HomeMy WebLinkAbout0141779-HVAC (a/c) 0 CITY OF OSHKOSH No 141779
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2015 NORTHPOINT ST Owner TED J /SANDRA ZELLMER Create Date 06/29/2010
Contractor GARTMAN MECHANICAL SERVICES Category 501 - Residential -Air Conditioning Plan
Fuel U Gas U Oil u Electric U Solar 1 Solid
System n New I n Replace I ❑ Other
_f Forced Air ❑ Radiant ❑ Steam u A/C u Vent
U Electric J Hot Water _ Suppl. Con. Burner
Chimney Type () Chimney A 0 Chimney B () Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing O Not Applicable Value
BTU Rate J As Per Plan () Variable • Other Value
Use /Nature SFR / Replace a/c. EIV signed by Slim's Electric. * *debit acct
of Work
Fees: Valuation $2,490.00 Plan Approval $0.00 Permit Fee Paid $47.50
Issued By: ��� Date 06/29/2010
❑ Permit Voided Parcel Id # 1521660000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number (920) 231 -5530
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
li Jun. 29. 2010 12:37PM GMS INC No 2273 P 1
\. 1.y U1 Vsnlcosn
Division of Inspection Services *- 1 V
P.O. Box 1130 V
Oshkosh, WI 5 4903 -1130
Phone (920) 236 -5050 .0
Pax (920) 236 -5084
0 —
HVAC PERMIT APPLICATION °"° swarss
All information after bold categories must beprovided.
Incomplete applications will not be processed.
• Application(s) and fee(s) can be b
s
Oshkosh brought to City Hall, Room 205 or
WI 54903 -1128. Commencing work without mailed to Inspection Services, PO Box 1128,
normal permit fee, which ever. is greater, Pt{s) will result in fees being doubled or S100.00 plus the
•I vo _ are a co OR ct, r „
i 7 ou wait t i •r•ce se, h rt'eo he m' e c, int System end ave ode. . ate A.ds el :ck he e
th o h our ace. u n
#-'.' Advisory - For applicable
Contractor or$omeo projects, an Electrical Insulation Y
caner (for Ilationa allowed to be enfx the (EIS foie, most by the anted Electrical
with the pens application, Applications snb performed by the homeowner) most not be Eed
processed for Peii> t,Iss�Ce and will be r milteo completion.
io ETV wberi such required, will not be
■
returned for compleion,
.1013 ADDRESS 2015 N^ G % DATE
n�
CONTRACTOR OA 1
COCK g ALL APPLICAILE
un CATEGORY
I.. ingie Family ❑Duplex DMulti- Family DRental ❑Commercial CIndustriel
Dais pElectric Solid
i7Oil l7Solar N SYSTEM 0New 1Willace
TYKE LDOtber
rlForcedAir :pRs t ❑Steam .
! is OVent DBloctric CHot Water CSuppl. CCon. Burner
IS CHIMNEY BEING LINED ❑No Oyes
Note: All chimneys shall be sized per the BTUs be e v 1NER SIZE
p g N�� & MANUFACTURER
TYPE 0 i
: iEA, ' LASS Chmney A •ClChamne • DDirect V
$Tit RATE , pAs Approved ant I�Other ^' /�
xstin
E1.4s per Plan e l O Applicable
�7variable er Value '
DESCRIPTION /SCOPE OF ° i '�
`' ALL WORK BEING DONE
•
VALUE (Including labor and materials) . y . c.d
ELECTRICAL CONTRACTOR (for projects not reqatring an EN Four) $
"`. S C l.•e c.
Received Time Jun.29. 2010 12:36PM No. 1707 07/07
Jun. 29. 2010 12:37PM GMS INC No. 2273 P. 2
Cityorbekalt
ZS Chunk Ammer
PO90K use
°ADA WI x
074 ;. ti71: sril
Fa 92 0336748 /
Electric Installation Verification
(We) SLIM'S.::ELECTR.IC.:INC. .
• . : (Electrical. Contactor lie)
2608. :Oakwood . Circle , • Oshkosh • . WI 54904
(Mdtess)..:. • ........ :.` :.;,:'� y) .. (S . (ZIP Code) •
have been contracled electric installation wOr1C for 41 • m. _ . A L
. ( Nafp ;'! ..:, ::ctedto)
.::
at the. fal]o address :�f ... .. :.. meo •
4 ress whew work :w>11 be: ormed)
The nature .of tine woik consists of ':...(Check One: or Describe the Nature of Work)
1� ►..caiffar `!~ :`
• rep , aoentef Hashing Plain and/or A/C Condenser,
R R eaopectitibior econne c tion ` or new circwtfor <repl a . l leatric Water Heater or power vented
;•stater ;:
Reconnection o 'tlie Service Cabl Meter Box; 41ttrations to receptacl
< ;and Iiglitm Ilxtaresfdue'.to ing: O t.:uistallation. Note: New Service
> ince ablcs v u re a s e.p .
-.._ Re o nection or new cncuit:for the op1aoememt of ether permanently wired
•
..cull to .theaddkion'of
•--• •�' z � � :dA%C to. * tiidtvtdrol aM►elling tacit (i�otnae or the
.:.mchvldual eYstpits fa a s ere
oe
�: ar:rbada � � including mailed ......... .
electrical `outlets;
OLhcr .
The value ofthis woik.is S. 1 :. a ( .
•
I hereby verify:this work :will be pe rforined:by an: employee of this compan and f nrtber verify
the recon 1 ipetallaiaon 1! be done in cos fiance with manufacturer sad Lleitnc code
rogai Feota:
®. J . ti I
(Sigoatere of Coin// ' o•) (Print Name of Oflrc
(Date)
s►ol
Received Time Jun. 29. 2010 12:36PM No. 1707