HomeMy WebLinkAbout0156288-HVAC (furnace & a/c) � CITY OF OSHKOSH No �ss2ss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 146 W 21 ST AVE Owner MR/MRS LAWRENCE ABRAHAM Create Date 06/19/2013
Contractor GARTMAN MECHANICAL SERVICES Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas � Oil Electric Solar Solid
System � New I �✓ Replace j � 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
Use/Nature SFR/Replace fumace and A/C
of Work
'*debit acct'*' �
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Fees: Valuation $4,490.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: �� Date 06/19/2013
❑ Permit Voided I Parcel Id#1400610000
In the performance of this work, I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity. �
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Jun. 19, 2013' 1;48AM� GMS INC No, 5803 P. 3'
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Hvac P��Mir aPp�.ic,arioN �� E "`� ;
���oe eftar bold cat�go�iea musl6cprovided.
��npleleg,pbeetinns wi77 not bcproce�cd `
' Ap��ic�n(s)end fec(s)cen ba bacught to Ci �
Oshkosh VVI 54903-I 12R. Comra ty�Roam 205 ormailed to Inspecti�n Servicxs,PO$ox 1128,
f�o�al pennit�'ee,whir,�ever is gre�wrnt Rnt�rnrtp�(s��11 zesult m fees being doubl�d or�100.00 plus the
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**��4tivisoxy-For�phceble proj�cia,gn E[eet��,s�tion Y�Scatinn(E[�fn=m ' �
Coniract�ox$omenw�(fnx�o�a ell ��d�iy fl�e Bl�ir.ai
wi#b�'pem�tt sp Juation. Applic�tiios�s owcd to be p��by t�e homcowne�timat be subatittcd .
�csssed tvrPe�,�enec aud ��d�t°nt ea FIY wberi sorh is zr�u�xed�w�I-�ot be
w�l be tefi�d for e�m�letinu,
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JC�B ADD�tESS y �a . ,a.l S 1— DATE �C� c Z �
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USE CATEC�$P
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N ,�Y$FING LII�Gp�py� -Z„�ERb72B,_____�&MANlJFAC�'[]RHR �
eys shab ba c�adpa��aB1V'a besmg�cq� . :
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� ,�7As Ap�rm,,ed �� Othcr
'��� �4As Pr.�P]s�t � �i &ceble .
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VALU.$(7bclndla�labor aad mste�iair) qQ -�-c�
EI�.�C'�ZtICAL CONxRACPOB(for prosects Aoi requl�r�m F.IY Fona) S/i•r, , --
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Jun 19, 2013 7.49AM GMS INC No, 5803 P, 4
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Elect�c Iqstsllation Verific�tlon
�(we) SLIM'S ELECTRIC INC. � :
(Bkc'4�ica�Coattactor Name)
2608 Oakwood Circle 4shkosh WI 54904
fA`�}ress} (CstY) (sta�te) (Z"rP Code)
heva been c�o�aoted to pexfmm elCCtiic installatian work for
(Name of party ca�tredod to)
at the folloaring add�: � �tJ • �� � :
' (Addrn�e w�a�e waa9c will ba po�o�tne�
7he�at� f tlu work coasists o� (C�edc Otta ar Desazbe the Natmre of work)
�
Reo�tmecdno oc�►cirauit for rapieca�eet Haa�ng Pleat�uVor A/C Condeoser.
Recorn�eerio�o ar s�aw citcuit for t�eplaa�nmt Elecaic Water Haate�ar porovor vaa0od
waca l�eat�.
Rocanuec�on nf tbe Setwice F.t�ace Gblo�Meta�Bo�c,alta�tio�s to�ceptaclas
aed 1igMing falut�ea dne to�idiug/soffit imatayffiion. NotC New 3avice
En�anca C$bleg wi11 reqo�ire a se�rate
o re
�� Reoonnect�oa ar neuv circaii far the repleoarneat of ot6er permaoe�tty wi�d
app�acea I�,�,
New circ�it!br me eddidoa of A!C io am r�dtvldaal dwiellt►�g�r(hpusc or t�e
electrleal oort�je�m$�jeo�ot wnQotnmiam�,u�cindi�S reqeeired eavia
Olbcr
1"hc valua ofthis woric ie S ���
j hereby ve�ify this wer�c wi711x pecforraed bY aa etnpky�of tbis comp�nY apd furthe�verify
tha reoo�aeoaio�n!inetsilatiom will be done i�comp6eeua with maauf�ctw�er and Electric code
no9airemca�.
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�S�gC°Nr'°°f �er) (Print Nsme of Offi
e)
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