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0131935-HVAC (heat pump)
CITY OF OSHKOSH OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1545 ARBORETUM DR #104 Owner STEVEN W BRUCE No 131935 Create Date 07/30/2008 Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan Fuel Gas Oil ', / Electric Solar --- ~ System ~ New ~ ~/ Replace ~_Other / Forced Air Radiant ' Steam A/C _~ Electric Hot Water I Suppl. Con. Burner Chimney Type Chimney A Chimne B Direct Vent Not Ap licable Heat Loss As Approved Existin Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature ONDO /REPLACE 1-1/2 TON WATER SOURCE HEAT PUMP, EIV S of Work Fees: Valuation $3, 0.00 Plan Approval ' $0.00 Issued By: Permit Voided Date 07/30/2008 Parcel Id # 1223020000 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 Address PO BOX 2264 AgenUOwner 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. Solid Vent acct Permit Fee Paid $64.00 JUL-29-2008 02 38 PM Ci.~• of C)..l:o ~i'J:::;!:it C`•rll'bpc :..........::rvlC;:c Cye~hi.,,511, \rJJ S49(%~-i 130 Pn~n~ (92G) 2v 1,-5C5U Fax (92U) 23G-5084 P, 10/11 ,~ ~ (~~~ ~ ~.~! ~, C~ ~~~~~C.~ II- _.~ c~ t.. vdt.r=r, HVAC PERMIT APPLICATION Al] in;armztinn after Uold categories IiulSt be provic!ee. l~icomniete applications will not be processed. o Arplication(s) and fc:c(s) can L-e broutht to Ci1~' I•Ia11. Room 2L ~ or mailed to lnshzcticu~ Scr~rices, PO Bux ]jib: Oshkosh Wl 54903-] 128. C;omrnencin2 ~u~rk witho~n Perri,it(s) will r~suP! ir; %crs heir," doubled or S] OO.UO rlus tl:e !~orrnal permit fee, which ever is greater ~ nR IJpnu are a c.onr7•ctctor pa,~~trcinarirte ~Ja_t~e_ F~rmit ee .~cr.v~arrr+ S~~sten± ar1c1 hgrc ad-'. !rare irrrds. Cher. ' !sere r~nir,~•v nr' r•1 is processed t)~roxrPh VoLlr'„accour' y_j_,.._..~._.__.__..__.__~__._..~_ . __........-.~-~.. ~......._._ _ ~ n l sr_.j~ ** Advisory -For applicable pr.ojectg, an Electrical Ialstallatior~ ~'e~riiiicatinn ($1V) form, signed by the Electrical Contractor. oz Hoiueowner (for installations alluwed to be perfon.ned b}• the homeowner) must be subrxrit[ed wit}a the permit application. Applications submitted without an E7V when such is regnixed, will not be processed for Permit Issuance and will be retarncd fur completion. I~ATI; J d ~ G~ JOB ADDRESS ~.~~~... /'r/~~ ry ~~~~ r, f+..•r ~-, ..,.,..._. --rzY..~.~_~ ~__.. I CONTRACTOR ~ r''`• 3 I h~~ ,,r•_ ...,.,.,..,.__ CHECK [~ ALL APPLICABLE USE~CATEGORY C~ingle Family ^Duplex ^Multi-Famil FLTEL C]Gas C'•~lectric ^Solid i, ^Oil ^Solar I TYPE (Forced Air ^Radie~zt ^Steam ^A/C ^Vent C1Rental ^Commercial SYST'F;M ^New ^Other ©Electric ^Hot Water ^Industriaj L~R€p~ace ^Suppl. ^Con. Burner JS CHIMNEY BEING L](l\'ED ^No ^Yes - LWEI~ SIZE; ~. MANUPAC.'TLIRER~ Note: All ohimn~ys shall be sized per the B'TU's being vented. N/~i CHIMNEY TYPE ^Cltimney A OChirt~rey l3 ^I)irecl Vent CJO:?~cr ~'/~1 HEAT LOSS ^As Approved G1L?Scistin~; ^I~ot Applicable I1TLl RATE ^As Per Plan ^VariaU.le [l3fStlter Value rr/~,.~;~'~V c~.~••~~ DESCItIPTj[ON 1 SCOPE OF ALL'VVORIC II)rING bUNI; l~.'e ~~c,. ca.~~_._ -, t w•. 1-c ~ ,I~4~~~ ~`•~ a.~'~ c ~• VALUE (lncluding tabor and materials) ~ t_<-~jG~ 1rLECTRICA.L CO>\'TRACTOR (for pruJQCis nat requiring an E7V Form) .~: ~~-'i'~.,,,,~•~ C ~-~, ~• O~ID~ JUL-29-2008 02.38 PM cry ~ro~Akoa plrlMor of]Mp~odoo fiervkeA x~ s c~a, ~..... ro aoK ~ iso owowh w~ ~o~-i ~~o am~e na~.wso Fitt V2~.7I6.SW~ Electric Installatiolu Verltfcation I(We) SLIM'S ELECTRIC INC. (&lectdcal Contractor Name) Circle Oshkosh WI P. 11/11 54904 (~''~~ - (~Y) (3tete) (Zip Code) have boea contracted to perform electric installation u+ork for ~ e 7~ _ , i ,n ~,~, '~ (Name of party contracted t+o) at the following address: ~ ~ O (Address wbourc work will be ormed) The nature of the work consists of (Check One a Describe the Nature of Work) '~ Recormection or new circuit for replacement Hosting Plant and/or MC Condenser. Raoonneetion or new circuit for replacement Electric Water Hamer or power vented avatar beater. Reconnection of the Service Entrance Cable. Meter Box, slteaations to raceptaclea snd lighting fixtures due to siding / soPHt installation. Note: Now Service Fermate Cables will rogntre a separate permit. Reconnection or new circuit for the roplseeYnent of other pormanontly wired appliances / Bixttu~es. Ncw circuit for t'he addition of A/C w en tndrvrdual dwelling u„ir (mouse or the individual systems in a duplex or voadominium), inchtdin8 cegttired eervioe electrical outlets, Other ', ', The value of this work is S I hereby verify this work will be parfom~ed by an employee of t1~,is company and fhrthor verify the nconnecaon ! installation will be dent in compliance with manufacturer and Electric coda rogaircrnente. ', (sigi~atur,e of corn fficcr) (Print Name of Offi~ (p e) '; sans