HomeMy WebLinkAbout0152693 - HVAC (replace Boiler) 0 CITY OF OSHKOSH No 152693
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1225 FAUST AVE
— _ Owner DAVID L SCHMUDE
Contractor GARTMAN MECHANICAL SERVICES Create Date 10/02/2012
Category 500-Residential-Heating&Ventilating Nicole Krahn — 9 Plan
Fuel a Gas 7 ---
--_J Li Oil ❑ Electric 1 Li Solar
System New ❑ Solid J
— — I 4 Replace
Other
Forced Air
Radiant ❑ A/C
—
Q Radiant ---1 Steam l
Electric � -----.. ❑Vent_
J.—_ _ f Q Hot Water J ❑uppI. 1 at on. i
Chimney Type 0 Chimney A — -- - _
_--__ y • Chimney B 0 Direct Vent 0 Not Applicable 1
Heat Loss - --�
As Approved
i— PP • Existing ❑ Not Applicable I Value
BTU Rate — - — — —J
As Per Plan 0 Variable • Other ,
Value _ _ _ 70,000
Use/Nature SFR/REPLACE BOILER, ELECTRICIAN IS SLIM'S ELECTRIC "`debit acct —
of Work
Fees: Valuation j3,240.00 pproval $0 Plan A</�, ' —-- -- $0.00 Permit Fee Paid $59.50
Issued By:
Date 10/02/2012
❑ Permit Voided Parcel Id#0607980100
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.
•
RPfP 11/Pd TIMA nr+ i ' nin 1r1 . 11 AAA Al 411nn
Oct. 1. 2012. 0: 15
1AN GAS INC No. 0602 P. 3
Division of Inspection Services wn 5
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Pax (920)236-5084
HVAC PERMIT APPLICATION Rrf'T EY(ATEH
°AI]information atter bold categories must bepravided,
Incomplete epplieations will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Pox 1128,
Oshkosh WI 54903-1128. Commencing work without pits)will result in fees being doubled or$100.00 plus the
normal peanit fee,which ever is*greater.
OR .
,. wa th . ,r•, 'err If a ,CCa, 1 v.t r ord ,a a� uate . ds �.; her
._ t
*'�AtYvisbry For applicable projects,an$Iect�cal
t.# ctor or 2 r pwner(for' Installation Verification(PIY)form,signed by the Electrical
with the rmntt ( installations allowed to be performed by the homeowner)nmst be
p application. Applications submitted without an ETV when such is required,'will-not submitted
processed for Peiiift Issuance and will be retuned for completion.
DATE V/AZ
JOB ADDRESS .
CONTRACTOR C,-v� 1
COCK)E ALL APPLIC4LE
USEJCATEGORX
pgingleFamily DDuplex C3Multi-Family DRental ❑Commercial DIndustrial
FUEL `t ClE1eahic OS did SYSTEM
FOE El Solar
C7New ® P
TYPE 1?0tbet
l7ForcedAir El Radiant OStoam 4A%C 4Vent
L7B]ecttic g‘Water DSupp1. DCon.Burner
IS CIV1NEY BEING LINED[gyQo DYas -LAIR S]ZE
Note:AI]chimneys shall be Sized per the BTU's being vented —' MANUFACTURER
930MNEY TYPE pChimney A
:L��7BS ,�jAs A �—�"=°y B Direct Vent C]Other
TU RAVE Approved [lung CINof Applicable
AAs Pei"hay 1VV blo �begheer Value
DES T ION/SCOPE OF ALL WORK$EING DONE 4 ..e - 4,Ca
VALUE Unchain labor and materials) e o
ELECTRICAL CONTRACTOR(for projects not requiring An]HIV Form) /n,, s (/ c
07107
Received Time Oct. 1. 2012 10: 11AM No. 1032