HomeMy WebLinkAbout0111525-HVAC (furnace)OSHKOSH
ON THE WATER
JobAddress 1517 BURDICK 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 RICHARD/SANDRA HACKBARTH REV TRL
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 O Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
111525
11/05/2004
Other
Vent J
60000
Use/Nature SFR/Replace furnace and install 3" Hart & Cooley chimney liner - EIV provided by Slim's Elect.
of Work
Fees: Valuation
Issued By:
$2,530.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$44.00
Date 11/05/2004
Parcel Id # 1501580000
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
I
SLIM'S ELECTRIC lNG.
(Ele~rical Contractor Name)
2608 Oakwood Circle Oshkosh
(Adding) (City)
have b~t~ cont~actod to F~.ff~nn ¢lccffic LastaR~t~on work for
WI 54904
(State) (Zip Code)
Dick Hackbar th
(Na~me of pa'ty ~oal~acted to)
a~ the following ad~:
1517 Burdick
' (~dmss whom wozk will b~ pcfformod)
The nature of the woflc ~cm'i,*.ts off (Check Ofle or Destaibe the Natme of Work)
Thc value ofthis work is $ 150.00 ,-
I h~rcby verify this work wqdl be p~fonm~d by an ~ii~loy~ of this ~mpany and f~Ith~' verify
thc rcconnection / ~a~on will be done in compliance with manufa~tm~r ami Eleo~ic code