HomeMy WebLinkAbout0156402-HVAC (a/c): /� CITY OF OSHKOSH No 156402
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 313 W 14TH AVE Owner BENJAMIN S/JACOB T FREDRICK Create Date 06/26/2013
Contractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Pian
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. Bumer �
Chimney Type Chimney A 0 Chimney B 0 Direct Vent � Not Applicable I
Heat Loss As Approved � Existing � Not Applicable I Value
BTU Rate As Per Plan 0 Variable � Other ' Value ;
Use/Nature SFR/A/C install
of Work
'debit acct**
I
_ _�
Fees: Valuation $2,790.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �� Date 06/26l2013
❑ Permit Voided I Parcel Id#0904460000
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. 26 2013�y 7: 57AMb GMS INC No, 5923 P, 1
Divi�ou nf7ASper�on 5crvic�s '
P.O.Box]130 � ' -
Oshknsh,1VI54903=1130 •� ;�, . �
�home'(92Q)736-SOSO �/`� .i
. Pax (9Z0)236-50B4 :� y .
. •�
HVAC PERMIr ApPLICATIpN �
Au iu��met;��er bcla cattgories,�nst bepa.a,;ded.
���'PPli�ans will aot bc�, ,
• Ap,plice�on(s)and fee(s)caA be broug}it to �
Osb.koeh Wr ,54gp�.]12B. ���m 20S or n�a,7ed to inepec�om Sen,iccs,p0 Box 1128,
i�o�al pt�rmit fec,whi�h ev ����witho�tpemii.�(j)�ill resu.lt in fees brang doubled or 5100.00 phie ihB
.Olt . � •
. vou o nt c r ' i a n '� t
r' � u wc fh. e'' i� e ec un S lem d ha ua1�. d. c , -here�
..----,..— .�— .. d. - au % b... - - _
. **-.Advieorp-Fox�pp�ceble pxo�ects,au���Y�ca�nn fo . ,
Cp�or�Tomc�wma(£ormstallatiaaa � (� ��d bp ffie Elc.�zical
wi�tb t3�e�pe�m{t �lowed ta be pc�f�d by tiu homtoro�►ne�mmst be sab�ted . :
pmcr�sed fot Pr.mut�-��y��.�'��wit�out en EIY w1�aa.ch is neq�red,w,�1�ot be ..
.�
ret�a�ed for ca�apletimn.
JQ�AbD�ESS �,3/ , /�� bATE G /
O� ' . .
CONX'�L9,CxOR �!n /;.� � :
C�CK�I AX,,L APP�.CC.�L'�LE
���ATEGO$Y
mg]e F�ily f]D�pl� �ti Family IIRen�a] ���ia1 DIu�a1 _
�� d� p�rJ��� �M G7� �']Replacae
.� , nom�
bFo�edAir �� �Qg�� �j� C�Vr,�
� �� QHet Wntar D�,tppL OCam.$umer
�C�'Y BE1NG I,Il�D C]I�To L7Yes -LIIQ����M�4NUFA
No�e:A1I�eyc s3aIl be�per ffia BxD's b�ang Y�� a/h ' '
�NEI'T'Xp�y �
.��:;i,b�SS ��� � �d��'a ��Y�nt 00� a/�1
'�3TU RA�'E :�'�j� � �a�cable
.
DE3FRIPT'ION/SCOP�OF QLI,'pVp�g�G��
. , �
VAI,UE(Inrjudtp�lebor mrd materiels)S � � Q.c p
ffi.EC'�C.AI.G'�N.CRAGTOR(for prnjaxr bot reqtcai�an:E1Y�'orm) �i✓� �z '
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D7/D7 ,
Jun, 26 2013 7: 57AM.� GMS INC�ECrRZC, � NN`.��GPP, 2i,��- � -
� Ciry or0�roa4
� Dlv4slon of In�pecdea SeMca
215 C6arob Area�
PO Box 1790
�lcmha►I 5�1903•113�
O�ct 970�236�SOS0
Fati 9�G.296.5014
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Electrfc Installation Verifica�ion
I(we) F� G G.
(8lectrical Coatractor Name) �
l 55 �� a v QSh kosh 1Ni. 5�F90 I
(Address) (CitY) ' (State} (Zip Code)
have been coacracted,to perform electiio installatfon w�ork for ���� ���d c i c.,�
(Name of party contracted to) :
at the folloaring address: • � ��y�
��._o._
(Addreas where wark w�ill be penformed) �
The nature vf the work consi�ts of: (Check Qne or Daecn'be the Nature of Work)
�Reoonnactioa or�ew circuit for r�placeQaent Heatrng plaat�nd/or A/C Conde�aser,
Recoimection or n�vvv circuit for replacement Electric Wator H�ater orpower vented
water heater.
Reconneedon of tbe Sen►ieo Ena$ace Cable,Meter�ox,alterations to receptacles
and lighting fixtares due to siding/so�t iastall�tion. Note: New Seiviae
Hnttgaoe Cables will require a ec�arate permit
Reconnecdon or aew circ�d.t for the replaceme=u of other petmaaently wired
applianc.es/;�xtures.
New circuit for the addition oft�lC to aa fndfvidual dwelling un�r(house or fi.he
indi�idval sYste�ns izt a dupl�x or ooudominiam),including roquired scrvice
alectricai oudets.
Other
aso �
The valve of tbie work ie $ , �
I hereby verify chis work will be p�rfonaed by an employee of this oomp�ny and fiirthor ver�f�r
tbo reaonneat),on/i�etallatioa will•be done in eompliance with manufacturer and Elec�ic eode
requirem�aats.
.
�,.,. 0� �' � o�� . �. a� � �3 ..
� ;
(Signature of Company Officer) (Print Name of Officcr) (Date)
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