HomeMy WebLinkAbout0156377-HVAC (a/c) � CITY OF OSHKOSH No 156377
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1218 BAY SHORE DR Owner KYN P/JODI L ANTHONY Create Date 06/26/2013
Contractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Plan
Inspector John Zarate
Fuel Gas j Oil Electric j Solar �' Solid I
System 0✓ New � Replace ' � Other
Forced Air Radiant Steam ✓ A/C Vent
Electric ' Hot Water Suppl. Con. Burner j
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value _
BTU Rate As Per Plan � Variable � Other Value
i
Use/Nature SFR/A/C installation �
of Work ,
`"'debit acct*" ;
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I I,
_
Fees: Valuation $3,860.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: �� Date O6/26/2013
❑ Permit Voided I Parcel Id#0804010000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Jun. 25. 20130 3:49PM GMS INC No. 5911 P. 1
. � Dic�ision efl'nspcctian Savicr,s � �
P.O.Box 1130 �
Oshkosh,W754903�I130
Phopc�(920)296-SOSD � :
-Fex (�20)236-SOSq
�
HVAC PERMIT APpLiCAT10N ���
-nv�nf'or�at�d}�bold a�tcgo�ics masl baprovided,
� ����pPlicatloas will not bGprocessed,
• Applicetion(s)nnd fec(a)c�be brought to
Oshkosh W! 54903-112B: ��R0°n°�3 or me17ed to lnspection Savices,PO Box 111.6,
�Ciag wor)cwithomtpe,tmit(s)w�71 restilt in faes beiag do�ubled or$I00.00 plus the
nozmsl peamit foe,whir,�eva ie gzeater.
.OR � . .
. � are c ir lo o 'ci oti fn he P � ou t vst a d ve od 1� ds ch.ea e•
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'-�*•�AdTisoiy.FDY eppli.�ble projecta�0.n EIec�i •
C�ntractor n�Someowne= �tion Y�re�ion(E[Y�fbrm,�Cd bY�e F�le�i� .
tv�i tIie�� ���a�ions allowed to be p�med bp @�e bnmeowaa��st be sab�ted . :
��Da' ��0��ed w�nnt Qa$fP w�teri sach is tequir�,�,-aot be .
proasaed furPe�mit.rssoanre�d�be#�for�pu�, .
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Note:All c�imaeys s�mA ba�PeT 1�e PTTJ'r b�8��d ,�j��&MAI�.UFA
��.��sT'YPE -y�ey A� I] B ODi�ct V�t la0t�a '���
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. �]As��Pleu �ea�ble �Vefie �
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VALII$(IncInding lebor end mnterl�Is) ,3��`c�'
Fd.E.G3'RTCAL CONTRACIOR(forprojerts�oot requir�m EIY Form) ��...,
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D7/07
J u n 25, 2013 3: 49PM GMS I NC No. 5911._._�P, 2
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� GhyofO�lkc��
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PO BoR 1130
� O�ibiA WI lt94Y1130
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Electric InstaU�tion Verit�cation
i(we) SLIM'S �LECTRIC 1NC. -
.. __.._..._. ............ . . . ................5�1�_ical Ca�tractor Name) �
2608 Oakwaod Circle Oshkosh WI 54904
... ...__���� _......__.. (CirJ+) . _... (9tatcj (2ip Coda)
�eve baen co�acted to perfo��1ccEoc iaamlladon work for �� �i�'f�1 a-�
(Nemo party con�actod t �
at the fouow;,���dd�s: lzl�` � �. S' .U/'�. . ���,.
(AdMose wlure will be pe�f'ormed)
The natu�+e o e work cor�sists oF (Chxk One or Deacribe the Natme of Work)
��
Rxorntaccion a�aew cir�vit for repl�eezn�ntat Heating Plant�d/or A/C Cvadcuser.
Recomiection or new arcmt for r�laeet�ent 151�clric Water Haater o�r power veatcd
wete[h�.
Rxo�an of tbe Sosvice Entr�nce Cabio,Mae�aoa�,alt�astions to rece�tacles
and lighting 5xtzurs due to sidiug/soffit iasiallaE{oA. Note: Naw Seroic�
Fmuaace Cablcs witi�qu9t,e e scpara�e p�miL
Re�onaection o�ae�+v ci�uit faor tbe replecemeat o�f otbes peimaaeatly wirod .
aPPli�aces)frxNrrs.
Ncw circpit fpr tbe addition of A/C to aa Fndlvtdrtal dw�lli„g r,�f(i�oas�Or�e � -
" inffividasl spate�s in n duptex or caai4omzaium),mch�iaB ieq+mnd een►ia
elearical oudcls.
011scr
The value of this w f s a 1��--�
I ha�eby verify this worlc will be performed by an emplayee of thia company and further ve�ify
the rocoaneotion!ir�staltation a►ill bo do�e in compliance with maaufecturer and Ele�tric code
r�cqairemcnte.
. �
/9�lD/9 ��l �Y��j � �
(Siguawro of car) (priat Name of O� ��
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