HomeMy WebLinkAbout0155454-HVAC (a/c) � CITY OF OSHKOSH No 155454
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2002 JEFFERSON ST Owner MR/MRS MICHAEL L GAETZKE Create Date 05/O6/2013
Contractor GARTMAN MECHANICAI SERVICES Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System ❑ New � �✓ Replace I � Other j
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 � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature FR/REPLACE 2 TON A/C, EIV SIGNED BY SLIM'S ELECTRIC "debit acct
of Work
�
i
I
_�
Fees: Valuation $1,970.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: S(yy'��' Date 05/O6/2013
�����-� i
❑ Permit Voided ' Parcel Id#1515320000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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
Inspectio�(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 pe�formed within two business days from the time the project is ready.
May. 6 2013 6: 59AM GMS INC- �� --�� � No. 4950 P, 1
City of Oshlcosb ��, ��
Dxvisicm�fInspcqi�n Swviccs .
P.O_Box]130 ,� i'
Os,�lcosl�,WI Sr}903=I730 '
phopc(93U)23 6-SOSD ��
.�a
FaX (920)236-506q �-: " .._�
��
HVAC pE�m►T APpL1CA710N Ow T� N7�
•Al]infnrma�on eftcr b�ld c�tr�ories muai bcprovided.
����ePpli��ions wiU nnt beprocess�d,
• Applic.e.hon(s)end fee�a)can bc br�u to Ci
Oslilcosb WI 54903-1126. Com�,en� ty��Dm zOS p7�P.d tD ID6pCCfjpI1 SPdV]C�C�PO B�x 112B,
uottnal peuait fec,w�ich evrr is g��a�vr]c without pr�mit(a)ail]resnit in fees being doubled or�100.00 plua the
OR . �
I vou are co� roc r a t'ci tin i.n t Pe f e AccoNn Sv em a d ve �de uole. u.nd�-c eck here�-=—��
► • u w� �t r: d .ou. '
---� --------= _ orr ..o� . . ...—�-----
_ . j° —-•••--•
''�*�Advisor�-Foz s�pliceble projec�, er�B1E ' � .
Cp�antar ozHomcowner for ��ste7]B.tioA Vedfica�on(Lt�£orna,aigned bp�e Elcctrical
( msf�]Iafiiona ellnwed to be p�cd i�te homeo
wi�b tbe�p�mit apglicafinn. A LicatYOns a�ib � ��?�be sab�tted -
pzoc�esaed farPei�Xasuance�d.w�h�c ��� �°rttcd wz�ont aa IIy wheri s�rh is requued,will-uot be
retaIDCd foz�vzt�Ietion.
�
' . DA1� L ►3
JO�ADDRL�SS Z c�� ��� a� ,S�.
O Yh� I�. �.. S�c Cs�G�-�� ^a
CONT'RAC'I'O�t h'1 ,�c ,
CSG�C%�ALL AP�'T.ICA�,E
�GATEGOAY
uigle Family pDuplex 4Multi Family CIF�cntal
❑Comm�rcinl L7Indns6Gia1
��' � DElechic L75olid �-�
-AO�iI dSeI� � �Now
Dpther
TY�',� .
l�axccdA.u� =�tadient �G7Steam � I�Ve�t C�ffie�tric
l7Hot Weter ❑5upp1. OCan.B�er
���'BF,�NGLIl1�b 17I�10 QYes -LII�]$!��_�MAI�i1FACTURER
Note:AIl clri�cys eball be siped per the Bx'!J's beiag vrntod N�r� -
��E qc�,m�A �d �B DD;�rv�t ao�� �'��
.��z�ss :�
�$T[7 RA,�'E �'p���j� � . �. :nNbf�9�licable
. �N�blc �er Yelue�` 7 v nJ
�
DFS�OA'l SCO�E OF ALL WORK BE�IVG ADN� � ��,,,e�,.,,,,�ry
' G �
YALUE(I�cludiuglsbnr and u�eteriels)S /9 7� •��'
$7.EG�'RICdL CONTR.AGTOR(for projeats not te�ju�'��ETV Form S
) ��►,J �ItG��,
D7/0)
May, 6. 2013 6: 59AM GMS INC No. 4950 P. 2
� .. _ �
� ����
� o�an.�.�.s�
»t a�.�r�.,...
p0��uo
� o�4brl�w�s�ati�i3o
O�ee l20.T]6.5050
Fg�SOr�
Electric Lqstallation Ver�i�ica#ion
I(We) ��-�M'S ELECTRIC INC.
(Electricai Coatraaor Y�I�e)
2608 Oakwood Circle Oshkosh WI 54904
(Address} (City) (3tate (Zip Codc)
have bee�a coutractcd to pecform elcchic installation work for �
(Namno of party can to)
at t�e following addness:
(AQdcess wh " be pe�rf'prme�
Thc naturc of t1�e work cor�sists o� (Cbock One or Dascn"be the Nature of Work)
� Recoanoction ar nwv cmcait for raptacmnent Hcati�g Plsnt sad/or A/C Caadenecr,
Reaccomnxtion vr new circuit for replacement Electric Water Heaicr oT pvv,►ffi venced
water heazer.
Recoimectioa oftbe Seavice Entranee Ceblo,MeterBox,alterations to raceptacles
and lighting�octareg dne to siding/soffit instaUetton. N�ta Naar Service
En�ance Cab]es will nqaire a sa�e permic.
Reooanection or new oirouii for the replecement of other per�a�ent�y wired
sppliauces I fixtttns.
New circait fbr Eha adQidon pf AJC to aa fndfvidreal d�vEUing w�lt(i�ousc flr the
• Qidividusl syst�s�m a d�p�ax or condomi�um),inch�din8 reQ�w�ea servioo
olectrical eutlets.
OlhCr
�
The value of tltis w � �
��s� (��
I hereby varify this�vorlr will be parformed by a�wapjoyoe of tbis oompany and farther vecify
1�roco�eation/in�allsiion wili be done m eo�apliance�with maaufact�and Ele+ctric code
roqr�i�r,cnra.
� �� � � � .�
/9�/,0.�9 ��ar lr��t
(Si�atute of Co ces) (Pimt Neme�of Offi (Date)
s�
