HomeMy WebLinkAbout0113812-HVAC (furnace)
CITY OF OSHKOSH
No
113812
OSHKOSH
ON THE WATER
HVAC PERMIT - APPLICATION AND RECORD
Job Address 336 W 6TH AVE
Owner
PERPETUA H MOLASH
Create Date 05/03/2005
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
100000
Use/Nature SFR/ Install replacement furnace. EIV provided by Bowman Electric.
of Work
Fees: Valuation
$2,500.00
Plan Approval
$0.00
Permit Fee Paid
$42.50
Issued By:
Date 05/03/2005
U Permit Voided 1
Parcelld # 0902420000
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.
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0-1;i~g!.H
C;tyofO,bko,h
O;,;,;on on"'p,,';on S'M",
215Ch",chAv'nue
PO Box 1130
O,bk"h WI 54903-1130
Offi" 920-236-5050
Fox 920-236-5084
Electric Installation Verification
I (We)
DowIM-A-V'... Elc.è.-h--ì<-. l-¿ L
(Electrical Contractor Name)
9/4 W 1J- de-- k ðsJko':>h.. v-.J12 <;LJt-ð'L-
(Address) (City) (State) (Zip Code)
have been contracted to perfonn electric installation work for ~ '* \f\(\'\Q.o r:::, ~,
(Name of party contracted to)
at the following address:
~3lJ CJ, lo~
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
--X-
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances I fixtures.
New circuit for the addition of AlC to an individual dwelling unit (house or the
mdividual systems jD B duplex or condo!!'inium), inc!udi.'1g required service
electrical outlets.
Other
The value of this work is $'\¿i') l~
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
ßd.
(Signature of Company Officer)
é-hccl ß[)I,)/'YI"'-/1
(Print Name of Officer)
LÂ\m \Ö~
(Date)
5/02