HomeMy WebLinkAbout0157317-HVAC (a/c) /�'� CITY OF OSHKOSH No 157317
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD :
ON THE WATER
Job Address 1325 GEORGIA ST Owner PLYMOUTH CONG CHURCH Create Date 08/20/2013
Contractor GARTMAN MECHANICAL SERVICES Category 511_-Ind.&Comm-Air Conditioning Plan
Inspector Nicole Krahn
Fuel Gas Oil Q Electric � � Solar ' Solid__ ___
System � New � �✓ Replace j Other_
Forced Air Radiant Steam ✓ A/C Vent
I �— � �T �__- _-'
Electric ; Hot Water SuppL __J Con._Bumer_
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Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
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Heat Loss As Approved � Existing _ _� Not Applicable _ Value _
BTU Rate As Per Plan � Variable � Other _� Value 18,000
Use/Nature �COMM/REPLACE OFFICE AREAA/C,EIV SIGNED BY SLIM'S ELECTRIC ""debit acct
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of Work ',
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Fees: Valuation $3,200.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: (�(/� Date 08/20/2013
� Permit Voided I Parcel Id#1306980200
in the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Aug. 20. 2013a 8: 21ANb�, GMS INC No, 6695 P. 1 �
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HVAC p��M�T APpLICATION D� ���
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���eePp�icet;oas w�ll aot be�, .
` " Applicaho�n(s)and fee(s)ven be inrou�ht in
Oshkodi WI 54903-1126: Co� ��R0°m 20S or mai]r,d to Ioepec�;on Suvioes,p0 Box lI?$,
, �om�el pGtmitfeo�whir,h ever is���1°'rtpe'tmit{s)tvill resnit�fees baing doublEd or$100.00 plus the
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� au re c hi e o ' ' o n n the p�r ��� e�q� o
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C�a�rartoz ar$omcownq�(fns��4aa'�e�c�ion(��'orm,s�igur�l bp�gl�� .
wi�tl�cypm� ��� �wed to be p����ho,�o -
- � �PP�ons� w�aa�mnst be sabm�te� .
pmee�sed fv�r pe�res'oencc ead wffi be peh�for����IY wltea sach is xequaedi wx'ilmat be .
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Noa�All�r�eys s3all ba�rW p���IT7'�beang�,�N�--,��M�ACTURBR � . ,
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Aug 20. 2013 6: 27AM GMS INC No. 6695 P. 2
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Electr�c�nstailatio� Veri6cation
r�we� SLIM'S ELECTRIC INC. �
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2608 Oakwood Circle �shkosh WI 54904
..�Ad�)_.._ ..---- (�►) (st$te) (zip code) � .
have beosr contracted to pafvrm elecaic ipatallstioa work foc G v- �.�lC�...�
(N of party c�atreaod to) �
�s the fal]oaing addrese; �� � � ��-of , � . �7�_ �� .��,
(Addross w�+e w " be pec#'aumod)
7he naAuo of wodc consisla of. (Check One or D�'be the Natuae of 9Vorlc)
Recoru►ecaoa or new cireuit for replsoomeat Heatiag Plent and/or A/C Condenecr.
Reconaection or aew c�tcuit for rep]�cement Eloc�ic V1/ater H�Qr poaer vemted :
watQ hoater. '
Roce�ion af tbe S�vice Bt�aaee Cable,,Meteu Booc,alt�canans to roceptacles
a�d lighting fatuRa due to sid�g/sa�t iastalEa�ion. N'ota Naw Savice
�Cables will reqaine a separ�te permn,
Reoonaecdaa o��oc�w►circuit fbur tho replacemaat of other pe�naa�tly vnim,d
app�i�ces)fixtua�, '
Ncw ciro�it for rhe addidon of F,iC to aa��dtvtdoral�li�q eo,it(iwuse or t�e �
' in�vidAai systams m a dvplex ar oo�domimi��i�c�adi�8 toqained aervia
electdcal outlets,
Other
Tho value of tbie worlc is S ���r
�heroby veaify thiB waalc will be pexfinrnaed by an employee of tbis comp�eay and fiuther va�ify
the reoomieotion/inetallafio�will be donc m complia�ce with a�aaufechuu+a and 81eL�ric code
rnqui�aenf�. :
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�/De9 0��, �yf�i
�5��°f C�mA ca) (Print Name of OfFc�� ��
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