HomeMy WebLinkAbout0154781-HVAC (furnace) 3
� CITY OF OSHKOSH No 154781
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1711 WILSON AVE Owner OSHKOSH HOUSING AUTHORITY Create Date 03/20/2013
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar � Solid '
System ❑ New I �✓ Replace j � Other
✓ Forced Air Radiant Steam [� A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable '
Heat Loss As Approved � Existing 0 Not Applicable I Value __ _
BTU Rate As Per Plan 0 Variable � Other i Value 80,000 `i
Use/Nature FR/REPLACE FURNACE, EIV SIGNED BY WITZKE ELECTRIC "debit acct �,
of Work I
i i
� �
i
Fees: Valuation $1,835.00 Ptan Approval $0.00 Permit Fee Paid $46.00
Issued By: �� Date 03/20/2013
❑ Permit Voided I Parcel Id#1212370000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Mar, 20. 2013�f 3: 37PM GMS INC No. 4083 P. 1 �
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, DIVj6jpp pf��lOD SCly1CtS
p•�•$ox 1130
0��,�54903=7130 J �
Phnuc'(9Z0)236-SOSO .� �
Fax (9zo)236-so84 ��. -y -•
HVAC P�I�M�r,qpPUCA710N T��=�
�All inforti�atino efter bnJd catcgorica must bep�rwided.
�0°��'��PP>>�inns will not beproccssed
' APPlicahoa(s)and fee(a)can be brou to C}
Oshkosh Wr 54903-112B. Co�r.n� �, tyHall'R°°m Z4S orma�ed to Inspection Savices,PO Box 1128,
uomial � °�;�ithoutPesm.it(s)will resnli m fee�being doubled or$100.00 ph�e tl�e
P�t�wluch evra is greeter.
OR _
v are c pt cf r K' 1 e n f.n i e .e � f
i �ou . f ' �. d r e.4eco��nt Sv lem nd �. e ad te. . .nds chse ere--
•- ---_ _..__ -- •-• -�---. . . o. . .-a. c
��Ad�isoiy.For ap�licabIE Projeds,ezt$l�c�c�1
Cox�iracror oxSomeo� �(�For��ons ���o��'�ufica��a(g��nrm,sig�a�d b�g�e���
allawed to be �g�a
witih t']►e�,p�� P�7�ned by t�e homenwtt
pzncessed fnr P�� ��ions snU�wiffio�.t ea�LY wb�snch is i ��be submitte� :
�ce ead w�[be re��or co�p1e�, �d�Will�uotbe .
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so�Ann�ss 1� i ► �.�, I s�,.�, nATr s° 30 �
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C011��RACI'OR (7i�Yl�. (ri L
CSEG�b�!A7,I,AppZ,tCA�,g '
Ub'�CATEGORY
�JSing]e Fami1Y DDnplcx C1Multi Fa�nily �ental ❑��� �j
��'�`� � dElectric DSolid � ��
'�� CJSetar �'�'ST.�M pl,le�, pg�p�
tivm�
�orced r� :t�aa;ant �dsteean ��
. �Veat CI$le�tric L1Fiot Wettr C7Supp1. DCon,gmma
rs L'�EYB�VG LIIVED CQ•I�L7I'es -I,AIER67ZE
Note:All c�imnrys s'Lal1 k�d por t�t B1U's b eing v,a� ��&Mf�it�UFAC�'URER .
.����� ��A ��ey� ODi�ct Vent p
RA'1�' �' �°ved � .p�Tdf Appj�cable Othea
�-�4sP�P1an �7V_e'�,ble �er�lelna
��01Y/SCOPE OF A�I.x,FVORK�LING Dd11iE p �
' - - � �.`'`-�^�--v,-� -� n�:.
VA�UE(I�,cludIIeg Isbor aa�materials)� F13.��" ��'
EZ.EC.'�'RICAL CON1'RACTOIt(for proJ xbs nof�aquir�an�'iV Form) Gt/��7 ��-f �' (—
Z lf �Z G..
0�J07
Received Time Mar, 20. 2013 3. 32PM No, 2580
Ma r, 20. 2013 3: 37PM.� GMS I NC�c-rRrc NNo. �O��P, 2
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4a�r� 3 : 3 � �
blvolan of 1�qeciion eervka ,�
� 2t5 Cb�ed�veeua
PO Bo�c 1150
' Q�1to�h W[ 549�3.1130
� 06�6e 9Y0�29�5050
q As�!910.2365084
Electric Installation �er�fic$t�on
I(We) ( I �Z.�P� �✓��G�'Y�S G �J'1G� _ ,
�
(Electrical Contractor Name)
!�5 �• �ar,ker- ,qv�enu�, Dsh k.osh W� 5�f90 I
- (AddreBS) (Ci�y) (Stste) (Zip Code) .
have been.contracted�o perform electric installation work for `ti y,�P�
(Name of pffity con�acted t
at the following addrase: �' I � � l���S e^ �� �
��
(Address where work wi1l ba perfbrmed)
The nature of the work conssts of: (Check One or Describe the IVature of Work)
r/ Reconnection or new aircuit for.replacemcnt Heating Plant and/or A/C Coad,ense�r,
Reconnection or now circuit for replecemont Elocmc Water�ie�ter or powcr vented
water heater.
Reconnection of the Servica En�ance Cable,M�ter Box, alterations to receptacles
aad lighting fxtures due to siding/soffit installation. Note: New Service
Eatrance Cablea will require a separate permi�
Reconnoction or new circnit tbr the teplacemeat o�'othor permarioa�ly w'lred
appli�ceg/fixtures.
Ne�v circuit for the ad.dition of AJC to an individual dw�lling e�nit()aouqe or the
iadividual syistems ia a duplex ar coadaminium),including re�uir�d service
electrf Cal 0At1et3.
Otb.er � � '
r.�.a��.« � rL�.r+�e.
r
1'he value cf this aork is $ /S�
I hareby verify this work will be performed by an employee of this company and further verify
the recomaection!insrallation will be done ia compliance with manu�acturer and Electric code
requirements.
���.�.-.� D�z _ "�i�'r''� d��. �..- a� � �
(Signatiue of Company Offioer)� (Print Name of Officer) (Data) -
Received Time Mar, 20. 2013 3: 32PM No. 2580 �0Z