HomeMy WebLinkAbout0147004-HVAC (furnace & a/c) CITY OF OSHKOSH No 147004
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 824 HARMEL AVE Owner RITA YOST REV TRUST Create Date 07/27/2011
Contractor GARTMAN MECHANICAL SERVICES Category 502 - Residential -Both Plan
Inspector Nicole Krahn
Fuel J Gas 1 Oil U Electric Li Solar U Solid
System — 1 New n Replace ❑ Other
✓j Forced Air ❑ Radiant ❑ Steam a A/C ❑ Vent
1 Electric Li Hot Water U Suppl. Li Con. Burner
Chimney Type 0 Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR / REPLACE 60,000 BTU FURNACE AND 2 TON A/C, EIV SIGNED BY SLIMS ELECTRIC **debit acct
of Work
Fees: Valuation $5,830.00 Plan Approval $0.00 Permit Fee Paid $98.50
Issued By: B "... n C A —
Date 07/27/2011
V ❑ Permit Voided I Parcel Id # 1412070000
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.
Jul. 27. 2011 . 10 : 36AM GMS INC No. 1349 P. 4
v&ixosn
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Division of Inspection Services D11;
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 2305050
Pax (920) 2305084
HVAC PE T EYA
RMIT APPLICATION
- All information after bold categories must beprovided.
IncompJ etc applications will not be processed.
• Application(s) and fee(a) can be brought to City
Oshkosh WI 54903 -a 126, Commencing work Hall, Room 205 or mailed to Inspection Services, PO Box 1126,
normal omit
fee, f;outPt(s) will result in fees being doubled or $100,00 plus the
P e, which ever ie greater.
OR
t o. wr- b. . e At, Aco v.
• •U•. • o em end h a• r• c, her
' Ad'visory - For applicable projects, an Electrical Installation verification fo
Cvrsfreetor or Homeowner fo � � signed by the Electrical
wis3r the ( installations all to be performed by the homeowner) gust be submitted with tsed penult aP i ic a tio nce an cat o rsubmitied w an MY when such is required, wall not be •
turned for completion.
KM ADDRESS gds DATE 7 2 ?
OWNER l Gsi" •
CONTRACTOR „`
OXECK 11 ALL APPLICAIL" E
USE.CATEG0RY
Wangle Fanny C]Duplex CIMu1ti Family DRental ❑Commercial OIndusbial
FUEL f OBleatrio OSoIid
-L7011 °Solar 'STEM ONew G7 leoe
.TYPE
nom
J�rc«l Air CERaaiant dsteam dvent oil
eotric l Hot Water OSuppl. ❑Con, Burner
IS
Note: An be BEING LINED l DYes - LINER SIZE &
' sued per the BTUs being vented, MANUFACT[TRBR
CXCEMIVEY TYPE 0 ey DCbimney li
LO I�ip,SS ved ect vent pother
1'g1 RAC hail g . CiNot Applicable
1Var ebl t`!ettfOr value `O/ up() d - Tm r‘,J
DESPIUPTION / SCOPE OF ALL WORK $EING DONE
VALY7E (Including labor and materials) Lg
ELECTRICAL CONTRACTOR (for projects not requiring an Ely Form) S f
07/07
Received Time Jul. 27. 2011 10:34AM No. 6480
Jul. 27. 2011 10:36AM GMS INC No. 1349 P. 5
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: 5 CRoch lnp afao Sefv
PO Bat 1130
Oshkosh wl 54903.1130
XJ r:(.TI: tilik nor°
Electric Installation Verification
I(We) SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (Cfty) (Stets) (zip Code)
have been contracted to perform electric installation work for YAS.±
(Name of party contracted to)
at the following address: t 2
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X Reconnection or new circuit for replacement Heating Plant and/or AJC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water }seater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances J fixtures.
New circuit for the addition of A/C to an individual dwelling evict (house or the
• individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $ / 7$ .
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requiromenta.
10 '
.4_4 / . A. V ,9‘ fr
(Signature of Comp/ !MCI) (Print Narne of Offic (Date)
siaz
Received Time Jul. 27. 2011 10:34AM No. 6480