HomeMy WebLinkAbout2012-HVAC (replace Furnace) CI) CITY OF OSHKOSH No 152443
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 919 WISCONSIN ST Owner REGINA GRUSE Create Date 09/18/2012
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan
Inspector Jerry Fabisch
Fuel Q Gas Oil ❑ Electric J ❑ Solar ❑ Solid
System H New Q Replace ❑ Other
Q Forced Air J Radiant _j Steam ❑ NC H Vent - J
❑ Electric I ❑ Hot Water , ❑ Suppl. ❑ Con. Burner J
Chimney Type 0 Chimney A • Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing O Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 100,000
Use/Nature SFR/REPLACE FURNACE, EIV SIGNED BY SLIM'S ELECTRIC **debit acct
of Work
Fees: Valuation $2,360.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: ?yri LAJ Date 09/18/2012
❑ Permit Voided I Parcel Id#0502090000
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.
Sep. 18.w 2012 8: 2�A 1 GMS INC No. 0333 P. 1/2
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Division of Inspection Services 0Y
P.O.Box 1130 L��t
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Oshkosh,WI 54903-1130
Phone(920)23 6-5050
pax (920)236-5064
or
HVAC PERMIT APPLICATION THE vWerr
-All information after bold categories roust be provided.
Incomplete applications will not be processed.
• Applications)and fee(s)can be brought to City g
Oshkosh WI )and f1128. C all,Room 205 or mailed to Inspection Services,PO Box 1126,
noimal permit fee,which ever eaterg work #htratpc>mi s)will result in fees being doubled or$100.00 plus the
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o are • caltro ,r ,•
s a t ,i •, •, t r....• our the Pe� '� e ;cc..1t11 vsten end have ••e note .j.g cheek h e
d
**.Advisory-For applicable projects,an EIettQeHl
Contractor or Homeowner(for• ion Verification(EN)form,signed by the Electrical
i 3 1atians allowed to be performed by the homeowner);crest be submitted
with the.permit application. Applications submitted Without an EIV when such is required, will-not be
processed for Pth iitIssuance and will be reed for completion.
1
JOB ADDRESS DATE q,, 7/1 4
Gt/�c-r, ih.s1
o
CONTRACTOR
COCK EI ALL APPLICAXE
r1SE,CATEGORY
angle Family ODuplex DMulti-Ferry °Rental ❑Commercial O7ttdUstrial
FUEL teas DEleatric DSolid
00i1 hi Solar SYSTEM l�New l eplace
Z'31 E L70rher
111zrrroed Air .illitadiaut OSteam Ok/C OVest DEl
eCtflC C1H0t Water ClSuppl. OCon.Burlier
IS CHIMNEY BEING LINED tlIcicr❑Yes -LT.NER SIZE
Note:All chimneys shad be sized per the BTU's being vented. ' MANUFACTURER
1.2 y TYPE ❑
ay A coney 3 C1Direot Vent
d 0thex E 1 S6 glAs Approved meting .1;1TTotApplicable B 1t L As
per plan OVaiigble
DFSG'RIP;iI01\'/SCOPE OF ALL I112�ar Value � �
WORK Bt1NG DONE
kca �.�,:� co
•
VAL '(Including labor and materiels) a3( 0-`"-e
ELECTRICAL CONTRACTOR(for prof acts not requiring an ETV Form) rr, S e7e.c -,L
o7/o?
Received Time Sep, 18. 2012 8: 20AM No. 0881
Sep. 18. 2012 8: 24AM GMS INC No. 0333 P. 2/2
T • - .
City otOshkoit C
dv1slo0ti�jpA SdNkM
PO Ba+c 1130
Oshkosh WL 54903-1130
•7l a�i:(,YAi Mkt 924:364050
,, FA 9142364059
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 N e i 6a (,-i ii_S I
(Islatil of party contacted to)
at the following address: 919 Wised ).0 A fel
(Address where weft 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 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(house or the
individual systems in a duplex or condominium),including required service
electrical outlets.
Other
The value of this work is$ / 75'..06 .
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
(),.. . ..4, ..,.. /m
require anta.
(Signature of Comp/ cer) (Print Name of Office (Date)
sae
Received Time Sep. 18. 2012 8 : 20AM No. 0881