HomeMy WebLinkAbout0155553-HVAC (furnace & a/c) ;:
� CITY OF OSHKOSH No 155553
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
JobAddress 256 W 16THAVE Owner ERIKAANDERSON Create Date 05/08/2013
Contractor GARTMAN MECHANICAL SERVICES Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar Solid �
System � New I �✓ Replace � � Other I
✓ Forced Air Radiant Steam � A/C Vent j
Electric Hot Water Suppl. 1 �Con. Burner
: Chimney Type ChimneyA 0 Chimney B � Direct Vent � NotApplicable �
Heat Loss As Approved � Existing 0 Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value 60,000 :
Use/Nature FR/REPLACE 60,000 BTU FURNACE AND 2 TON A/C, EIV SiGNED BY SLIM'S ELECTRIC *'debit acct 1 '
of Work ',
__ _J
Fees: Vatuation $ 250.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: L�ZI 1 I Date 05/10/2013
❑ Permit Voided � Parcel Id#0902080000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
May 8 2013y 8: 27AM� GMS INC No. 5008 P. 2 t
Dit�siao�flASpcction 5aviaes a 1;`-`•.� ``
P.O.Box]130
Osblcosh,WI sq903_i l30 ;�
Phono(9�0)236-5050 .�,�-
Fax (920)2��508q
� itLJ
HVAC P�RMI7',qpp�.ICATION �T����
'��0�metioa�fter bold Getcgorirs musl b�provided,
����°Ppli�Uw�a will not b�p„���.
• Applicatiou(s)end fet(a)can bo bron �
�shkos6 WI 54903-112B. Co� �����,ROO�205 or meiled to Inspection Sea.vjces,p0 Box 1I28,
aommal per�it fee ��wrn��ithout peamit{s�will resn�t m f�.s doubled or$I00.00 plus the
�whtc�ever is gi�ea�, bc�g
.OR .
y vnu 7•e 4 co rr crn a 'ci ot i. f '
, ' e .ern�i e r1c on.►t vs( m a d h.a de � e_ . ds ch,eck-b re�-- --�
uwo ft i p S
_... ,,._ •---�---� -�-- d -ov� u �a � h.._ _._.
'-4=`�Ad�isbry-Fmrapplicableprojccts,eitBlec�Ic�1
Contrectoz ox Homepwaer(for mstall�.tians a11 �oa�Yet3fica�nA(EI�fvzm,sign�d bT @�e Electrirsl
w�i�b thc�P�uuit_ owcd to be p����te komeow�
w� ap,pTicaiYnn, ,e,pplir�tivas ��st be subm�itcd
Procrsscdfoz'Pe'��s�uceaad�lbe �waiboAteaETYwfie�isachisxr�l��, �c'�I-r�otbe
� �t�mcd for cozu�lc�o�,
JOB ADDRESS z 5 bATE s i�
� l.J, l Co-�'ti
O�N$8 r � �
C0111�'li�G'I'0 I►tiG', �
CF�C��AL�I,A,gprT,,YC�g °
�75�C�TE(��tY
[�zngle F�y pDuplex C]i�ti Family DRental '
. d�el C77��I _ :
�' � dBllectric OSolid
�0� DSaler �� �iew (�p�
nor�
�ed,4� � 'Os �
team �/C l�yp� [��� [�iot Watea �ShZgpL OCon.Bnpuucr - :
IB C�1�11EY$�N�Lil1'ED C�pI'es -X,��
Note:All c�eys sha11 bo maed per t��ZU's bemg vprt� ~��MAN[TFAGrT[IRER �
�s�� DC�eyA pCl��yg !D�1'u�cv�r
`p�"RA� �1�9s p�P]en� � ��T t pOrb�
. �7Y.e'ri�ble �,°��cable G o _
���ON/SCOp�DF�.L WORK BEING DO]1T�E , � -To►v
. " `�r '� _ .°'�ci.�rG
VALUE(7�clnd�ng labor snd matesiale)S • °d
�C',Cf2ICAL COlt'Tl�,4CT'OR(for prnjec�uot reqt�itit�en EIV Fotm) .S�n,
��c�c
o7�oi
may, 8 2013 8: 27AM GMS INC No. 5008 P. 3 ;
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Electric �nstsllation Ve�ri�icativn
r(we) SLIM'S EL.EC�f'RIC INC.
. (E1ac�i�a1 Caa�accor Aiame)
2608 Oakwood Circle Oshkosh WI 54904
���} (�) (Statc) (zip codc}
l�eve bee.n cu�cied io perfoffi elechic inatelladoa work for �0�'�fY)j�
(Name of pmrty con�actod to)
at t�e fo3loa►ing address: �� �3--� `�¢�
(AdAr�ss whcre work will bc potformod)
The aadu�e ef the wo�c consisle oF (Chxk Oae or Descnbe the Natm�e of W'ark)
� Recennecoion or�v circnit for zept�cemvnt Hoatiag Plnnt aad/or AJC�ondalscr.
Rcco�ectioa or acw arcuit for replace�neni�lectric Virater Healea a�poaier ventcd
wacet h�
R�nuoctioa af t�e Service F.nlmnce Cablq Met�r Bou,�eratio�s to receptac]cs
aad lighting fixtures duc to siding/so�t installstion. Note: New Service
Entraace Cableg wii!raqoin a s�e permi�
_...� Reoenna�io�or new an+cuit for tbe zapJaca�eat of other pe�naaea�t]y wirod
aPPhauces I 6aivr�es.
New cir�c�ft for�he a�tioa of A1C to an indivtdrra!drHellrng un�t(�ous�or t�e �
� iadividusl syacems ia,s duplar or can4ottiia�imm},incMdi�gt�oqu�+ed�rvia
elecfirical ovtlets.
OLhnr
Thc value of thi�work is$��r�
I bereby verify this wo�Ic will be paformed by aa employee of this oomp�uy aod further veltify
tha raeannecxion/iastellalion arill be dene ia umipliance with maaufacturer m�d Electrie eodc
raqaiivmcnta.
�
�9��D,9 au�, �rf� � g�(
(Sigaatune of Comp �cai? (Ptint N�me�f Offi (Q��� .
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