HomeMy WebLinkAbout0154889-HVAC (furnace) /�'� CITY OF OSHKOSH No 154889
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 940 FLORIDAAVE Owner MARY R NOVOTNY Create Date 04/01/2013
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating 8 Ventilating Plan
' Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric � Solar Solid
System ❑ New I �✓ Replace � � Other
i
✓ Forced Air � Radiant Steam� A/C Vent '
- � . �--- -
Electric � Hot Water �Suppl. Con. Burner
�-- --
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value 80,000
Use/Nature FR/REPLACE FURNACE,EIV SIGNED BY SLIM'S ELECTRIC **debit acct
of Work �
�
I
I
i
�
� I
Fees: Valuation $2,270.00 Plan Approval $0.00 Permit Fee Paid $62.00 ,
Issued By: �� Date 04/01/2013
❑ Permit Voided ! Parcel Id#1306890000
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
AgenUOwner
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.
Apr. 1 2013 7:58AM GMS INC No. 4276 P. 1
�.ary nf usAkosL
Aivisio�n ofInspectian Scrviccs
P.O.Box 1130
Oshlcosh,WI 54903=1130
Phonc�(930)2j6-SOSD �
Fax (9Z0)236-SOBq •°"` '
• �
HVAC PERMIT ApPL1CATI0N �T���
All iaformatiaa�ftcr bnld cstogorica musl baprovided.
�D��epplicatioaa will not beprocesacd, �
� Applicahoa(s)and fee(s)can be�ght to Ci
�shkosh WI 54903-�12g, C'A� � h Hall,Room 2D5 or ma�led t�1�,pection Services,p0 B ox 1126,
nomxal pezmit fee,wBir,h evnr is� ��wark without pr,tmit{a)�1 resolt in fees bcing doubled ar S1D0,00 pins the
-OR . . gr� ,
. , v o.re c tr Clo ar �ci. atii in the p .
i �av f t �( �� co .f---vslem a d have e uate. .und cb. - ere.. _..----•-
. � r s . u. . - our. � . .. --
'`-'''�Advisor�.Fur applicable projecta,�n.ffiec�c�j .
Cor�lracror at�Soriuuwner fnx' �Iation Ve,dS.�tion(�fo=m�signed bp the Eledxical
� �tio�allowed to be pp��d
wit,h the�Petmit epplic�ion. Applic�o�es a�tb bY$re houunwner)�amnst be sab�ntted -
pmcessed forPetmit rssnance�nd �d wsfhout ea E1V wke,ri sach is i�ired, will-aat be
�I be zetnm�for wm�leimxi.
►
AAT1�, ,?
JOB ADDRESS p /�,.,c(,�,
O�PN&FZ c, ,, � •
�orrrR.�croR G rn a 1►� � � -
c�c�8I A�,�� �
����GOA�Y
ingle Fem�Y �l?�lex ��Fe�]Y l7Rentsl G]�� Q�d��
�'L � dBlecyric 05o7id gy�g
-C]0�1 I�So1sr ��' ��
T3��E T.Jpther
�edAa �c� `D� C�jC C�Vc�
. �tri� C)xot wat�r C7suppl. Dcu�.Bwne�
��XBEIlVGLi1QED�O py� �L��
Nae;AIl c�eys ebaIl bo�a�zzed p�tbe BN's bciug v.�tod —��&MAI�UFACT'iTRB1Z_ .
�X TYPE 1� B Db'
;�A�L�,SS ;�� C��� tr�ctVr,a1 dOche�
���� �4s Per P]an ��'� '���cable �G
SG d �?�,t
D��TION/SCOPE OF ALL'WORTC BEIlVG D�N,$
Y �``� �o�c� �'
VA.LU$l�nciuding lab or end materie,ls)S 2 2 rl p +° �'
FJ�EQ�2IC.AL Cp1�'�,�C�I'OR(for projee�s not reg�pn F,�V Form �`
) /.�s �/� �
07/o]
Apr. 1. 2013 7: 58AM GMS INC No 4216 P. 2
�. _ �
� armoraa�
� Dir6iaoof3rlpasensnviees
)S Cfw!Arww
POBa¢1130
� o�r�.ewi s�sos-u�o
o�aee nlo.x�ssoso
Fa 920.216.SON
E�ectric Xnstallat�on Verification
i�,e� SLIM'S ELECTRIC INC. �
c�acc�;�at coo�accor�am�� :
2608 Oakwood Circle Oshkosh WI 54904
(Ad�) tC'nY) cscace) (Zip codc>
heve bten Cpntteoted w perfo�elechi�iitstallation work for
(Namo of y contracfod to)
at ti�e fal�owing a�ass: �`-�C� ` ��
�. �
{Addn�ss abae�ork will be perfoimod)
T6e nature of thc wo�consist6 oF tCheck One aa�Describe the Nat�e of Work)
� Reconnecti�n a�new c�ircuit for replacemeaf Hoating Plsnt aad/or ACC Condm�er.
Reconnxiion or aaw circuit£or replacement 51ec6rie Wat�r Heetex ar peraier v�ated
w8tei tleaiec.
Recoan�ectioa of the Se:vice Entrance Cab1,�Metec Bo�c,�ns to receptacles
�d lighting fuct�es due to ffid'ung/so�[t instaUa�ioii. Note: New Smvice
Enuaace Cables will�equiro a s�te peimit,
Reaor►noctioa or n�ar cir�uit for the neplacemant of other pecrnaueatly wircd
a�pliaaces I�xtures.
Ivcw circnit for tbe ae4it�on of A�C to�tndn►tdaal dw+elling w,1r�house or the
• individual ay6tems io.a duplat ar condomindum�iacludiag roqnired ea�wia
electrical Ontlots. :
OLl�er
Thc value of thiB w�ric is.S �� r��
I hereby vorify this wo�kk wiL be pafoaned by an r.r�loya of thia co�p�ny and further v�i.fy
the rocoffiection/installaticm will be done in eomplience with m�nfaceuer�d Electric code
ra�air�aent�.
� ���� o�,� �yf� ����13
(Signauue of Comp cer) (PtimtName.�f Offi (Date)
s�m
i