HomeMy WebLinkAbout0158158-HVAC (furnace & a/c) � CITY OF OSHKOSH No 158158
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1334 HAZEL ST Owner REGINALD L JENNERJOHN Create Date 10/09/2013
Contractor GARTMAN MECHANICAL SERVICES Category 502-Residential-Both Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric QSolar ' Solid _] :
System ❑ New I � Replace � 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 �
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other ' Value
Use/Nature SFR/replace furnace and A/C .
of Work
'*debit acct** '
; I
ii
Fees: Valuation $4,490.00 Plan Approval $0.00 Permit Fee Paid $94.00 J
lssued By: �'��� Date 10/09/2013
❑ Permit Voided ' Parcel Id#1513670000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity. `
Signature Date
AgenUOwner
Address PO BOX 2264 _ _OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Oct 9 2013c� 7; 27AMb GMS INC __ No. 7384 P, 5
. Divisioa of�spe�ion Savicrs � _
P.O.Box1130 T"`'� �•'
Oshkvsb,NI S49D3=1130 � . '
�hane(9?O)236-SOSD .� ,
-Fax (920)231�508q .
' �
HVAC PERMIT apPLICATION °'� ��fk
All info�mebom eft�i''6�Id categori�s musl beprovickd.
. 7ncomplcu rppb�s will b�i be��, .
' Application(s)and fe.e�s)e:au be brought tp �
Os�Skosb WI 54g03-]12B. ��+�°D�2D5 orm�iled to Inspecaron Services,p0$ox lI2B�
�o�el pe,nnit fee,wbi ch- •^����D1�with o�t peamit{s�w�71 zesnit in fcca b�iug doubled or�100.00 plua the
. .OR .
: voL e c fr cf s ►7 � a rn fn 11r Per i� e c
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'k'�'�,Ad�isory-gor epplicavle pxojects,eu,�Iect�� �
Co�trector or Hnme��vacr #'or' �I�.�on Y�n��ffi,��bp�e ffiectrical
w�iith t1��p�mit � . �txops allowcd to be P.��d T►y the hom�o�nt,�nnast be sabmitied
�?��0�� APP�ioas�y�oRt ea
Prncessed fo�p�.�nce sad w�be reta�fnr.cozupletinn. �r'��t is�c�ir�d,ws�I-uot be .
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Oct 9. 2013 1: 27AM GMS INC No. 7384 P, 6
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Electric In�tallAtion Ve�ification
r�e) SLIM'S ELECTRIC INC. -
. ..-.--.-..---- (&lec�ical Co�t�t Aiame)
2608 Oakwood Circle Oshkosh WI 54904
.._�_��----
(CitY} - (steto>... . ..(�;P code)
11HYA(J�(�SCtG�Ii0 1 r��'
�. petfo�m olecOric i�stallapon work for � rt�.(�._.�c�- f��(cJ�r--
. {Name con�actod to} �J ,
��fo,�o�,��: �.��y �� � � �� . s���si
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Tbe of cho wo�c consists oF �Check Om or D�scn'be tbe Natiu�e of Work)
�
Recomiecaion or nrw c�ut for reptscamanf I3esting Plent a�d/or A/C�onda�scr,
Reconaection or new circuit�or repl�cemeut bleclric Watet i�eater or pawa vemted
wstex hCatei
Ra�oaaeelioa of tbo Service����Metar Baoc,at0eratioa�s to receptac}es
and lighting fixtarea due to sid�g/so�t iastellatiton. Note: New S�vice
F�ace Cab2cs will raqulire a eepsrata pa�miL
.�,,. Rcaonnecction or new cu�uic for tbe raplecement of other p�an�tiy wicnd
BPpb�s�Sxttar�s.
Ncw circoit�'C�c ad4itia�of.4�C to aa t�dhKdr�a!dwellf„��►rir(�ouse or t2�e
' �tdividusl syatems ia a dupkx or co�ominiy�n�inclnd;ug ceq�e�eavioe
elactrical otitlzts.
O�bcr
The value of thia work is S �`�'�J
I horeby verify thia work vvill be pCrfarn�ed by au employee of this ea�mpany and fu�ther ve�ify
tha recaom�eotion/inetailation arill be doac ia�liance with maaufnctu�,cr and Ele�ric code
"°4air�ente-
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�v�.o� �,� � 1 l��j
(S4gnature of Cump cer) (Print Npme of Of� � �
(nate)
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