HomeMy WebLinkAbout0156292-HVAC (condenser) � CITY OF OSHKOSH No 156292
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1140 N EAGLE ST Owner EVERGREEN MANOR INC Create Date 06/19/2013
Contractor GARTMAN MECHANICAL SERVICES _ Category 501 -Residential-Air Conditioning 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. _j Con. Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable �
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan � Variable _ � Other __� Value
Use/Nature SFR/replace exterior condenser
of Work
debit acct***'
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Fees: Valuation $1,850.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: � Date O6/19/2013
� Permit Voided I Parcel Id#1602810000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
�u�, 19, 20130_10: l 0AM GMS I NC No, 5809 P. 1 .
. niviAOO oflnspection sGrviccs �' /
P.O.Bax]I30 �f� � ' •
OsI�lcosh�WI Sq9D3=1130 � �
Phone'(930)236.5050 � .
� Fax (9Z0)13�508q
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HVAC PEI�MIr App�ICATION � ��R
��'����a��;��b���a�a,
� ��''�ceppli�eti�ms will�t bcpror�,
• .9�pplication,(s)and fez(a)caa be bmught to(,�t�,
�shkoeh Wt 549D3-11zB: Co��a' �,� �+R°°m 205 orma�ed to Inspectip�S��,PO$ox 1128,
nommsl p�tmit fee,whi ah evea ie grcatr,�.�, �rk mi�ont p�ts��11 resnit m fees being d�ubled or 5100,00 plus the
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vou are ca tr clv o I'
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_ '•�'�'�Adqisoiy-Forepp]ic�bleP�p�eets,Bn$ec� � �
Cos�irartar orHomeow�t £or �'�0Il�'aifir.a�nn(EIY)for�,signed b �e �
with fhe�P�cmit � �s�Ilab�ons allowed to be p�� �� � ��
proces�cd for P ��"�c�n�a. Ap�7u�0ns sabm�ed wi�ant aa � �����d '
. . �mrt.Iss�ance aad wI�b e : . �Y wheri surh is ir��red,wa7j�not be .
` �c�Zned�or co�plctinn,
JOB ADDRESS v . D�TE ia
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O " C�,� ►�.L'�.� _
CONl'RACI'OR G-w, �;t� .
C�G���Id,Apk71ICAg�,$ � .
�TSE�TEGORY _
�ingle Famity C�pIq� �ti Femi1Y �IRent�l 1a�al C17r�dusm.al
� d� �le�zc C75o1id
-l70i1 � lJ6olar r��q ��� �New �
,�g . DO�er
L�oz�edAfr �nt �DSte� � py�
�ic �Iot�erra �75upp1, CJCna.B�r
��7t'BEIlVGX,Il1��tn CIYta _L�b'IZS
Not�AIl alrimneya s�aII be sir,c�pQ tbe�TV'�b ' �--��N1�t�IiJFACTURffit �
�gvenbed N`� .
�Y 1'YPE �
��`d�'L„�S5 �.p,�,Ap�oyed � , B �t Vent L7prher �/A- .
=8�1 RA� .�'` - �� ��ot Ap,pliaable ;
� Per p]aa ��gble �a ZTSIne
��'lZON/SCOPE OF AL�,WORK 2 �
- . �TG DONE
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C vl-�C�-(..1�1�,
VALUE(:�rlud�g labor�d meferjals)S ��5�^°e.
��'RICs4L CONT'RACT'0$(for proj a�a nof req�m gIV Form) ,� ' ,. :
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�u n. 19, 2013 10: l 0AM GMS I NC No, 5809 P. 2
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Electr�c InstallAtio� V'eri6cation
r�a� SLIM'S ELECTRIC INC. �
cn.�e��co�c�x��
2608 4akwood Circle Oshkosh WI 54904
��� (�Y) �S�te) CLip Cod�)
havo bee4 cot�aetod to perfosm elec�ic inateliation.worlc Far `-'�'r/ �jy�,,/�.
(ISame of puty oo�recxed to) �
at the following addrese: ���� N . �a��G �"�'-f �SLr�i�.•
(Add:+ess whdre woaic will be perl'ormo�
The nuto��f tbe worlc wneiste of. (Cl�ak Ono or Des�sbe tlta Nahue of Wet�c)
✓ Raaermecdon ar n�w c�rcuit for repleca�eat I3eating pl�nt andle�A/C Coadm�r.
Recom�ectiaa or new cir�mit for replac��t 51ecOric Watcr Fie�r ar pow�vented
water heater.
Rxo�oc�ivu of the Sosvic.��e Cabk,Mde�Baoc,al0er�tions to e+ecx}�tacles
aad ligbting fixtus�ea dae to siding/so�t iassattaiian. Nota: New S��vice .
Enn�ee Cab�les�ril1 requle�a�e pe�ic
� Rcoo:mectiob o�new cincuit for thc teplscemeut of othar permat►eatly wirod
e�pfiaacea)�xtw�es.
New circu�t fo�r the additian of A�C w�t�dNtdaal dwelling wifr(t�ous�or the � .
' i�ividqal�yetvms m s duplwc or condomimum�noc�udin8�eq�ed se+rrioe
elec�dcal outlels,
Olher
T6�value of@ua work is S � 7�
I ha�by verity�is waa•k will be pa�ormod by an e�loy�ee of this oamap�y nod fnrther verif�►
tbe rec�naeotion/it�t4iletson will b�done ia c�plience with ma�ufacwra aood Flectrie caoda
i'e9nir+emcnte•
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(S�gaelom of ) (Ptint Neome of ���
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