HomeMy WebLinkAbout0154819-HVAC (furnace) � CITY OF OSHKOSH No 154819
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 250 PEARLAVE Owner OSHKOSH COMMUNITY CREDIT UNION Create Date 03/22/2013
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
-
System ❑ New � �✓ Replace _� Other �'
✓ Forced Air Radiant Steam � A/C _� Vent � :
Electric Hot Water �Suppl. Con. Bur en r,
Chimney Type ChimneyA 0 Chimney B � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value 100,000
Use/Nature OMM/REPLACE FURANCE,EIV SIGNED BY SLIM'S ELECTRIC '*debit acct
of Work
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_ '
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Fees: Valuation $2,980.00 Plan Approval $0.00 PermitFee Paid $62.00
Issued By: �(,J Date 03/22/2013
❑ Permit Voided I Parcel Id#0101180000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Ma r, 22, 2013�_7 53AM GMS I NC No, 4136 P. 1 � „
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Oshknsh,WI 549p3:1130 � � ,.
Phonc(920)236-SOSD � '
�ax (920)23 6-506Q :. .� -
HVAC PEI�MIT APPUCATIQN �-� T� �
�All informadiam eftrr bpld cetegorira must boprovided.
. ���eppli�atinns will not boprocc�ed, � . � , :
• Application(s)and fee(8)c�n bc brought to
Osbkosh WT i49D3-]12B. Co�ma� wo���Ro��05 orma�ed to Inspec[iou Seaviae�,p0$ox 112B �
,
n.o�al p�oi.t fee,�iah ever ts'greatq� . °�P`�it{s)wall result m fees being doubled or$1p0.00 plus the
.012 .
; vnu re a nt cfor nr ci tin in the rr
1 �ou wo tb r m�� e AGCO�i t,Sv.�lern o d have ad te_ un a c .ek��her�
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'�"''�Ad�isoxp�Foi�pPliceble Pro,jeds, an�ct�.l
: Coxt�rertor or$ome�wner �a�on v�ficatinn(E�f�im,sigaed bp�e Ekdrica�.
�DZ���s QIIoWed to�e
, wifh�p�t ag���,. APP�ons P�O�bT fGe homzawzu�,�st be sabmitted • .
pxocrssed�or Pc�ft.7ss�a.iacx aa� �d wiSzout an�IY wberi sarh is ieqnued,wz�l�not be -
wa�.bc retn,m�for.com�iefio�
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CONT�tA CI'OR !a'!,S �n C, :
(�CK Bf A,LY,A1�PLYCABL� �
�S�C,ATEGORY .
❑singie Feanily IIih�,lex pMn}ti Fea�Y DRe�ai
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Note:All c�imnryc�all be�ed p�t�c��tJ's b�g v�6'�E�-���AI�AC"17JRE$
C�Il�lEY TYpE � .
.�4�'.S�S6 ��A �� �1'B �u�tYant ppthex
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b��T��/BCOPE OF�T;L WOR$BIIN� �!
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VAY,�E(Includ�g 7abor end mater�ls)$. p1�t560•co
EL�G�TCAL CONTR4(,'I'pg��r projects not requi����,rIY�+'orn� � ' /
� S1/M�' ���4:�I'G
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�� Received Time Mar. 22. 2013 7:49AM No. 2591
Ma r, 22, 2013 7: 53AM GMS I NC No, 4136 P, 2
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E�ectr�c .�nstall�ttion Verification :
Y�e� SLIM'S ELECTRIC INC. '
(Elec�rical Contractor Alame)
26�8 Oakwood Circle �shkosh Vlil 54904
��� (Cny) (Statcy (Zip Cade}
�-(� � ,
heve be�n cvntrncted to perform electri�iqstallabon wpi'k for _ISL�`,� Yl l�J.� i�,��
�� (Name of party cantra�ted to) �
at the fvlloa�ng address; �� �D�
(AQdress w�work will ba}�rfosmc�
The natu�of tho work consists o� (Chock Orn or Desclibe the Nature of W'ork)
� ReCOmection a�ncw cir�vit for replac�meac Heating Plsat$nd/o�'AlC Condmeer.
Reconriectioa or aew circuiE for replacameat Elechic Watcrr Healer a�pvvve�vcntod
water h�ater.
Rxonnection of the Sesvice Entcance Cablo,Mcte�Box�alberations to receptacles
ar�d Iighting fDCtur�es duc to sidimg/s�offit installation. Note: Nev►►Secvice
Bnt�ance Cables will reqaun a sepe�rate pennit
ReoonnaKio�or new circuit for thc roplac�nant of pther ga�mane�tly wired
aPpliances I ructttres.
New circtiit Loi the sdGioto�of,e,�C to aa indt�vt�tal dx�elling w�ft(�ouse or the
- individual syste�s in a��tex ar condomi�um),inct�ng roqu�ed ee�via
electrical ontkts.
Olha
The value of rhis woric is.S 1 7 cx�
I hereby veiify this worlc will be paformed by as an.ployoe of this camp�ey and furtber vaify :
the racamneation/installation will be done in co�pliance with maaufaca�rer aud Slectric code
rcquirwncmca.
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/9v>,O.� O�� .�.I r�� J���l (�
(Signawre of Comp ccr) (Print Name of OfF (Dato)
sroz
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Received Time Mar. 22. 2013 7.49AM No. 2591