 TON A/C, EIV SIGNED BY SLIM'S ELECTRIC "debit acct of Work Fees: Valuation $5,880.00 Plan Approval $0.00 Permit Fee Paid $98.50 Issued By: Date 07/28/2011 ❑ Permit Voided Parcel Id # 1601860000 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, 28. ry 2011 eh xo . 3:16PM GMS INC No. 1365 P. 1 • vi S4 Division of Inspection Services C y P_0.Box 1130 Oshkosh, 'WI 5 4903-1130 _ " It . # () 1) Phone (920) 236 -5050 . Fax ( -5084 HVAC PERMIT APPLICATION ©,rr HEwl� All information after bold categories must beprovided. Incomplete applications will not be processed. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54 903 - 1128. Commencing work without permit(s) will result iu fees being doubled or $100.00 plus the inormel permit fee, which ever is greater. ow , .re c•nt •-ct.r , .11: t••ti 6 th Per . , •u w r1 hi .r•,c lit 'e AC our S stem and have •de..•te ,rrds r.ck he e ed hr.rr•, ,,ur•c 0.71 f *'* Advisory - For applicable projects, an Electrical J sttdation Verif catioa form signed Contractor or homeowner (fox installations allowed to be performed � _ ' by Eleetrical with the permit application. Applications submitted without an ETV when su ch is required, will not bmuttcd pro'eessed for Perinit Issuance and will be returned for completion. e JOB ADDRESS 9 y, ( p DATE ..,2,;•// O W 1 T E R o of Tr .-■c . COMMA G I '�n.� CECECIC 0 ALL APPLICABLE fJSE CATEGORY Dingle Family ❑Duplex C]Mu1ti Family :Mental ❑Commercial 0ladustrial FUEL C.Cit" ❑Electric CJSOIid 'ClOii LISolar SYSTEM ONew f9 ace __TYPE t7Other �edAir :dRadiant •dStettm 2 1:16 L�Vent . C7Flectric DHot Water OSuppl. ❑Con. Sumer IS CEEKNEYEiING LINED EllsriElYe - LINER SIZ$ Note: All chimneys shall be sized per the BTU's being vented. " MAN[TFACTIIR$R ZffTh EY TYPE oca_ney A 'Dcln ,�EA,.f.L7S6 .L'AeApproved �B �ectVent l7Other 1311:l RA�1'E `r7As Per Flan � • ?Not Applicable 7Velilible Miler ilake G "c DESCRIPTION / SCOPE OF ALL WORK BEING DONE . n z - 77'v l� 4 VALUE (including labor and materials) -- it gb c b ELECTRICAL CONTRACTOR (for projects not requiring g Ejy Form 07/07 Received Time Jul, 28. 2011 3:15PM No.6500 Jul. 28. 2011 3:16PM GMS INC No. 1365 P. 2 5 � • CRY Of 048/06 Division eflaspixion &M ca R F)S Church FOB/ix 1130 30 Orb.be! WI S4003-1130 :; ell!Wilmi 0000 920.236-$060 '. 7 ) ` p nix 920.06.6081 z s Electric Installation Verification I (We) SLIM'S ELECTRIC INC. {, , t , (Electrical Contractor Name) 2608 Oakwood Circle Oshkosh . WI 54904 (Address) (City) (State) (Zip Code) have been contracted to perform electric installation work for , -- Th GI'oI 17 ; in as t< ' L/ , (■ame of party contracted to) at the following address: � t � ' (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. o . - Reconnection of the Scrvice Entrance 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. _ 14 ` - ,, . - New circuit itor the addition of A/C to an individual dwelling tmtr (house or the individual systems in a duplex or condominium), including required service electrical outlets. it ;. * %, r. °aim - . 0a�* ' , met 1' u , , F n ,,, x i � ` ! �r The valve ofthis work is $ 17 C) c) �,- � � , v . � 41;47 , 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 require aonta. �s ! k , " � : "w r� .. ,� .�' �, 2.� � � � v t C 1 0 =� ' i� , / ' of ' ••, 3 ▪ ,,', . ,, , K : Y " a ,, ; V . t4 _ 21a N liA- t'i 1 1 (Signature of Comp, " ` cer) (Print Name of Offic, ' (Date) x , r� h i. =c., 4 re N - 1.„ § a `k* x r , . ilk ;„- s / ., - ""do-;. Received Time Jul, 28. 2011 3:15PM No. 6500 b - i omt5 -'e %" .--. x " "a, _ ` ,€ w`. e . r e6Wa. car