HomeMy WebLinkAbout0113647-HVAC (furnace & a/c)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113647
HVAC PERMIT - APPLICATION AND RECORD
Job Address 820 BAY SHORE DR
Owner
HELEN 0 SCHMIDT/D J LUKER
Create Date 04/22/2005
Contractor GARTMAN MECHANICAL SERVICES
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j U
Forced Air 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 502 - Residential-Both
1,(1 Electric
Plan
1 1 Solar
1 1 Solid
1
1 1 Other
1 U Vent
1
1,(1 Replace
U Steam
1 1 Suppl.
l..j A/C
1 1 Con. Burner
. Direct Vent
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
80000
Use/Nature SFR/ Replace furnace and A/C - EIV provided by Slims Elect. - No Chimney Liner being installed ---Where an appliance is permanently
of Work disconnected from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the interior of the
CN and to provide the appliance or appliances served with the req. draft.
Fees: Valuation
$3,850.00
Plan Approval
$0.00
Permit Fee Paid
$63.50
Issued By:
Date 04/22/2005
U Permit Voided 1
Parcelld # 0805490000
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
---
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.
. Cioyor_\
~~ DiYioioDoll-"'>-
"".... 2)JChooohA-
PO ø.. IUO
~ OtbbohWIS4003-I130
() co 02"236-$000
fIX t20.23605011
Electric Installatlou Verificatiou
SUM'S ELECTRIC INC.
(E1eWicaJ Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have been contracted to ~1'f011ll electric installation work for cht n Ñ-,Nl A ~ ~~k 0 /\
(Name of Party co acted to)
at the following address: 9::èJJ ~~\1 S> I
(Address wb work wiìÜe pcñO11lled)
I (We)
The nature of the work consists of: (Check One or Describe the Nature of Work:)
..::£... Rcconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
- Rcconnecûon or new circuit for replacement Electric Water Heater or power vented
water beeter.
- Rcconnectio¡¡ of the Service Entrance Cable, Meter Box, alterations to reeqrtacles
and lighting fixtures due to siding I soffit instaIlatíon. Note: Now Service
Entrance Cables will requJro a separate permit.
- Rcconnoction or new circuit for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of AlC 10 an tndMduo.l dwelling unIt (house or tbe .
individual systems in a duplex or condomini\lll1), including required service
electrical outlets.
- Other
The value of this work: is $ \ ~ ,0'-.)
I hereby verify this work wiJI be perfonned by an employee of this company and further verify
the rcconnection I installation will be done in compliance with manufacturer and Electric code
requin:tnenbi.
W4J¡e
¡yf4 l\. \ \. ~\()c;"
(Date)
õJO2
.._-,-' - ----- -_. -- -
...-..-. -'