HomeMy WebLinkAbout0155607-HVAC (a/c) /�'� CITY OF OSHKOSH No 155607
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2307 DOTY ST Owner CARIE A SCHNEIDER Create Date 05/14/2013
CoMractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar Solid f
System � New � Q✓ Replace I � Other '�
Forced Air Radiant � Steam ✓ A/C Vent
Electric Hot Water Suppl. Con. Bumer
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
Use/Nature FR/REPLACE 2 TON A/C, EIV SIGNED BY SLIM'S ELECTRIC **debit acct
of Work ,
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Fees: Valuation $1,950.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: ����� Date 05/14/2013
� Permit Voided � Parcel Id#1403220000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
May 13, 2013,� 3:55PM GMS INC . No. 5106 P. 1/2
, �7iT'19Qn Df��{]on$�'7�PS O,\
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Oshkosh,WI54903=1130
Phone(93U)236-5050 • •,'�
•Fax (920)Z3C�506q
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HVAC P�RNf IT APpLICATION °'"'T"� �+TEk �
��1�f°rmssion efter bold r.ategories mu�t bopmvided.
. I�e�pleteeppbcations will not bop�or.�ssed, �
• Application(s)$nd fee(s)can be brought to
Oshkosh�VI 54903-112B. ��,c ��'�om 205 or maile�to j�ospecti�on Servioes,PO Bax I I2B,
no�mal ���O�P��(6)tvall zesnit in fees bexu$doubled or g]D0.00 plus thc
Pe,�m.it fee,wb�ch evra is grestea,
OR . - �
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v ure c nf�� c! r
•- . !'ci ot n in t e ern�i e Ac aar t Svsle ond ave ad ►ra1E_. .n.d� ch�ec -hei•e-
i �ou a � hi r e d. r_ _..__.._...
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't'�'AdTisory-�'or�ppliceble pzo�ec�s an EIa � �
Co�traccor or�;omcowner fur' , �1 Xnstallation Ye.aficsrion fomx
� �tio�eItowed to be pezf'ezmed � '�°�bp flle ElecY�i�g].
. wif�the�P�mit�ili�tin�t, ,qpP�,tioas bY t1�e hamtowner)amstbe sab�ed -
pzocr�sed for Fc,�ift Is �d w�i$tont an�EN whcri snch is i�eq,u.ixed,wi11-aot be
suenee and w�be ie�r�ed far crn�Xetiaa,
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AATE -�/3 j 3 �
, JOBA,D]7RESS Z 30'7 �o
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CONI`RAL'TOR �3 � -
C,H�CK gl.e�,APPLICd:BLE
�15�CATEGO�y
19��ngle Fam�y [h�pl� q�lti pemilY l�R�nta] ❑C�� p��
�� .� 17�lectac [75o1id b4YST$M' LTNew
�5olar D09�er �
TYPB .
I�orc�dAir �dia�tt �pSt� �/C L�Veet L� qHot�efLr CI L C]Con.B
��x� �PP mner
Ti,1�TGLII�PD QNo DYos -LIDtERSTT,B____��MA1�.UFAClVRE,R
No�e:All chimnoys sba11 be sizzcd ya�u B�T7'c bea�g v.� N � _
/ ,
�Y T'XPE �
�A.�,;��s ,�� -d��'B ClDnectYmt 17oc�� `�6A
�xslZ'RA�E ��As�p��l� �� :bNotAp�,li�abl�
. �7V�blc ���e1ue Z -- 'Tt) 1�
DESCRIP'�[TON/SCOPE OF,�I�,WOR1{B,�TG pONE I.c`��. �}
VA,LUE(�aclnding labur ead�aterisls)� 9J��.^-�
: �LEG�RICAL CONI'1tAGTOR(for pro j ects not requi,rino an EIV Form) .S� � �,�,.,_
ss.-,.f £l�, �
ovo�
May, 13. 2013 3: 55PM GMS INC No. 5106 P, 2/2
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i(We� SLIM'S ELECTRIC INC. '
(Slectricet Con�zactar Nsme)
2608 Oakwood Circle Oshkosh Wl 54904
—— .._..� (Address) (Cit3+) (stato) (Zip Code) '
haYe bcen coatractcd to perfonm olcctric iostalladon.work for
(Namv of paRy contractod to)
at the following eddre�s: C�
(Address whece w will be�farnaed)
The nature nf the work wnsists of (C�x�One or Ae�cnbe tho Naturc of Work)
„�,w Recomaoction or ncw Circuit for replacemsnt H�eating�leat aad/or A/C Condarscr.
.Recormection or ncw circuit for rapla�cemcnt Electric Watar Fieate�ar pa�Ver ve.nte�
wacer heater.
Recoimectinn of the Scrvice Eatrence Cablc�Mete�x Box,alteratiaas to rc�aeptacles
aad ligh�g fixtures dac to siding/soffit installa�Eion. I�iota: New Seav�ice
Fa�treace Cablcs cvill�quir�a separnte permit
. Reaoimectien ar new cira�it for the zepiaca�rnt of ot6er pcsmancntly wirod
applieaces��xtuc�s.
New circuit for The additfoa of A�C to aoa indi►�doral�twelling unlr(�ouso or the .
` i�1V1dU81 S�SLC�6]31 fl�fICX Or CO'L1GOplii�l�l1�,a�ciudin�g�eq�nrod eervicc
electrical outicts.
Olhcr
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The valne uf tbi�work is$ :
I hereby vcrify this wa�rlr will be pafnrraad by aa empjoyee of this company and fiuther ve�ify
ffie reeonnactioa/u�,atallstian wi11 be done in compliance with manufaca�rer ead Bleeticic codc
roqai,�ements.
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i9vJ,p,�9 Ou� iy
(SigqaturB of Comp cer) (Print Name�f Offi (Dete)
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