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OSHKOSH
ON THE WATER
Job Address 911 WAUGOO AVE
CITY OF OSHKOSH
No
126180
HVAC PERMIT -APPLICATION AND RECORD
Owner REIMER SNIDER PROPERTIES LLC
Create Date 08/09/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A . () Chimney B
Heat Loss [) As Approved () Existing
BTU Rate K:) As Per Plan () Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature COMM / Replace a/c unit condenser. EIV provided by Slim's Electric. ""DEBIT ACCr".
of Work
$2,165.00
Plan Approval
$0.00
Permit Fee Paid
$43.00
Date 08/09/2007
Fees: Valuation
Issued By:
~
D Permit Voided i
Parcelld # 0200110000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number (920) 231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Ushkosh Inspections
920-236-5084
p.l
Cit-)" of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
l$ Y3 ,00
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories nmst be provided.
lncomplete applications will not be processed
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Senrices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
I
check here
DATE
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CHECK ItJ ALL APPLICABLE
USE CATEGORY
o Single Family DDuplex OMult~::Family
FUEL
~s
DOH
OE1ectric DSolid
o Solar
SYSTEM
~ Commercial
ONew
o Other
o Industrial
DRental
~Replace
TYPE
DForcedAir ORadiant OSteam ~NC o Vent OElectrlc DHotWater DSuppL DCon. Burner
IS CHIMNEY BEING LINED \7fNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized pe~~ BTV's being vented.
CBIMNEYTYPE DCmrnneyA OChinmeyB ODirectVent OOther ~\A
HEAT LOSS OAs Approved OExisting DNat Applicable
--~-------- BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~.\~_~. _j{
\.J.JtJ ().A -* ,h~O-tQ Q ~ ~
\. \-or --\k Y\
()J0 uAv\ ~
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VALUE $ 8- \\O~.D(j
ELECIRlC...y.. CONTRACTOR f.) ~ 1_~1\ . .....
o For applicable projects, an Electric Installation Verification form, signed by t'heElectricaISontractor,must be
attached. If not attached or n9tapplical>l,e, a separate Electrical Permit IS requiredYi ' . :
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9/02
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City QfOahtotll
DivisioD ofllllpCll!ion ServicrJ
Zll' a.u..,h ..._
PO Box 11$0
o.tamsh WI 54903-1130
omce: 92G.236-SOSO
Fax 920.236-5084
Electric Installation VerificatioD
I (We)
The nature of the work consists of: (Cheek One or Describe the Nature of Work)
:L
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconncction oftbe Service Entrance Cable. Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reoonnection or new circuit for the replacement of other pennanently wired
appliances I fixtures.
New circuit for the addition of Ale 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 $ ~ ,bD
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Eleetric code
rcquirancnts.
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(Date)
5102
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