HomeMy WebLinkAbout0113648 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113648
HVAC PERMIT - APPLICATION AND RECORD
Job Address 1614 N MAl N ST
Owner
ANDREW C SCHMIDT
Create Date 04/22/2005
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 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/ Install replacement furnace and A/C and install 3" chimney liner - EIV provided by Slim's Elect.
of Work
Fees: Valuation
$4,260.00
Plan Approval
$0.00
Permit Fee Paid
$69.50
Issued By:
Date 04/22/2005
U Permit Voided 1
Parcelld # 1500340000
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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Electric Installation Verification
I (We) SLIM'S ELECTRIC INC.
(EIec1ricaJ Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for Nl)¿:l-* 'I.. ~ ~ ~
(Name of party Contracted to)
attbe following addtess: \'-c\L\.. ~, 'f'<ìo "- A
(Addresa where work will be perfOllDed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
2L Recormection or new circuit for replacement Heating Plant and/or AIC Condenser.
- Recormccûon or new circuit for replacement Electric Water Heater or power vented
wilier beater.
- Recormection oftbe Service Entrance Cable. Meter ~x, alterations to receptacles
and lighting fixtures due to siding I soffit ÎI1StIIllation. Note: New Service
Entrallce G8bles will require a separate permit.
- Reoormccûon or new circuit for the replacement of (',\her permanently wired
appliances/ fixtures.
New circuit for \he addidon of NC to an IndMduaJ dwelling unit (ho1l8C or tbe .
individual systems in a duplex or condominium), incIudinB required service
electricaJ outlets.
- Olhr;r
The value of this work is $ \ ~O- C:s-.) .
I hereby verify this work will be perfunned by sn employee of this company snd further verify
the reconnection I instaIJation will be done in compliance with manufactum' and Electric code
requircmcnta.
ú.
7)4//1.0 A Yo~¡yf4
(Print Name of om
(Date)
5102
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