HomeMy WebLinkAbout0147016-HVAC (a/c) 0 CITY OF OSHKOSH No 147016
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 803 N SAWYER ST Owner JUELANE F KLABUNDE Create Date 07/28/2011
Contractor GARTMAN MECHANICAL SERVICES Category 501 - Residential -Air Conditioning Plan
Inspector Nicole Krahn
Fuel U Gas U Oil Li Electric Li Solar U Solid
System 0 New I ❑ Replace I ] Other
L1 Forced Air L Radiant L Steam u NC ] Vent 1
U Electric u Hot Water U Suppl. Con. Burner
Chimney Type 10 Chimney A 0 Chimney B 0 Direct Vent • 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 / 1 -1/2 TON A/C INSTALLATION, EIV SIGNED BY SLIM'S ELECTRIC '"'debit acct
of Work
Fees: Valuation $1,955.00 Plan Approval $0.00 Permit Fee Paid $40.00
Issued By: Date 07/28/2011
] Permit Voided I Parcel Id # 1603530000
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.
No. 1319 P. 1
Jul. 26. 2011 1:19PM GMS INC
City of Oshkosh
Division of Inspection Services - 41LIO,ajl
0 P.O. Box 1130
. lity •
Oshkosh, WI 5 -1130
Phone (920) 236 -5050
Fax (920) -5084
ole THE WATER
HVAC PERMIT APPLICATION
.All 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 1128,
Oshkosh WI 54903 -1128. Commencing work without pmt (s) will result in fees being doubled or $100,00 plus the
normal permit fee, which ever is
OR
Ou o • - t Co roe .r • • . , . " tin ! in i4 • ,'e 'iiii -
i ,.. ,ant i i , •,ce ed ount _v a d l e •de ch eck h ere
** AdNisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Elect tat
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted •
with the permit application. Applications submitted without an ETV when such is required, will not be .
processed for Pernik Issuance and will be returned for cornpletion,
DATE Vac,,
JOI$ ADDRESS z"s tJ - G .Z•r-
CONTRACTOR v-.S 1
CHECK E1 ALL APPLICABLE
usv CATEGORY
mgle Family CIDuplex OMulti- Family ORental ❑Commercial °Industrial
FUEL ❑Cias ClBlectric °Solid SYSTEM _�
'DOiI L'7Solar Pit,: I ew aReplace
L70ther
,TYPE _
DForced Air :ORadiant DSteam Iut'A/C . °Vent ClElectric °Hot Water 0 SuppI. °Con, Blamer
IS CB IVENEY DEING LINED IJNo DYes - LINER SIZE
Note: A11 chimneys shall be 'sized per the BT'U's being vented N v j & MANUFACTURER
Y TYPE OCbimney A - PC ey B .OPirect Vent COther ''' -
Ai LOSS DAs Approved
-ETC �� 'OAS Per Plan !�'xisting .Ir1Nof Applicable
t7VVrlable tIGKrer Value ; '/, T KJ
DES RrPTION / SCOPE OF ALL WORK BEING DONE .,.�c.__ I ^ i, i
VALUE (Including labor and materials) S i ci S3`' °"
ELECTRICAL CONTRACTOR (for projects not requiring an LIV Form) 5 //A-- _r E --41„
07/07
Received Time Jul. 26. 2011 1:17PM No. 6471
Jul. 26. 2011 1:19PM GMS INC No. 1319 P. 2
2. ._
C��r aAAIaA
216 G IIy lwrchA paalon serNen
21yyc'6 Avg.
PO lox 1130
oSIkah w► 34903.1130
r71::tr71: Fax 920-236-3004
Electric Installation Verification
r(We) SLIM'S ELECTRIC INC.
(Elm-laical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for 'ZG .e let h V 144k1.411 d
(Name of party contracted to)
at the following address: (Z 3 j ,Sr) Lo ye/ 3)& ,
(Address where fvork will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Healer or power vented
water heater.
Reconnection of the Service Entrance Cable, Mawr 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 l fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house or the •
individual systems in a duplex or condominium), inehtding required service
electrical outlets.
Other
The value of this work is $ ) 75, (a2
I hereby verify this work will be perforated by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requir>cntt,
a , , ,/ ._, , „,.„, ,.4 y ton I IYA 746$1,/
(Signature of Comp - cer) (Print Name of Offir (Date)
s2
Received Time Jul, 26. 2011 1:17PM No, 6471