HomeMy WebLinkAbout0115619-HVAC (A/C)
~
OSHKOSH
ON THE WATER
Job Address 1770 $ WESTHAVEN DR
CITY OF OSHKOSH
HVAC PERMIT. APPLICATION AND RECORD
No
115619
OWner
DIANA M ULRICH
Create Date 08105/2005
Plan
Contractor GARTMAN MECHANICAL SERVICES
I I Gas I I I Oil
Fuel
System D New I
U Forced Air I U Radiant
I I Electric I I Hot Water
Chimney Type K) Chimney A e ) Chimney B
Heat Loss K ) As Approved e ) Existing
BTU Rate K) As Per Plan e ) Variable
Category 501 - Residential-Air Conditioning
I~I Electric
Pl Replace
I I Soiar
I I Soiid
n Other
U Vent
U Steam
I I Suppl.
e ) Direct Vent
~ AlC I
I I Con. Burner I
. NotAppiicable
. Not Applicable
. Other
Value
Value
Use/Nature Replace AlC. Bowman Electric.
of Work
Fees: Valuati
$1.750.00
Plan Approval
$0.00
Permit Fee Paid
$32.00
Issued By:
Date 08105/2005
D Permit Voided I
Parcelld # 1315600000
In the perfonmance of this work. I agree to perform ali 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 appiicant 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.
~
OJHKOfH
ON '"' WAm
City of Oshkosh
Division ofI"'P,,"on SeM"s
215 Ch""b Avenue
PO Box 1130
Oshkosh WI 54903-1130
om" 920-236-5050
F.x 920-236.508'
Electric Installation Verification
I (We)
Ó"WtM-A-'^-. £le-J.rì<-.. l-¿L
(Electrical Contractor Name)
9/4
(Address)
!/J
u.tI:-
k {)5Jk¿),,>~
(City)
¿'-J 12
(State)
~Ljjð2-
(Zip Code)
have been contracted to perfo= electric installation work for Diane Ulrich
(Name of party contracted to)
at the following address:
1770 S. Westhaven Drive
(Address where work will be perfonned)
The nature of the work consists of: (Check One or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or NC 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 / soffit installation, Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances / fixtures.
- New circuit for the addition of AlC to an individual dwelling unit (house or the
individual sy,~tems jD 2 duplex or condowinium), irlc1uding required service
electrical outlets.
Other
The value ofthis work is $
150.00
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
ßd
(Signature of Company Officer)
{!..hccl gÐwffl"'-YI
(Print Name of Officer)
7/29/05
(Date)
5/02