HomeMy WebLinkAbout0099392 HOSHKOSH
ON THE WATER
.lob Address 537 OAK 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 JANIS L ROST
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 ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99392
01/08/2003
Other J
Vent J
Use/Nature SFR/Replace furnace. *EIV form from Homeowner.
of Work
Fees: Valuation
Issued By:
$1,550.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$29.00
Date 01/08/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 520 W SO PARKAVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
JRN-09-2003 THU 04:22 RM I.c, 920'2310486
City el Oshkosh
Dirt6.. ~s of hssl~eclion Services
P,O. h.',x I ! 30
O~hko.:h, WI 54003-1130
Phone ~920) 236-5050
Fax i:;20) 236-50~
-- -oH THE WATlili
HVAC PERMIT APPLICATION
All infommtion after bold caiegorics must be provided.
Incomplete applications will not bt: proc~:sscd.
· /: ?plication(s) and fcc(s) can bo brought to Cit~ Hall, Room 205 or mai|cd to Inspection Services, P:O Box 1128,
C, .hkosh WI 549034128. ~ommenoing work without penuit(s) will result in fees b,~ng doubled m $100.00 plus tho
~,. cmtd permit fcc, which ev~ is greater.
OR
CON' .-':RACTOR~
CIIF./.'K IZ[ ALL APPLICABLE .
SE,: :ATEGORY
i,;gle Family 13Duplex EIMulti-Family I:]Rontal ElCommorcial I:ilndus~al
FUEl, ~as E]Ekct~io flSolid SYSTEM rlNew ~Pdplaoe
DOll IDSolar ClOthes'
o~,:~ed Air flRadiant [IStcam E]A/C riva,mt ~le~ BI.lot Wa~ ~Suppl.
IS C} I~NEY BEING LI~ ~No DYes -
Note; ~tll cbi~eys shall be ~d ~r I~ BTU's ~iug v~l~.
CIIlMN~Y T~E ~Chimney A ~Chi~cy B ~Dkect Vent . ~O~r
~A'F LOSS ~As A~oved ~ximing ~Nol A~lkable
BTU ~'~T~ ~Aa Per Plan ~Variahlo ~Oth~ Value
DES( :~PTION OF ~L WO~ BEING DO~- ~-- ~~
~Con. Bumo~
YAL'[ It (lndudi,i~ Isbor and all materials I.¢ltldin¢ light ftstur.) ~r:_~["~.C~
O Far applicable projects, an Elee~o l~talla~°n V~rifi~ation fo~, si~ by t~ Elec~cal ~n~t~, m~t ~
attached. If not attached or not applicabl~, a s~ate Electrical Posit is ~quircd.
JRN-09-2003 TttU 04:23 RI'1 C,~$
~ov ].30l 04;30p Code
] itC,
Enfaroemen~
9202310486
920-236-5084
O2
Electric Installation Verification
(We)
Janis Rost
(print homeowneffs) name)
sl~ehomeowner(s) or 537 Oak ~r-ro-or- ' '--.
(address where work is to bo performed)
accept the responsibility for performing the electrical work as stated below for the property listed
above.
Tim nature of the work consisls of: {Check One or Describe the Nature of Work)
X l~conncction or new circuit for replacement Heating Plant and/or A/C Condenser.
- ._ _ R¢connection or new ciTcuit for replacement £1ecttic Water Heater.
' Rccoimcction of the Service Entrance Cable, Meter Box. alterations to rCCcl~aclcs
........and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will ~requirc a separate pen'nit.
Reconnection or new circuit for other permanently wircd appliances / fixtures,
Other
The value of this work is $ 75. O0 .,.
I hereby verify this work will be perform~l by me and further verify the reconnection 1
installation will be done in compliance with manufact.~rer and Electric code r~uirements.
-- ~_~omeown~r(s) Signature