HomeMy WebLinkAbout2013-HVAC (replace furnace) l CITY OF OSHKOSH No 154660
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2461 ABBEY AVE Owner ALICIA C YOBLONSKI Create Date 03/08/2013
Contractor GARTMAN MECHANICAL SERVICES Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel Q Gas Oil ❑Electric l Q Solar �olid
System ❑ New 0 Replace ❑ Other
✓j Forced Air ❑ Radiant 1Heann A/C 1 ❑ Vent
❑ Electric Hot Water I Suppl. ❑ Con. Burner
Chimney Type O ChimneyA O Chimney B • Direct Vent O Not Applicable
Heat Loss AsApproved • Existing O 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 SLIM'S ELECTRIC **debit acct 1
of Work
II
Fees: Valuation $5,845.00 Plan Approval $0.00 Permit Fee Paid - $110.00
Issued By: W Date 03/08/2013
❑ Permit Voided Parcel Id#0616770000
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.
;4'.. Mar. 8. 2013f 7: 26AM GMS INC
No. 3751 P. 1
Division ofIo pectian Services 10,C1()
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone 020)236-5050
Fax (920)236_5084
athKali
HVAC PERMIT APPLICATION v+►'tv rn
-Ail information after bold categories must beprovided.
Incomplete applications will not be processed
• Application(s)and fee(t)can be brought to City Hall,Room 205 or mailed to Inspection Services,p0 Box 1/28,
honnal permit fee,which ever is greater.. R' without perJUif(a)will result in fees being doubled or$100.00 plus the
OR .
van ,. a or tr.,c .r •r !°c .ati, • in n the
r 'Ou,.�''°-_.th _e d kr°. .. fur ace.
r..if '4oeoirn/S seen • d ode, c ea -
**Adoisotp.For applicable prqects, an$Iectrit$1
Contractor o..Homeowner(for. Installation Vaiecation XIV)form,signed by the Electrical
with the r or ( iall$tions allowed to be per farme by the homeowner)must be submitted
P apdiratiort. Applications submitted without an
processed for?e itIssaanee and will be ietame for completion. wberi such is xequiied,will-not be
3'OBADDRESS a y 6 /6f e BATE,
OWNER %!C.4 y £' L . A /' _
CONTRACTOR (d-in I
CIEITCK ALL AFPLICA LE
un CATEGORY
Ugiugle Family ClDuplex DMMttlti Family °Rental CI Commercial ❑
Iadustnal
FUEL °Electric 17SoJid
4417 OSolar SYSTEM ONew
Other
reroed Other Air :❑Radiant p5team it72‘ dv
eat 0131ectaic °Pict Water ❑Suppl. ❑Con.Burner
IS CZIMNEy BEING LINED l Dyes
Note:All chimneys t ba11 be sited per the BTU's being�t dSrZE &MANUFACTURER
c. TYPE
Afix,�ss Chimney g �ubct Vent °Other
..�pa Approved ism flN Iiesble Per*Plan
Nirilible alue RK a
DESCIlTMON/SCOPE OF ALL WO 7dnJ
- fiEINGDONE ��
a -4c
•
VALTIE(Including labor and materials) tj S
n]6°.C;LRICA,X,CONTRACTOR(for projects not requiring en Ely Form) _5
D7/D?
Received Time Mar. 8. 2013 7: 21AM No. 2507
Mar. 8. 2013 7: 26AM GMS INC No. 3751 P. 2
a . -
eDCity aro xwsi soviets
215 GI r Awes.
PO nor 1130
04Maik Wt 34903-1130
Far 920.236508/
Electric Installation Verification
I(We) SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have been contracted to perfoan electric installation work for 0.1.tag,„, UJCb ,'\JIJ ,
11 (Name of part contracted to)
at the following address: (0 l ftbh
(Address whore tk 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 Heater or power vented
water heater.
Reconnection of the Service Entrance Cable,Meter Box,alterations to receptacles
and lighting fixtures due to siding/soffit installation. Note: New Service
Ennance Cables will require a separate permit
Reconnection or new circuit for the replacement of other permanently wired
appliances/bbctures.
New circuit for the addition of A/C to an individual dwelling unit(house or the
individual systems in a duplex or condominium),including required service
electrical outlets.
Other
The value of this work is S V l c OU ,
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
rcquircmcuta.
a. . . i.._ / v.,1,,,D.,,, youiip,...iyA 32t
(Signature of Comp, % ' cer) (Print Name.of Offic (Date)
V02
I
Received Time Mar. 8. 2013 7 : 21AM No. 2507