HomeMy WebLinkAbout0112514-HVAC (furnace)
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OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112514
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1209 CARR PL
Owner
CHRISTIAN M H LONG/MICHELE L MATUC
Create Date 02/01/2005
Contractor GARTMAN MECHANICAL SERVICES
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
80000
Use/Nature SFR/ Replace furnace - EIV provided by GMS - NO Chimney liner being installed
of Work
Fees: Valuation
$2,350.00
Plan Approval
$0.00
Permit Fee Paid
$41.00
Issued By:
Date 02/01/2005
U Permit Voided 1
Parcelld # 0804470000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 2264
OSHKOSH
WI 54903 - 2264 Telephone Number
(920) 231-5530
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To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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PO Box 1130
OobkoohWI 3499H130
Om.. 930-¡;ð-SOSO
Fax 920.336,5034
, EJe(:tric Installation Verlfication
I (We)
520 W. Southpark Avenue Oshkosh, WI 54902
(Address) (City) (State)
. (Zip C¡¡de)
have been contracted to perfoIJJ1 electric installation work for Ch r i R t i "In Lon g
(Name of party CO!1tr!WleØ to)
at the following address:
12:0'9 Carr Place
(Address where work will be perfoIJJ1ed)
The nature oCthe work consists of: (Check One or Describe the Nature. of Work)
x
Reconnectipn or new circuit for replacement Heating Plant and/Qr NC Cof\d~ns~r,
Reconnection or new circuit for replacement Electric Water Heater or power ve!1Je¡J
waterhe¡¡!er. . '. .
Reconnectionofthe Service Entral\.ce Cable, Meter Box, alterations 10 r!:Ceptacl~
and lighth'8 fixtures due to siding / soffit in$tallation. N()le: New Sc::rvic~
Entranc;eCa\>les will require a separate peffilit. '.
Reconnection or new circuit for the replacement r¡f other peIJJ1anently wir~it
appliances ¡"fixtures. . . .
New circuit forth" addition of AlC to an indiVidual dwelling unit (ho!jse Pc Ih!!
indivWna'syitemsin ..duplex orc9ndor,1Ï..him), includi!lgrequired service
electricalouHets. .' .
Other
The value of this work is $.
150.00
I hereby verify this work willl)e perfoIJJ1ed by an employee of this company and furl~er verify
the reconnection / install~tjon will be done in compliance with ma!1ufacturer an¡J Electrjçcod!l
requiremenls.
~~.
Tim Weitz
(Print Name of Officer)
1 /n /0';
(Date)
SIO2