HomeMy WebLinkAbout0155879-HVAC (a/c) � CITY OF OSHKOSH No 155879
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 848 OSBORN AVE _ Owner PRISCILLA M BALDRIDGE Create Date 05/29/2013
Contractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Plan
Inspector Nicole Krahn
Fuel Gas Oil �Electnc j Solar Solid
System New � (�✓ Replace ! �Other �
Forced Air Radiant Steam --I ✓ A/C j Vent
;
Electric Hot Water Suppl. Con. Bumer �
Chimney Type ChimneyA 0 Chimney B � Direct Vent � NotApplicable �
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature SFR/REPLACE 2 TON A/C, EIV SIGNED BY SLIM'S ELECTRIC '*debit acct
of Work
Fees: Valuation $2,450.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �� Date 05/29/2013
❑ Permit Voided I Parcel Id#1306310000
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. Z9 1U13,: 10. 54ANk���GMS INC No. 5425 .P, 1�; � ¢
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HVAC p��MIT,4ppL�CATION ��7ME Y(�Tpg
All informetion efter b�ld catzgorics
�� m�LSt bcprovided.
, mPJrte�p��dons wil]not beprocesscd, '
• Application(s)and fee(s)caa be brought to G5
Oshkosh'WI 549D3-]128. Comme�c ty�+R°°m ZOS or mailed to Inspccdon Sr�vicrs,PO Box 112B,
no�al pe�,it fao,whir�i ev�r i�'g���with�tpe,tmi.fi(E�will result m fecs being doubled or$100.00 phis the
�OR .
ou re c trocfor or 'c' o[ n n th P.e 1
i �o wo (t/rd h e A c nn..s.s f � nnd h. e ade ua
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Co�.ctnx orFor ai,p}iceble pro jecta, an F�Iec�j�stellatYm� , �
witb� Homc�wae�r(fnr mst��ona ellowed to bc p�c�on(Ei�fo,�a,a,��b��ie�,lu�ical
m�o�wnezj
peauit ep�lic�ii�n. A,ypi�ons Pafo�,ed bp�e�e �w must be submi�ted
pmcessed f�xP�rssusaee sad w3y1 be �d��IIYwketi sarb,is nequired, wiIl�not be ,
�ed for coulp o,n,
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JOB.A,bII�tESS �T���b� DAT'E S 7 ��`
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may. Zy. Z013 10. 54AM GMS INC � No, 5425 P. 2
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Electr�c Xnstalladon Verificati�on
r�we) SLIM'S ELEC('RIC INC. �
(Blectrical Camtractor Name)
2608 Oakwood Circle Oshkosh WI 549p4
���� (C�'h') � (stace) (ZiP codc>
have baen caatracted to perfo�elechi�i�stallalion.wotic for �c�� . �it.,.�
���
�(Namo of party coa�racted to)
at the fouowing addrese; a "/ � �,d�d�,,.� � Q '
(Address wharc work wiit be pe��'a�ae�
'The�ature�f the work consistb of (Check One or Deacdbe the Nature of Wor�)
V Recoffiection or new circait for reptaea�uznt H�atiag�'leat aad/or A/C Condaoser.
Reconnection or ncw circuit for replacem�nt Bleclric Wafer Iieate�r a�porove�veatc�
wa�ar bcat�r.
Recormoctioa of the Service Et�aace Cablq Meter Box,alteratiaas W receptacies
and liShtinB fixtutes dve t�o siding/soffit installation. Nvte: Ncw S�vicc
Enn$nca Cables will roq�ure a sepaea�e penatc,
w.,� Rceonnoclion vr new circuit for the rgpdecaaaatt of ather peanane�tly wirec9
apPliaaces I fxtures.
Ncw circuit for tbe a4Qitfoa ofA/C ta an individrra/�ng�(�usc er the .
' i�dividnal systas�s m a duplea ar condot�ni�iam),imcfidin8 requsned e�an►ia
elect�eal outkts,
�Iha
The value of this work is.$ /( �
I hereby vaify t�is wo�lc will be perforreed by an amployx of this com}�eny and fiutber varify
the recomiedioa!inetallation will be dona in campiiance with m�tu�fact�a+�r aad 8lectric codt
�+oqairementa.
.
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(Si�me of C?mP cer) (Print Neme.of Ot�i (Date)
sro:
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