HomeMy WebLinkAbout2004-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1453 W 2ND AVE
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
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
106159
01/22/2004
Other
Vent J
Use/Nature SFR/Replace furnace. *EIV form from GMS.
of Work
Fees: Valuation
Issued By:
$1,685.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$30.50
Date 01/22/2004
Parcel Id #
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.
Electric Installation Verification
(we). r,c c
(Electrical Contractor Name,)
(Address) (City) ' - '(~a'~e)- '
have been contracted to perform electric installation work for ~'~-D. IL~I~X~3.
/ (Name of party contracted to)
at the following address: [L~<~,"a) Q ~-~ ~[Chc~
(Address where work will be performed)
The nature of the work cons;sis off (Check One or Describe the Nature of Work)
~<~ Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Scrvice Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Servme
Entrance Cablcs will require a separate per:r, it.
Recormection or new circuit for the replacement of other permanently wired
appliances / fixtures,
New c~rcuit for the addition of A/C to an individual dwelling unit (house or tho
individu.-q sy,qtems in ~ duplex orcondomi:-2um), ;.ncluding required service
electrical outlets.
Other
(Zip Code)
The value of this work is $_.~'~"~.('~
I hereby verify this work will be performed by an employee o'f this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements,
(Signature of Co.e/er)
(Print Name of Officer)
(Date)
$/02