HomeMy WebLinkAbout0151345 - HVAC (replace AC) (1) CITY OF OSHKOSH No 151345
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2980 S OAKWOOD RD Owner CAYMAN INVESTMENTS LLP Create Date 07/24/2012
Contractor GARTMAN MECHANICAL SERVICES Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector Nicole Krahn
Fuel U Gas U Oil ] Electric j Solar Solid
System n New 1 4 Replace n Other
Forced Air I u Radiant _J Steam ✓j NC J Vent
I Electric I I Hot Water LI Suppl. I Con. Burner
Chimney Type 0 Chimney A Q Chimney B 0 Direct Vent • Not Applicable
Heat Loss Q As Approved • Existing Q Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value 3 TON
Use/Nature COMM/REPLACE WEST A/C SYSTEM FOR OFFICE, EIV SIGNED BY BEEZ ELECTRIC **debit acct
of Work
Fees: Valuat $3,775.00 Plan Approval $0.00 Permit Fee Paid $67.00
Issued By: Date 07/24/2012
D Permit Voided Parcel Id#1329100600
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. 24. 20120_7: 47AM GMS INC No, 9035 P. 1
Di viii on of Inspection Services
P.O.Box]130 �t 7,014 Oshkoab,WI 54903-1130
—
Phone(920)236-5050
. . .4.11%:: .
F
lillor
ax (920)236-5084
HVAC PERMIT APPLICATION °��r«E,�,,,
-All information Oterbold categories must bcprovided.
Incompleteepplicatione will not be processed.
• Applice#ion(s)and fee(s)can be brought to
Oshkosh o 54903-1128.and fe (s Comm City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
hormal permit fee,which ever is greater. wok wrthoutpamit(a)will result is fees being doubled or$100.00 plus the
.OR . .
Lee . •re • c•nt •c •r ••rt. 1. •ti • ii tr - •.emi -eA c• intSv.tern • dh•vead-•uele Lend ch- he e
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'.:*,A Advisory-For applicable projects, an Electrical Installation Verification form,
Contractor or Homeowner(for installations allowed to be ego � I Electrical
with the permit application. Applications P trauma by the homeowner)must be submitted
App cations sab red without an E V when such is required,
,processed forPeIssuance and will be returned for com n pletio will-not be
■
DATE 7/A'ifs
JOB ADDRESS°B b 5, Oe.(tc,,,ncrcl
CONTRA C't'O 6___ ___N'L 1 ,,►G ,
G7ECK RI ALL AI'PLTCA E •
USE CATEGORY
°Single Family QDuplelt ElMulti Faaoiiy ORental l ,Ommesri al L71ndustrial
KTEL In Gas DBleotric C lSolid SYSTEM
•O Oil DSolar "'Olt- �� ep]ece
DOmer
IOForced Air tIllstiant 'C7Sttem al/f/C Prveot
[]Electric Elliot Water G7Supp1. neon.Burner
IS CEINNEY BEING Li-MD ONo❑Yes -LINER Not All clri�eys shall be idzed per the BTU's being vented s�N.---` MANIJFACT'UR
sTYPE dC ncy A :PChi ODirect Vent DOther "'/0'r
A rved S :ONO!ApJjeable 3T7&A E dAs o ble
iteler Value 2 - 4,1 N
DESCRIPTION/SCOPE OF ALL WORK BEING DONE -
1
VALUE(Including labor and materials); 7--
XLECTRICAL CONTRACTOR(for projects not requiring ao$IV Form). ce z. Ll.e_c.,4-ter c.
07/D7
Received Time Jul. 24. 2012 7 :44AM No. 0183
iiu.J u 1. 24. 2012' 7 : 47ANm GMS INC FAX No, 9202317255 No. 9035 pP._2
O City of Oshkosh
Division orinspoetion ue
Services
215 Churl Aver
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236.5050
75g113 1 Fax 920-2365084
Electric Installation Verification
(I) (We) Beez Electric, Inc.
1901 Osborn Ave Oshkosh Ei 54902
have been contracted to perform electric installation work for ,
at the following address:
2980 S Oakwood Road
Oshkosh, WI 54901. ,
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.
►1 Reconnection or new circuit for replacement Electric Water Heater.
0 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 other permanently wired appliances/fixtures.
❑ Other
The value of this work is $;64.98
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
requirements.
n •
1.J a _ _, Lk 1 - ' wary Biesinger 7/23/12
Signa,f, . irompany O'.. er)
Received Time Jul. 24. 2012 7 : 44AM No. 0183