HomeMy WebLinkAbout0153502 - HVAC (furnace) 0 CITY OF OSHKOSH No 153502
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1104 E TENNESSEE AVE Owner CHI/MARVINA THAO Create Date 11/12/2.012
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas I 0—Oil
] ❑Electric �Solar
El—Solid -I
System ❑ New
❑✓ Replace ] ii Other J
✓ Forced Air ❑-Radiant 1 liteam 1 ❑ A/C ❑ Vent 1
Electric �H Water er
LiSuPPl• ] ❑ Con. Burner
Chimney Type ❑ ChimneyA 0 Chimne y B Direct Vent ❑ Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable 1 Value
BTU Rate 0 As Per Plan O Variable • Other Value
60,000
Use/Nature SFR/REPLACE FURNACE, EIV SIGNED BY SLIM'S ELECTRIC '"debit acct -
of Work
I
I
I
Fees: Valuation $3,490.00 Plan Approval $0.00 Permit Fee Paid $62.50
Issued By: 4`
Date 11/12/2012
❑ Permit Voided Parcel Id#1509190000
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
- -- — P (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.
Nov. 12. 2012, 12: 01PM GMS INC No. 1511 P 1
Division of Inspection Saviors wa-SO
P.O.Box 1130
Oshkosh,WI 54903-]130
Phone (920)236-5050 0, -
, ..„ .
• Pax (920)236-5064
OTHUH
HVAC PERMIT APPLICATION Rid 7 ER
All inforraatinn after bold categories mull bcprovided
Incomplete°pplicetions will not beprocessed
• A•pplication(s)and fees)can be brought to City Hall,
Oshkosh WI 54903-1128. Comanewing work without osts)will result in fees being doubled or a 00 00 28us the
normal permit fee,which ever is greater. p
OR
_ • are co fro .T ,• re...0U : i he P.:
'au -1tl. . , ee d , ou.r . , O. C. n �� a 'ce. rnrSv ) o d,a eede,ua and check be
**Ad-Vie or),-For applicable projects,an Electrical Installation Ve cati.on fa
Contractor or Homeowner(for inst Ilations allowed to be �',signed wst by the i Electrical
with the pest aP,P��ioa. Applications sub P�ormed by the homeowner)rmsst be submitted
processed for PeTfitIssuance and will be retainedteforroco�mpletion. wheti such is required,will botbe ..
DATE // /�/1
JOE ADDRESS d - G mss,n.e.i Se_e. /J
O'►f NER
CONTRACTOR G-;r7<S• iiic:.
CinCK EI ALL APPLICABLE
USE CATEGORY
Lli�lngleFamily ❑Duplex OMulti Femlly ❑Rrntal ❑Commercial ❑
k'tTf;L ,,�� .IridustnaI
s DElectric OSolid
1:7011 DSolar [ eplaoe
�ed Air T�Otheff
�tsdiant ❑steam DAJC aveat ClElectrio allot Wear ❑Suppl, °Con.Burner
IS Gay BEING LINED ION6 OYes -LNER
Note:All chimneys shall be cited per the BTU's being waited MANUFACT'[TRl
1L+'y TYPE D ,�—/
;�iEA�'IASS � �A 'dCh�ney B direct Vent ❑Bihar
Approved Eating
�� '-C1AepoiPlan 4Y:etiAble C.;7NotAp�puasble
Leer Value G,a/ C-c-0 ,t37/c
DESp xPTJON/SCOPE 01?ALL WORK BEr G DoNE h -1--- //
VALUE(including labor and materiels) D-'
ELECTRICAL CONTRACTOR(for projects not requiring an EN Form) 2% 5 ec//
D7/01
Received Time Nov. 12. 2012 11 : 57AM. No, 1618
Nov. 12. 2012 12: 01 PM GMS INC No. 1511 P. 2
Ci.l..7,06ea{oA 5ervkn
2)t Chave Mawr
POSox 1130
OMLnIi WI f4903-1130
w im ea 011Bee n04364050
Fn 020.236501/4
Electric Installation Verification
Imo_ SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (may) (State) (Zip Code)
have been contracted to perform electric installation work for QiN1 3saQ.Q
(Name of party contracted to)
at the following address: 1.\()`k • _°-----•
(Address whey;work will be performed)
The nature of the work consists of (Check One or Describe the Nature of Work)
X _ 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
waxer 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 I fixtures.
New circuit for the addition of A/C to an tndtvtdllcl dwelling unit(house or the
individual systems in a duplex or condominium),including required service
electrical outlets.
Other
The value of this work is$ 150.00 .
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection/instal with/installation will be done in compliance h manufacturer and Electric code L requireraouts.
' i
ad_d.L._ f
(Signature of Com 1 -,car) (Print Name of Of i (Date)
srox
Received Time Nov. 12. .2012 11 : 57AM No. 1618