HomeMy WebLinkAbout0156316-HVAC (a/c) �.
� CITY OF OSHKOSH No 156316
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1208 BISMARCK AVE Owner ROBERT J PELLINGER Create Date 06/20/2013
Contractor GARTMAN MECHANICAL SERVICES _ Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas Oil � Electric � Solar Solid
System ❑✓ New � � Replace JI Other _ J
�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 � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature 'SFR/install new A/C
of Work �
;"'debit acct"'
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Fees: Valuation $2,390.00 Plan Approval $0.00 Permit Fee Paid $62.00
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Issued By: ��� Date 06l20/2013
❑ Permit Voided I Parcel Id#0609960000
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 activiry.
Signature Date
AgenbOwner
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 speciFed 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.
�un, 10, 2013 9. 05AM GMS INC No. 5851 P, 1 �.
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� Divi�on of7nspeaion sav;cr� �./� ;
P.O.Bax 1130 (p r-.
Oshkosh,W15490,3-1130 � `
phoa�`(9�a)236•SOSO
-fia�c (910)236-SOB4
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HVAC p�RM1T app�►CAT10N ��T ��k
�w�o���a��c����;a�.
7ncompldcepplicatjons will aot beprn�,
• Applicetion(a)end fee(a)c�be bronght to Cy
Oshkosh WI 54903-112B: �'�,1�OOm 205 ormailed to lnspecdcn Services,PO Box l IZB,
, noz�1 p�tmit fee,Which eve�r' �ia gre�wort withoutp�amit(s)y�xe�lt m fees bemg doubled or�100.00 phte fhe
-OR . '
. ou are c nf cl o 'ci ti» i� the P r tf e A co (
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""-E��A,d�iso=y..�oT applitsble � � �
Co�zscbor orHomeow�aer £or'� ' �e�rnstallgtiaa Vu3fi�ion(E�fu�m,s�gaed b�4�c B[ac�icel
� �s�Ila�oAS pIIowed to be jm�
'w�tl�e�pennit ep�]ic��, �Iir�o�aa snbmRtcg wi�ottt����e homeowae��st be sabn�itied •
processtd�'mr P�.�Ce and�1 be te��p���leties�. wberi sncI�is aqnixed,�1-aot be �
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ingle Rauvily QDt�plex �MuIri-Fa�y p�n.�] �CJCo�m�l L7� _
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��B�IlVGL�VED�10 C7Yse -LI�g�B
Notc,All c�imaeys c�eA be srbed pcs the�TIJ'e bamg veai� `�. '--�M�42�UFA �
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�.��s :��ry� ��- ,•, C�i�ot V�t /,�
ItA�$ '� � -� �c�hla
-�]AsPraPl� �/_e'�ble �yelbe ;� /L/
��S�OI1T/SCO�E OF ALL WORK B�TG DDNE /� C� /,1� `��
,� �
VALII$(Inclndlug lebvr ena meterlels)S v2� �'C`p
FL�Cd'RICAL C�N�R.4Ct0R(forpr�jer�not . � � � `_� ~
re4�'i�an EIY Rorm) � Z � c
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�un, 20 2013 9. 05AM iGMS INCiECrRrc„ � � tvoNo. 5851 �. P, 2 �.. . . �
: � �yoroaazo�,
� Di�eioa or�ecsSon BaNias
313 Cba�Avmae
P09os I l90
�4 Wi 01903•1130
O�ke 920,2l65QS0
Pez 92o-i�a.soea
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�I@C�'!''1C ��StAIIS�OII VCl"�$CStilOQ
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I(We1 � I �G G•
(Electricat Con�actor Name) '
155 �• �ack�- ,qven �D�kosh Wi 5�90�
� (Addross) .�.—..
�Ci�Y) (State) (Zip Code)
have been con�"�act�d to p�rform�eleetric installation work for, s : � � ,�
(Name ofparty contrect to)
at the following address: ' O 1�►a t'�'to�c �
�
(Addrass where worlc wi]1 be perfarmed) . , ,
The natiae of the work consists of: (Check ODe or Deeonbe the Natiue of Work)
�Reconnection or acw circuit for replaceme�t Hoaang Plant aad/or A/C Condens�r.
Reconnectloa or new c�rotut for replace,ment Eleci�ic Water�ieater or power vented
wat�r heater.
� Reconnecdon of the Service Bnh�nca C�ble�Meter Box,�lterations�t,o receptacles
and lightfllg fixtures due to eidi.qg/soffit inst�lIation, Nvte: Nevv Service
BAtzaace Cablea ws'1l require a separate permi�
� Reconnecdon ar new cit�cuit fer the replacempu of otber petmanantly wired
$PPliancea/fixture�.
� New circnit fo�r the addi�lon e;f A/C to an t�dfvidual dy,,elling unit(housa or the
individ�al syetems ia a dupl�x or eoadominium)�u�cluding required service
eloo�ical outleta.
Other
�
The value of thie wo�c is$_ e?.5 D
I hereby verlfy thi�work will be performed by an ecaployee of thie cwnpany atid�further ve�ify '
the recoaneetion/installation will be dane in compliance w�ith�manut�aat�u�er and Eleetric code
requirements. �
— .,•�.�,.n�. ��2_ j ,` � � � ao � /.�
(Signatute of Company Of6cer) (Print Name oF Off'iccr) (Date)
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