HomeMy WebLinkAbout0106094-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1738 ARIZONA ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CLINT M ENGSTROM
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
106094
01/16/2004
Other
Vent J
Use/Nature
of Work
Replace furnace. * EIV form from Beez Electric.
Fees: Valuation
Issued By:
$1,650.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$30.50
Date 01/16/2004
Parcel Id # 1403840000
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
Agent/Owner
Address PO BOX2264 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.
01/14/2004 19:40 9282317255 BEEZ ELECTRIC PAGE
Electric Installation Verification
(We)
5,21 W. 12th ~ WI 549Q2,
have been contraotexi to perform electric installation work for ~
at the following address; ,1738 Ar~xma S:ree~t.
The nature of the work consists of: (Check One or Desc~be the Nature of Work)
[] ~0n of'new ~it for rePlacement Heating Plant and/or A/C Condenser,
[] Reoonnection Or new circ~c for replacement Electric Water Heater.
[] Reconnection of the Service Entrance Cable, Mettr Box, alterations to receptacles and
~ ~s due to siding / soffit installa~on~ Note: New Service EnO'ante Cables
v,411 require a soparate pern~it.
[] Reconnection or new circuit for other permanently ~ appliances /
[] Other P_~_~tacle ~or power vent water heart
The value o£~is work is $~50.00
I hereby verify this work will be performed by an employee oft. his company aud furth~' verify the
t~co~mection / installation will be done in compliance with manm~cturer and Electric code
lequirements,