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HomeMy WebLinkAbout0155918-HVAC (a/c) � CITY OF OSHKOSH No 155918 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1107 MERRITT AVE Owner MR/MRS DENNIS M KAVANAUGH Create Date 05/31/2013 Contractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Plan Inspector Fuel Gas Oil Electric Solar Solid System � New � 0✓ Replace _� � Other I Forced Air Radiant � Steam ✓ A/C Vent Electric Hot Water Suppl. � Con. Burner Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable Heat Loss As Approved � Existing � Not Applicable � Value BTU Rate As Per Plan � Variable � Other � Value Use/Nature SFR\Replace 1 ton 3rd floor A/C system � of Work , Fees: Valuation $2,980.00 Plan Approval $0.00 Permit Fee Paid 62.00 $ Issued By: Date 05/31/2013 ❑ Permit Voided � Parcel Id#1100700000 In the performance of this work,I agree to perform ali 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 31. 20130; 2:40PM GMS INC No. 5499 P, 1 . Dic�imoo ofSasptction 5crvius . � ; P.O.Baoc7L30 " .� ` Osblros6,WI549Q3=1130 � 1, V� � P1�ne(920)236-SOSO - � -Fax (920)73f�506q `� .• . MVAC PEa1��r appLICATION � •�����a������ � . . ��lae�plic�ioaswillnolbcpror.rs�d ' �aa(8)and�(a)cen be bmu t� Od�kosh WI 54903-112B: � �'�RDOm 20S ar�7ed tn Inepectioo�Services,PO$ox 1126, no�slp�itfec;whiah ����P'��=)�''�1 re.svlt iafas�mg dou�l.ed�z s1D0.00p1ua fhe . -0R • ' � . vnu a a �dt ctnr a 'c' oti in e r �i! e ce n! val a d d u.Q • ' �au wa ! r n clr.e e -- C�nUrertouC or$pm�lsceble prp f e�'e�$Iec��nut Yev�catiDa(�foiin,�ed ffie EIe�I °�(�r��o�s�lowcd In b e P�d. �te fio�eowp� �d w�h�l►e�pr.rnmtt, �Ii�nm. APP�mas� � �uaatbe , ` ����x�•.�ssi�ce e�d�(be��Wi�sont sn ELY w�uri sac�xs i�q�ed,wx�11�t be � .► . � ��' . � � � , AATE � S • � �OB.ADA�SS� Ll��? ww.,^„�4-.�- �� ' �r�v�LS !�-�vi►h w y ' COX�.CI+O �� . - CABG����T�,AppTdCAgI.� �- . �,�fi_���GO$Y • l.�Ig"mgle F�ai1y pc � � . ' � �-F�1y �R�,�1 ��aal RIn�a1 . FIT�I: .DQas ��ilxmc C73obd ti`YSTFM pN� p}�� , �� tiom� � ?r�s. � . . ���a� t�a;� 'r�s� �E av�c r� t�c�� ❑ S�ppl, DCon,Bt�er •3S C�YB�GLII�D L�T�DY�s -y�gyE " . . —,�_e�M.4I�i)F.4 Na�e.All c�eya cba11 be o�ec1 pra ffie�1U's being�d N/�} - ����� :��`yA ti�Y� L7Di�tVent C7pther"�►�' ��1-u� �]�4a��+r��.-P�CO� �g .1]�T�1, e . . �ble ��,� �'�N �$.S�i1PTTON/fiCOPE OF AL�,WORK$FING DON$ L�.. 1' , T 3'� ��lo-G� f��� VAX.UE(lnetndmg lsbor�d maCeriala)S 9�f0-ao ffi.EC�RiCdL C�N1'R�4GT08(for proje�ts not reg�m,�1V Form) , � ��c , �,s-�.s�'� o,�o� May, 31 2013 2:40PM� GMS INC�ECmIC „ No 5499� P.P. 2 � � C+bofOsolcosh � Zls�,�°���'n6a�ofe� �Bool!130 ��SL Wi 54903.1130 � OASoe 476�E36S050 � PfK 9�p,9.IS�SOL� � + � i ' Electrfc Installatlob Verifcatio� I I � � z(we) � ( 'G �C� , (Electticsl CoA�tor N�ne) , � ��5 �� �ac.k�- ,��er� �. D�h kocG, � (Addrese) (C`�1tY) 3�� Jr'��� � � ) (Zip Code) i have beeA contraoted tc p�o� eloctric matallstion work for a . �� (Name of party r,oatra�ted to) � ax the followin,g addres6; � � � t � �, (Addr�se whcre work will be peri�tmed) The aahae a��.�work coaaists ofi (Check O,Qe or Describe the Nature of Wor k) Reco�ecdon ur new cis�cu�t for replac,c,ment fleaqag Plaat aad/or A1C Cond R�naection or aew cu,cu.it far replacemen�El��������or ower��� watsr he$tsr, p veatcd � Reco�necdon of the Service Paah�ance Cable,Metsr Bax, alt�rations to rec ��8��tg 5xtures due to sidm�/ao�t in�tal]ation. Note; Naw S��olee Cables vv�ll require a separate permit, RecanaECtion or new cir�ut bor the replacament of other pennanentl appli�ticeB/flxturet. Y wired � New circuit for the addition o�A/C to�i individual�y�tem,�ia$duple�c or coadominium �elling unit(houBe or th,e elec¢ical ouflets. )�ulvlud�ng required�ezviee � Otber T'he value of this work is$ �5da ~ I hereby verify tht�work will be porformed by an employee of this co the teconnectian/inatallation wi.0 be done in compli$ece with manufae �Y�d fi�rtber verify �l��menta. ttu'er snd Electric eode . : �� Q (Signature of Company Offiocrj � '3 �� �`3 . (Print Natn�of Offiooz) (pate) s�os