HomeMy WebLinkAbout0154221 - HVAC (furnace) ED CITY OF OSHKOSH No 154221
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2501 HARRISON ST Owner WINNEBAGO COUNTY HOUSING AUTH Create Date 01/18/2013
Contractor GARTMAN MECHANICAL SERVICES Category 510-Ind. &Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas j EFOil ❑ Electric J ❑ Solar Lolid
System New I ❑✓ Replace I ❑ Other
Q Forced Air 1 1lTrtadiant ❑ Steam A/C ] ❑ Vent
U Electric 1 Hot Water ❑Suppl. u Con. Burner -
Chimney Type 0 Chimney 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable I Value
BTU Rate 0—As Per Plan 0 Variable • Other Value 120,000
Use/Nature COMM/REPLACE FURNACE, EIV SIGNED BY WITZKE ELECTRIC **debit acct
of Work
Fees: Valuation
� $2,380.00 Plan Approval --$0.00 Permit Fee Paid _ $62.00
Issued By: ;I y^y f yf ki Date 01/18/2013
❑ Permit Voided 1 Parcel Id#1519600209
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.
Jan. 18. 2013'J11 : 45AM GMS INC No, 2769 P. 1 •
�.,.,.v,.,ic.,�lnspection Services 0
P.O.Box 1130 V
Oshkosh, 54903-1130
?hone(920)236-5050 a_
Fox (920)236-5084
..
. °mum-
HVAC PERMIT APPLICATION R,t,rHfral..„
All o'me-ftafter bold categories must beprovided.
InComplete+pplications Will not be processed.
• A.pPliGSlion(s)and fee(s)can be brong2lt to City
Oshkosh WI 54903-112g. �Room 205 or mailed to Inspection Seavicxe,POBox 1128,
nom l Commencing work without permit.()will result in fete being doubled or$100.00 phis the
petmit fee,which ever is greater. p
OR
v... are • on reels t'ct,c ir►
i you w. if th , 1 th Permi A count Sv fern •nd ,eve o�e•uo .fu, ehea-her -
------- -.. . ,. -- .. s d hr• r,c ------
'��.-AilQisory-For gpplicsblc pzo'ects an Electrical Ca�x-visor or Homeowner(for'I , Instillation Vacation(PM form,signed by the Electrical
with an permit ( installations allowed to be perfazmed by the homeowner)nmst be submitted •
p application: Applications meted Without an EN prc.cesse:d for Peimi 'mane and wilt be z wberi early is required,will sot be
�edfor tomplctinn.
•
JOBA.DDRESS DATE 1'�i�-�
, rrtSO/v
O ER ez Ak.vs4 iisi..1 0A
COi1'TRACTOR e-i�-is l;,t c _
CHECK li7 ALL APIMICAIRE
DSE CATEGORY
❑Single Family ❑flex UJMulti Family Malts] IaUrcraleirja.1 D al
Fuzz' Ii21 ClBlectric 17SOIid SYSTEM ,��/
-Moil ElSolar New • lld�eglaoe
not
rarcodAn- MacT;azit dSteam nA/c rev
ellt °Electric ❑Fiat Weyer i]Sttppl. Cron Bmaa
IS CELIKKEY13iDIG lINED l L7Yes
Note:All eeimneyi haft be sired bTLE—�-- MANUFACTURER
pertbn$TU'sbeiagveatod — _
C/IIMATEY
�� <v�t
OocheT.AttPs p4 a .itiit g bNot Iiceblc` TtT RAxE -7As Pet Fsn elble
:Ka Value_ /a CJ GuC� /37VS
:DESc'RIPTION/SCOPE OF ALL WORK BEING DONE ' _
. _ lk �a c..Q
VALUE(Including labor and materiels) 23gt10 • a�,
EISCIRICAL CONTRACTOR,(for projects not requiring in ETV Foram) l { .
07107
Received Time Jan. 18. 2013 11 :41AM No. 2122
Jan. 18. 2013z11 :46AMill GMS INC LLLL1 Kit.
r•No, 2769 PP. 2
giiv of Oradao..
Dfoa orimpedion Smvires
315 Calash Marne
PO Box 1190
Orkh WI $4903•II30
Mac 02.0.235-505D n , Fax 920.296.5084
Electric Installation Verification
I(We) Vin lirke Eleart&
(Electrical Contractor Name or Homeowner's Name)
• a _-Pao-epAye- 0 I � .01
(Address) (City) (State) • (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
QZ6o/ parrrsai-) .
(Address where work will be performed)
The nature of the work cots of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser,
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater: -
Reconnection of the Service Entrance Cable,Meter Box,alterations to receptacles
and,lighting.fixtures due to siding/soffit installation. Note: New Service
Entrance Cables will require a separate permit
Reconnection or new circuit for the replacement of other permanently wired
appliances/fixtures. •
New circuit for the addition of A/C to an individual dwelling unit,including
required service elecirical.outlets. Note; Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium,
duplex,rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is$ /00# CO
I hereby veri r this work will be performed in compliance with the License requirements of
Section 11.22 of the Oshkosh Municipal code and further verify the reconnection/installation
will be done in compliance with manufacturer and Electric code requirements.
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