HomeMy WebLinkAbout0156080-HVAC (furnace) /�'� CITY OF OSHKOSH No �ssoso
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1445 1447 MARICOPA DR Owner GERRITT J/DONNA KLEINHUIZEN REV TF Create Date 06/10/2013
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New � �✓ Replace I � Other
✓ 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 80000 :
Use/Nature Replace furnace
of Work �
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Fees: Valuation $1,980.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: �� Date 06/10/2013
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❑ Permit Voided � Parcel Id#1317640000
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 Ciry strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activiry.
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.
Jun, 10. 2013y 9.49AM� GMS INC No, 5671 P. 1
, Divisian ofInspechon Scavicrs
P.O.Box7130 ��• " .� • .
4shkneh,WI 549�1130
p�'�9so���.soso : .
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MVAC p�RMIT App�,�CA710N � �
�All informalian efterbold c�egori�cmnst beprwided.
���Ppb�ons will not 6eproc�e�
• Application(s)�od f.ec(s)cen be brought to �
�oa��VI 54903-112B. Com� ��,�0pm 20S or mn�7ed to Inspoc�n Savioes,PO Box 1126,
nommel Feamii fee�wh�ever ie�woii�witha�tt Pam�it(a�mill result in fecs being dcuble�or�100.00 plus tba
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�'�� Ca ira fo or ci oti i fh
' + �r wQ ( � �� e ec Yn S !e d . e od ,� nd cl� -here
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"-�'}�Ad�9sory-For s,pplicable pro�eas pa�3Ie�I � .
Co�artnx ox Homcnwaa(for�lns�?1a�ions �D"Ycaf ceuon(II�f��,��bp�e�cc�icai
, wi�b tbe'Pe,�{t.ap��,. ��oas�,�to be p��ffic ltomeow�ne��st be�bm�ted .
pz�cessed�'vrPedurt.rs�aaa ead�be �oIIt ea�S[Y wkca sach 3s i�nued,wa�laet be -
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JOB AbD� _ DAT� Co��°��` '
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Not�A!I c�ueys s3ap be�pa the B7T7's b�g� `�—`��A .
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D�R�TION/SCOp$OF ALL WORYC BE,�TG Dp]� � /
, ' `�t f�.r.�w1-�- 7TrirrtG,.
VAY,�$(�clud3n�]ebor and taet�tisla) �/ Q ��
B�G�RIC�.CON�ZAGTOR(far pru,jeaGs not reqqtc��ea FdV�'urm
) .S/�.� 's �/� c � c,
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J u n, 10. 2013 9:49AM GMS I NC No. 5671 P. 2 �
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Electrlc InstallAtlo� VertBcstion
r�re) SLIM'S ELECTRIC INC. � .
(E1ec�ical Coal:sctoc Naare)
2608 Oakwood Circle Oshkosh WI 549Q4
��3 (�'Y) (State) Code)
have br,c��ted to per�omi elecOric installgeou worlc fo[
(Name of�nty co�od to)
at tl�e fbllowing addroes: ���� � �
(Adde+ess w�c work ' be peda�naecn
The nsture of thc wo�c conpste of. (Q�eck Or�ee or D�scn�,e the x�ure of wa�ic)
.,,�.r/ R�vorntectioa ar�v circait bot replaea�ent Hoa�qg P18nt�d�or A/C Conda�ser.
Reconaecrion or acw circnit for repl�ce�ne�t Electrie water Heetar o�r pvwer venood
watet ge8t�7,
Roca�ctioa af the Sotvice F.n��aee Cablq Metesr Boo�.alteratioue to roce�tacles
and h$htiag fixtut�es duc to sidmg/soffit i�tion. Note: Naav Savice
Bnorance Cablea will snqnfrv$s�pasgt�Ptrmic.
Raoonaaroion or new ci�+auii for d�e r�pleo�of o�r pcmQane�t�y wircd
appbaaces J�tuxea.
New carcuSt Rbt tbe ndd9don of A/C to aa t�devlabral dw�ling untr(fwuse or�e _
" mdividual syet�m a duplaoc oc wndo�m���cind,u��e�ed�r►a
elec�ica]outl�ts.
,,,,� 41her
The vslu�of tt�ie worlc is� � ,
1 he�cby vetify tbie w�orlc will be pa�oaaed by an anploy�of this camp�ay snd f�atba�verify
tha ra:onttodion!insteltation a►i1I ba doae m coarpliaooa vPith manufectu�+er a�d Biec�ie code
�9uir�enta.
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�Si�anue°f Ca�P �? (Print Neme�f (�)
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