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
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iElectric InstallAtioa Velrit'ication
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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'
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(Sigaeture of Comp car) (Print Name: of Oi~"i (Date)
Fri.