HomeMy WebLinkAbout0111526-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 816 EASTMAN 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 JAMES E RASMUSSEN
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
111526
11/05/2004
Other
Vent J
80000
Use/Nature SFR/Replace furnace and install 3" Hart & Cooley chimney liner - EIV provided by Slim's Elect.
of Work
Fees: Valuation
Issued By:
$3,160.00 Plan Approval $0.00
Permit Fee Paid
Permit Voided J
$53.00
Date 11/05/2004
Parcel Id # 1003040000
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.
Flectric Installation Verification
SLIM'S ELECTRIC INC.
(Electrica! Contractor Name)
2608 Oakw. Circle Oshkosh
have been contracted to p.~ electric installation work for
WI 54904
(State) (Zip Code)
Jim Rasmussen
(Nme of party c, ont~a~ted to) '
a~ the following addr~s: --
816 Eastman
(A_a _a_mss wbe~ work will ~ perfonned)
Thc namm of the woflc con~:sts of.' (Check One or Describe ~he N.~tur~ of Work)
X . Recormecdon or new c/rcuit for replacement Hcal/n~ Plant and/or A/C Condcmcr,
Reconnect/°n or new circuit for replacement Blectr/c Water Heat~ or powe~ ve~ted
wa~er heater.
.. . Reconneotion of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures duo to siding / soffit installaNon. No~e: New Sci'vice
Entrance Cables will r~quiro a a6,paralo p61a~iL
, Reoonncction or new circuit for thc replacement of other pennancntly wired
appliances / fixtures,
New circul~ for the addition of A/C ~o sm individual dwelling umt (hous~ or tl~
individue! systems in a duplex or condominium), including required service
electrical cutlers.
Other
Thc vah~ of this work is $ 15 0.00
I h~reby verify this work will be performed by an employee of this ~ohipany and fmtber vmify
thc reconnection / installat~n w/Il be done in compliance with m~nufacturer and Electric code
r~xluir~ment~,
(Print Name of Officg~ (Date)