HomeMy WebLinkAbout2013-HVAC (furnace) � CITY OF OSHKOSH No 158459
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1225 SUMMIT AVE Owner LTD PTSHP CENTURY INV FUND XV Create Date 10/25/2013
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas � Oil � Q Electric Q Solar —��, Solid
System ❑ New � 0 Replace I � Other
✓ Forced Air Radiant � Steam ! A/C ; Vent �
Electric Hot Water Suppl. Con. Bumer
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
Use/Nature 'SFR\Unit 119-Replace 60K Btu furnace
of Work
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Fees: Valuation $2,380.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ���� Date 10/25/2013
❑ Permit Voided I Parcel Id#1202640000
In the performance of this work, I agree to perForm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready. `
Oct 24 2013r� 3:46PM GMS INC . — No. 7631 P. 1
, Divisivn ofInspedion Savias
F.O.Box7130 � �•' N '
Oshl:n�,WI54903=1130 � �. ,
�bAne�(930)Z3 6-SOSO �
Fax (920)23fi-5069 : � •'
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HVAC PERM�r,4ppLtGATION ����R�
'�'��on iiterbnId catagorica r�ust bcprovided,
' �OD�de epplicatians will a�t beprocr,�r,d,
• Appluaboa(s)snd fee(a)�a be broug�it to G}iy � . :
Oshkosfi�VI 549D3-]12B: Co�m41a' W �R°°m 20S armaa7ed to Inspecti�n Services,pp$ox 1126,
nomial pe,�mit fee,wkicl�evrs is greate� °��°ithoutpe�it(s)will res�ilt m foes bemg doubled or�1U0.00 phu the
� .OR . : .
. v are c �r ct � cr�' t a n 'in he Pr �i! e A co nt Sv em o d ha.vc va, u,� s_c . ��e.e.
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'��'..Adoisbip-For e�pliceblc profeets,en Blec�
C��lractar oxHome��vner �for� �Ilatxvn Y�tific�on(8i�for�a,ai�ned bY t�e�dcemcal
� ��oa�eAowed to be ai&
witli�e p e�nit e,��A. A.pp�,�ons sob ' ��d bp t�te hn�ownerj Antst be bvbmiited .
roc�ssed foz'P '"•� mt�wi�put an E[V wberi auch is agn�, ��net be .
p �t.�asuanee end w�be net��or ro�lcti�u.
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CONTR�G`!'OR �h'l S �,�� � .
GS�G'���I,L.A��PLICA�,�E .
�SF CAZ�(tORY
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, _ DComm�el pIndnsmal
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�'an��a Afr �t;an� �d� pAlC L?�r�t f1�ec� :
�vt�atu C]S�Zi. DCan.Bumer
� ��y�s�all be�bra�°OYes -LII�6IZE :.� &�A �
? 11U'e beingx�utad -
C�Y TYPE ❑
:��';�p.�SS �j�� n ���H ��,,� t Vmt I7othcr
��7U RA7'S -E7As�c,r P]� �$ ��VOt A�Iit�e
� , �ao�ble �Pa Yelne !oG c�,� �7y
DFSG'RIPT70N/SCOPE OF ALL WORK 81�NG DONE
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VALUB(tncindinglsburendmace�isls) 3F�0'�
EL�EC.3'RIC�L CONTRAGTO,Zt(for pro f ecks mot reqwripg en F1Y For�n) �
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Oct 24. 2013 3:46PM GMS INC No 1637 P. 2
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Electric In�tallation Veri6cation
i(we) SLIM'S EL�CTRIC INC. �
.---.---.----....._... . _._._. (�lec�icat Co�tiactor Ne�ac) '
2608 Oakwood Circle 4shkosh WI 54904
_.. ._.c�� -----�- l�'m►) �s�a) cz�c�a��
havo boan vantracted to perfom�elec�ic iostalladou work fer 9S ►✓G+� �l�_ � �
(i�Tame e�p�ty co�racxod to .
SL�1B f0U0vlFl�lg B�I�C86: - --/��-� �G,�►tyl�% �jC" /�� � /l� �
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(��WbCt'C W0��.I bC�{Ol�TlEl'1� ..
The natura of wor�c consist�s o� (Check One or Desar�be the Nerin�e of WoBc)
V $
Rxotmec�p�on or nea circuit foc repl�oement Headng Plsnt aad/or A/C Candensec.
Roconnocvon ar naw circuit for roplsceone�t Tslectric Water�Ieeter o�pow�r ve�tcd
weier heaier.
Rer,��nection af the Service Bntrance Cablq Mete�Booc�alteration�to rooeptacles
aad lightiag futures du�to sidiag/soffit iastallatio� N�te: Nvw Sr.evice
Fn�e�nce Cables wil l�qniro a saparate po�mis.
. Reoonnoction ar uew circuit tbc thc repleeemmt of oth�r pem�ane�y wircd
a�+Phaaces�t'uctu�es.
Ncw circuit far�e a4dition of.4iC to ea tndt�tdr�al dwel�iRg wstt�OUSe flr�e
" iu�ividual systr,ms ia a duplex ar aondom�um),incladir�ceqQ'ved eorvice .
electacal outlets, '
O(hcr
The vatue oftbia wo�ic is� /
I hereby vo�ify�w�]c wi3i be paforrr►ed by an employoo of th�s ra�p�ny snd furthor ve�iry
the reconttection/iastallstion will 6e do�c ia compli�oce witk meaufact�rer end Ele�hric cvde
�qaii+ementa•
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/9�/,O/9 Ov�, iyf� :
(Signat�e of Comp cer) (Ptiat Name ofOff �
(Date)
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