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HomeMy WebLinkAbout0126595-HVAC (furnace; a/c) G OSHKOSH ON THE WATER CITY OF OSHKOSH HV ti..,c PERMIT - APPLICATION AND RECORD No 126595 Job Address 1631 WESTERN ST I GARTMAN MECHANICAL SERVIC~S Category 502 - Residential-Both Plan ~ Gas U Oil: U Electric ~ U Solar OSolid ] o New 0 Replace ~~~ ~Qt~~______J Uorced Air U Ra1iant U Steam ~ ~ AlC I ~t Qlectric U~Hotl WaterJ IT~Pe!._~-===J U_~13urn~J Chimney Type lli~lmney A ______Q_ghimn~y B __~=_. Dire~[Y~0!_=-==__O},!ot!\PplicabJ~--=.=J i a~~-ApproveCC===_=- .=Existing___==:=-==-TI-=-f\l~t~0'IT~able._===_=:J , ITAs=Per ~Ian --=-=-_:0 Vclriable ._Q!~~I=-======= I Owner JOHN J SIMPSON Create Date 09/04/2007 Contractor Fuel System Heat Loss Value BTU Rate Value US~~;~~ fFR I R,pla", ',ma", sod oJ, EIV provided by Slim's Electric. **DEBIT ACCT**. Fees: Valuation $5,165.00 !2~ _J I I PI~n Approval $0.00 Permit Fee Paid $88.00 Issued By: Date 09/04/2007 o Permit Voided I Parcelld # 1211320000 In the performance of this work, I agree to perfor~ all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an ea~ement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approval~ before starting such activity. Signature Date AgenVOwner Address PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number S?JO) 231-5530 i ! To schedule inspections please call the In~pection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc\ Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we Will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. XEP-04-2007 03: 2~ PM. =::' ~fi; '"bi::;~;bk.''' ! ::: ii' . <. . , Dlvl.l.. .t1rio,oe<l.. *.""... ~. ,I, ' t .t>. Box l'ijD ' i : -::' '. tl,l&a.ih. Wi ~490j-tlJO ; .-. Jlbt)tii!: CPlb) 2:i5-5oSCl .j . .,,:.-' .;. FI~, CP20} 236-.5084 i P.01/02 -..--..-.......-... . ~&60 @. ~, 'O~ -: f., 'J", R~ ... t, "~,' . i,l~~.:'. :.'- . :'f~~~:'''', "/ ~. ;'.' ~. ....,.. :1 . HVAC PERMI; APPLJCATJDN ;. ;:,,~: I. Alllnfurma!lo.n nncr bold 1:ll1clTtlrJe$ must b~.i'rDv.ld~, d, I . ;... I p ~. ";- I ,Ineomplete IppJicll!ionl wlJll'lrl,1 be I'roc=~sed. ~r' i , ,.':.":;:~ ' , · . Appil.. t/on(.) ..J !f..(.) .,. b. b"ughi .. Ci Iy H'", koo., lO' or ""IT"" ~ Insp"bLi?n SdC1'V~Cl tsd, l"~ 131 OOO! OlOJ 218 I ~ lh c T..":'" Oshkosh 'WI 54903-1128. Comm~.ncing wDrk withollt p~rmJ!(s) ""Ill rosuJt 10 f~eJ: clng OUu ~ or ~ . p Uo r.: , li6.Hi.ll~1 pennlt fea, whfch ever bl gr~lI(c=r, ' . " , r~~' ':{;ig!:~~I~;~:~;,:~~~;~~~;;n;.~ ~:,:,~:rp' M""' ~''''''."~ """ ao""~~".?o', "".,,;, f:) .' ..' .; ..' . DATE~9~7 . ~~), . /Pll:tbbi<Ess . /61! w,.drn j~. . k:$;',. '. . . O~l\ . Z/{; h Pi ,Sa '""(J.! B 1"'\ . t~~i~;,~_i;< ':> :;<i:dNhuttTdR ' ~c;:" ~c. l'1,.'.,. '. , ". . I :oI!O r:'~~'::/' :~I' ' . :" .. .' . '. ! n~f,' ':' ';'::l ~.$:ck ~ A.i:..LArPitbABLE ~'. : .', " .., .,;.' , .. I . .~:.;,.;" . :, j.I~ CAtEGORY I ~(r:' , !JSuigle Family Oduplex O.Multi..FamiJ)' ii;'~,:: ,.' ., ! ~~I(~ ,'.;]'tlli:L"" ~.' 6El~ctric DS:olid . ~,',:~.',r,.'~:". .....:. ,.' '. .,....,01.1 0. SoJ;.