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HomeMy WebLinkAbout2008-HVAC (a/c) CITY OF OSHKOSH No 131560 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATE R Job Address 1225 SUMMIT AVE Owner LTD PTSHP CENTURY INV FUND XV Create Date 07/16/2008 Contractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Plan Fuel Gas Oil Electric Sblar Solid System ~ New ~ ~/ Replace ~ ~ Other Forced Air Radiant Steam / A/C Vent Electric Hot Water Suppl. Con. Sumer Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature 14 /Replace a/c. EIV signed by Slim's Electric. "'debit acct of Work Fees: Valuation >> $1,270.00 Ptan Approval $0.00 Permit Fee Paid $29.50 Issued By: C~G%J~Jij/C~ Date 07/16/2008 Permit Voided Parcel Id # 1202640000 In the pertormance 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 pertormed within two business days from the time the project is ready. JUL-15-2008 12 20 PM P. 03/05 City of Oshkosh ~~~ Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-] 130 Phone (920) 236-5050 ~,-3~-- Fax (920) 236-5084 KU ~--I ON YHF WATFR HVAC PERMIT APPLICATION A11 information after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box ] 128, Oshkosh WI 54903-] 128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the normal permit fee, which ever is greater. OR DATE /1/ ~P JOB ADDRESS /d~d~ fvrti.r, ~ ~ ~.~/~ OWNER A/c~•~r.G.-- ~'~,l ~v CONTRACTOR lrh'~l i~n.c.. CI3ECIC C~ ALL APPLICABLE USE CATEGORY Single Family ^Duplex ^Multi-Family ~tal ^Commercial ^Industrial FUEL ^Gas ^Electric ^Solid SYSTEM ^New t~iCap ace ^Oil ^Solar -//~ ^Other TYPE ^Forced Air QRadiant C]Steam ~ ^Vent ^Electric ^I~ot Water ^Stappl. ^Con. Burner IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER Note; All chimneys shall be sized per the BTU's being vented. ~/~ CHIMNEY TYPE ^Chimney A ^Ch~ ney B C7Direct Vent ^Uther ~'/~!- HEAT LOSS ^As Approved xisting ^Not Applicable BTU RATE DAs Per Plan ^Variable Lather Value / ~ 7~„/ DESCRIPTION /SCOPE OF ALL WORK BEING DONE/~cs.•,~. w ~ C...o~~~.r~-+~- VALUE (Including labor and materials) $ /.~ 7P3 ~ ~~ ELECTAi.CAL CONTRACTOR (ior projects not requiring an E1V Form) S/ ~-, 's ~/~c.tri~ 07/V^ ** Advisory -For applicable pzojects, an Electrical Installation Verification (EI'V) form., signed by the Electrical Contractor ox Homeowner (for installations allowed to be performed by the homeowner) must be submitted with the pexxuit application. Applications submitted without an ETV when such is reclnired, will not be processed for Permit Issuance and will be retained for completion. JUL-15-2008 12;20 PM ~~~ avbloo olloip~Nioa beMec+ »c c~..w ~.~... PO Doi 110 OYiY~d Wl 34p0~1130 Ofnx natas.wso Fa 9TO•T.76•~~ iElectric InstallAtioa Velrit'ication I ('we) SLIM'S ELECTRIC INC. -_ (~Jectrical Contractor Name) P. 04/05 2608 Oakwood Circle Oshkosh WI 54904 (A:etdresa) (City) (Stare) (Zip Cade) have bean comracted to perform electric iastallatiaa work for t~-~ a"~~`~ ~~ (Name of party ooatracted to) at the following eddr~oss: ~ ~S _ _ ~ ~ I (Addre~ wbet~e work will be perfca~med) Tho nature ofthe work cgrtaists o#: (Check One or DeBOribe the Nature of Work) ~ivconnection or naw circuit for replwement Heating Plant and/or A/C Condaurr. Roconnoction or new circuit for replacement 131ectric Water Neater or power vented water heater. ltooonnection of the Service ~utratee Cable. Meter Hox~ alborations to receptacles and lighting fixtures dtu to Biding / aotflt installation. Note: New Service Enua~ACe Cables will r®quiro a separate pavut. Rooonnoction or now circuit for the repleeemeat of other penaeaently viral appliances ~ gixturee. Navv circuit for the ad4ition of A/C to an indfvtdaal dtvelli~g Imfl (house or the individual systergs fn a duplex or condomiaiu=a)~ incindir~ required eecvioo elec4rical outlets. Othrr The value of this work ie $_~~ .L~ 1 hereby verify this work will be performed by an employes of this oompaay end fiuther verify the rocomieotion / installation will bti done in compliance with manufacturer and Electric code requirements. r' vi~~ ~~, ~ ~~f~ `l 1~ ~~~ (Sigaeture of Comp car) (Print Name: of Oi~"i (Date) Fri.