HomeMy WebLinkAbout0106259-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1103 E IRVING AVE
Contractor GARTMAN MECHANICAL SERVICES
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner MERCY MEDICAL CENTER OSH INC
Category 502- Residential-Both
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
106259
02/02/2004
Other
Vent J
Use/Nature SFR/REPLACE FURNACE*ElF BEEZ ELECTRIC
of Work
Fees: Valuation
Issued By:
$1,850.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$33.50
Date 02/02/2004
Parcel Id # 1104430000
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.
9~/28/2004 07:41 9202017255 BEEZ ELECTRIG PAGE
Electric Installation Verification
(We)
have been co,itt'acted to perform electric imtall~tion work for ~,~fllllL~[li~.
at the following address: 1103 ti. IrvinffStreet.
The nature of the work consists of: (Chc~k One or Des~ibe the Nature of Work)
[] Reconneotion or new circuit for replacement t-Icatixlg Plant and/or A/C Condenser.
[] Reconneciion or new circuit for replacement Electric Water Heater.
[] Reconnectinn ofthe Se~Mce Entrance Cable, Met~ Box, alterations to recepta~es and
Ill, ins flxture~ due to siding / soffit installation. Note: New Service Entrance Cables
will require a separate permit.
[] Recormection or new circuit for other permanently wired appliances / ~tures.
[] Other
The value of this work is $150.00
I hereby veri~ this work will be performed by an employee of this ~.ompany and further verify the
reconnect'ion / installation will be done in compliance with manufacturer and Electric code
(5ignatur~ of
Officer)
o2/28/04