~ I'. r'.' '.: ....., ... . ~,'J"...!. , . '..._ .::t\ ..' /~.d'Ai, OJi.d!..! i OS"'"'" ~ OVouI lJEJ_o OB;,.W.,,, IJSuppl. IJC'!l. Bum" .-i. (i;"''-''':':'~'_''';'',{\_f;:'...~',''::~:.'..!__''~ -..~ "._.__ _ -r- ._.~ .~.;;;.;;'_ u__ _. , [!:10;,;,;'::' '''iii't'~ itittNG iJ:r.\En iJrno Oy", . LlNER S1Zl< {~t~,~,. ,.' N,ohi Ml. bhhM~yft "halI b= .ked ~r the ~TIJ'f b::mg "~ntlld, ~:~k'-,.;' -::"~"<'):~"'.., 'i " " , i;ili>:",; .' ~y ME bCljin.,oyA . d . mn.y B .1ill1r",t V on! . ,.. DOlh" 'f:tL: , ;.!fiAt LoSS" IJA, Apptavod ~","B Dli.! ApplbbJ, ::+, ..:' B'i:-t.1lU.n. DAB.Per Plan DVarlEb]c OOther Vzdu~ '-0 ~ coo J2 _ TO'll.) .il. .. . .... .,; .':;,. "'. I '. " '. t~': :',. · bE~~ftON OF ALL "vORY. ll:lj;lNG nDt'lE_ 4- J"-"-......./ A-~~~4 ,,~.f 1'1/c ;~,;~t,\'.~{::. .; ~ .... :.., . I . I ~ '.'._' ~'. ',' . ""i jr';~". . i :'.:,"l - : \. ':' .! , ....:: '. '. . i " "b VAt'tJE (.lntiudlni Itbnr'l!l~ Il.t! m",lerhdtlndud.lng Ilihllb:t~te!.H Slr,S-' . . .. . .. : . ,hi:frb" tf[j1'ii:iiAcr611. ...%.... - ..:.- a" c k ~ . . . .' . . "y, ".'. ~i>li"j,lo j;ro;.,io, 0U1 Jil"Oio b,,,,!!,,". V ori D","" fo,,", "."db, <1>, Bb,uk,! C.ntn.'"" moo I b. ... ..f' ',;..':: ii~ohr:.d. Uno! lItiBchod or l'lot.!iPPlio;;;ablc, a lIepU'llL: J:!lcQtrlcat permH ie n:qulrea, . \, '.C,::.".' i. . .. 'f I - , ORenlaI OConuuerciaJ DInduslrial BYST.R1\:r DN~'\V OOthei- ~plac:e & MANTJFAC11.1REp,- :}~:'.' ',~~! ' '.' . . , :)j':"~ ...... ,: ~Z;::..' .!: . '--.", !il/c~ . ~. I'. I .1 .~- ,--.",.".....- ..."..-..........,......",.-- -----'" .. -. P-l IIIU ~I SEP-04-2007 03:22 PM P. 02/02 :0... I~ a& i Cllyaf~ ! DMIlcm Q{1.....1lIlllIIl6lMc6 :!lS.~~ .-..... POBox tI)O i OIIIbIh WI ~)"'Il30 0IlIet J2f>.llWOSO fl1 92f).236.~~. I i I 'Electric InstallatloD Veriflcation I I i . . SLIM'S ELECTRIC INC. (Electrica) Contractor N8J7le) r (We) i I 2608 Oakwood Circle Oshkosh WI 54904 (Address) i (City) (Stllte) (Zip Code) have bMlC<ll!tnleled to lro- electric 11IlI1al1a~on worl< fIof\...."ro, n ~_/).!\(:lG . I '~e of party cOnhadcd to) at tbe following address: I \~S l W A-.o A./\ i (Address wborc work will be perfonned) I The nature of the worlc c:9n.sistl of: (Check One or Describe the Nature of Work) ~ Reconnecti~n or new oirctUt for replacement H=tins Plant aadlor Ale Condenser. Reconnecti~n or new circuit for replacement Electric Water Hoater or power vented wuer heater. Rcconnecti~ oftbe Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Bl1tnmc~ Cables wilt require a separate permit. R.eccnnoctidn or new circuit for the replacement of other permanently wired I IJPpliantes I fixtures. New circut(tor the a44idon of Ale to an lndlV,dual dwelling wttt (house or the indi vidu;a' S)'Btenll in a duplex or condominium.), including required eervice electrical outlets. Olher i I I ~'O ) The value of this work i!l'S -.<::1 I I hereby verify this work :will be perfonned by an employee of this company and funher vorify the reconnection / in8talb~tion will be done in compliance with manufacturer and Electric code rcquin:mcnta. i 7:)4vlt) ,4)1.:rI./~ (Print Name orom (Date) 5102