HomeMy WebLinkAbout0111950-HVAC (furnace)
111950
CITY OF OSHKOSH
No
OSHKOSHHVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
DOROTHY HARRAND
Job AddressOwner
108 MILL ST
Create Date12/09/2004
ContractorGARTMAN MECHANICAL SERVICESCategory500 - Residential-Heating & VentilatingPlan
OilElectric
üü GasSolarSolid
Fuel
New üü ReplaceOther
System
üü Forced AirRadiantSteamA/CVent
ElectricHot WaterSuppl.Con. Burner
Chimney TypeChimney AChimney BDirect VentNot Applicable
Heat LossAs ApprovedExistingNot ApplicableValue0
As Per PlanVariableOther
BTU RateValue80000
Use/Nature
SFR/ Install replacement furnace, and install 5 inch chimney liner - EIV provided by GMS
of Work
Plan Approval$0.00
Fees: Valuation$2,400.00Permit Fee Paid$41.00
Issued By:Date12/09/2004
Permit Voided
Parcel Id #0801890000
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.
SignatureDate
Agent/Owner
AddressPO BOX 2264OSHKOSHTelephone Number(920) 231-5530
WI54903-2264
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.
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Division of ins
2 lvbbu cb Ay nceion Services
21 S Church Avenue
PO Aoa 1130
Oshkosh WI 54903.1130
.l OQke 92.50
Fax 920 - 236.0.236 50
Electric Installation Verification
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I(We) Gartman Mechanical Services
(Electrical Contractor Name)'
520 W. Southpark Avenue 0sakosh, WI 54902
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for D o r o t y Herr a nd
(Name of party contracted to)
at the following address: 108 Mill Street '
• (Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
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X 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 •
r��rr
water beater.
Reconnection of the Service Entrance Cable, �M eter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances /fixtures.
New circuit for the addition of A/C to an indi yidual dwelling unit (house or the
individ:: "i systems in duplex or condor. }c including required service
electrical outlets.
Other
The value of this work is $ 150.00
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
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Tim Weitz 12/6/04
(Signature of Co ' any Off er) (Print Name of Officer) (Date)
5//02
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