HomeMy WebLinkAbout2013-HVAC (a/c) /�'� CITY OF OSHKOSH No 158155
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 920 REICHOW ST Owner BARBARA S REETZ Create Date 10/09/2013
Contractor GARTMAN MECHANICAL SERVICES Category 501 -Residential-Air Conditioning Plan
Inspector
Fuel Gas ' Oil Electric—� Solar ' Solid
System �New �✓ Replace �I � Other I
Forced Air Radiant � Steam ✓ A/C Vent �
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable I
Heat Loss As Approved � Existing � Not Applicable 1 Value _
BTU Rate As Per Plan � Variable � Other Value
Use/Nature �ISFR/replace A/C
of Work ; ii
�I'*debit acct"' ,
�
� I
Fees: Valuation $1,885.00 Plan Approval $0.00 Permit Fee Paid $46.00
Issued By: �,LL� Date 10/09/2013
❑ Permit Voided I Parcel Id#1308490202
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.
Oct 9 2013r 7: 26AI�b GMS I NC No. 1384 P, 1
. Divi�ion of7aspcctiou Spviccs
.P.O.BaX 713� ��•� �.•
Oshkosh,'A�I 5490�1]30 � %
pbnac"(920)z36-SOSD `� '
�--`'� .i
-�ax (9z0)?36-SO$4 � �. �
HVAC P��M1T aPPLICATION ���r�
All aaforma�cm�er bold c�gorica must b�provided.
, �0��°PPL�i�s will pot beprocr,rsrd, '
` Applic�t4o�(s)end fee(s)�be brou t to . .
O��WI 54903-]12B. � 4��,�D°�20S orma�ed te lnspecdoA Sen,ir�s,p0�ox II2B,
uo�alpsr�nit �0�°�D1��wm�witho�tp�����res�ilt in:fces being douhlEd ox$100.00 Iua fhe
OR�icb evea is gre�te� p
: ar a 1•acfo f' � a n in b P r !t
.. .__ '0 a �th. e c ov I v em n d la e ad a.1� un
�-- e �- --- . — _ h.e ere �� -----
*�.�4,d,visorp.For aypIicsble prp�jeets�a�$Iec�� �
�� r�r Home°wner(fnr ins�falIeti,ons e�upyed to b�e p D���n��D�'��b��Elec�i .
P '
���0n• �PP�ions sttbm�#ed � �0���be sabmiited
proc�saedfm�r�nirl�II��wxYlbc ' �oF#aaE[Vwbaisnchis�eqaaz�d,w�i•�otbe ..
a ���ro�lE�}u�1,
JOB ADDRFSS DA.TE � �o ISr�/3 „ ,
. �� �r.iL�c.,.i
07►�4NBR ,(�,-{ � .
�011�'RAClOR � h�► �.1 t ,
G�C��AI�I,ApkLIC�,g ' '
�C.�fiE(�O1L�'
��F�y an�l� ��-F�Y px� ❑c�n� ar�
��I, OCes ��ic dSnlid l7hT�w
. •d0.� � N�� 6`�'b`Z`EM , ��
.� n°m� �
�lForcedAir :[7�ad� •p� � �� . -
t�e�c p�t�►aGca �S�ppL Q�a,B�
��3.'$B,INGLIIVBD CQ�To 17Y.e8 -I,,II�TEA6TLB - �
No�;A11 c�imaeys e3aIl be�edper the�7U'�bWag veabad �v�--�MAIQUFAGTURSR �
�� Q(�aay A � �k
.��;.��'6 ;��� ��'� C1Di�actP�t ppthc� "'/,q-
� T��� -17As,��p]aa !,r .�Tot A�ic�},le
� �e�ble �tber�alne �� 7a,v�
b$.S�1zoN/sCO�oF�;Lt,wORK��TG�p1�g � ��
. � ., �-••e.-�� � .
VALUE(Tbrlud�g lsbnr and matenisls) e v
ELE�RYCAI.CDIVTI�AC�-pR(forpxojectsnot d . r
j'e4u�ia,en IIV Form) �...
D7/�7
. `
Oct 9 2013 7: 27AM GMS INC No. 7364 P. 2
. - _ • �. �
�.
�.
� ctinero.e�s
� nt�ar�bos�
�s c:�rw..,,..
PoBo��uo
� oihLd�at 7�903ai3o
GiA4ee lQa7�6�OS0
Fai 92o.276SON
Electric Inatall�tion Veri�cation
I�,a� SLIM'S ELECTI�IC INC. �
.-.--- (A�caicat co�a�ctor x8me)
,
2608 Oakwood Circle Oshkosh WI 54904
......_.. (A�L_:.....
(CnY) �-_.(stace).. (ZZip Codc)
have bee�contracted to perform electric iQetalLtion.work for �G11� �p��'.Z.
(Namo of party co�tractod to)
at tlu fo�lowing addresa: �� � ��!�`�h��' �- �' Q�
._..�� � _._ti__
f�'��Crc work arill ba perf'ormed)
The natore of o wo�c coosiscs oF tG�eac pae or D�c„-be t��Na�u�e of wo�c)
Recpnnecoiun or aew c�dt for rep}�aamcat Heating p1aAt aadMr A/C Coadcnscr,
Recolmeetio�or new eircuit for replecemcat�la�ic Watar Heata arpvwor vmted
watec h�
Roconnection of t'4e Service Ba�ance Cablq Mae�Baa,alterstioas to rece}�taeles
sad lighting fixtu�s ciue to sidipg/so€5it mstal{aEion. Noto: New Serviee
�ce Cab]es wiil taquine a separat�petmi�
Rsoonneetion or new caouit for th�replecament of Mhor peraiaaeatly wirod
aQpliances)�ctta+es.
New circait for tbe addittoa of A/C to aa indfi�Jduaf dw�elling eu�ii(b�ou�e flr tbe
" i�divid+�l syataAS ia a duplex ar oanQomimum),aiclad'mB r�oquir�ed eervioe
electrical outlets.
Ol�ur
Thc vahu af ttsie wo�lc is$_ /���
I haeby verify tbis worjr will be porhirmed by an e�ployee of tbis oomp�qy and R�er verify
t�e rtoonnection!instaltation will be done in compli�ce v►►ith manufact�a+rr Pmd EJectric code
r+oqair+�mcnte.
./ �
� J �/
J9v/D�9 V H )r�/i /r�
(Sigaatwe of Co1ap cer) (Priat riame of OfS (Date)
s�m
- ..._.. � - ----- --- --- - • -- � — _ �