HomeMy WebLinkAbout0125008-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1925 CLlFFVIEW CT
CITY OF OSHKOSH
No
125008
HVAC PERMIT - APPLICATION AND RECORD
Owner JAMES ROYER
Create Date OS/29/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type [) Chimney A C) Chimney B
Heat Loss CJ As Approved . Existing
BTU Rate () As Per Plan CJ Variable
Category 502 - Residential-Both
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
CJ Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace fumace & a/c. EIV provided by homeowner. **DEBIT ACCT**.
of Work
Fees:: Valuation
$6,695.00
~
Plan Approval
$0.00
Permit Fee Paid
$110.50
Issued By:
Date OS/29/2007
o Permit Voided I
Parcel Id # 1525870000.
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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: · 'App'Hot.tlo,;(s) Ilnd f~O(6) cal'! be brtJ\.lghi to CIty Hall, RODm :!.O.5 or inalk~ u: Inspection Scryjccs, PO Do~ 1128, ~
Oshkosh W1 54903-1128. C01Jlrnt:'.l1clng .wDrk \'?ithout permll(S) wlllresull In re~ bdng doubled or $1 00,00 phJlllh~
.: ,tiotiti~l permit fa!!, whioh !I"'e.r,~ll gl.'l:.lller, . " ' . . ' ,
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t:~~)<.. ,::';,: ~~.;eihcck ~ ALL APPLicABLE "
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'HVAC PERMIT APPLICAT10N
AU .i.ntbI11'lAUo~ after bold celcll'DrlO$ must b~ pro~ld~d,
.b:l~olnpiclc ~ppHeltlDnl w'lJI no,! be prOl:e~~~d.
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. .:\... ,i~::.' fj ~6f appl.icli.bio ProJ~ch, "aM .E.l~~tric lnstarf!il:J~mfi~aJ:ion fDrm, t'l.petl by the Electrical Contnctpf, mU~\ be
-:';:'}' ',:.1 ,::)lttatlh~. Utlo( trblchcd 'or noLapr;llcll.bie, iii llepe..rtll!:: Eleotrl~al.F!'.Irmlt iHt:.quJred, , .
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MAY-29-2007 09:02 AM
P. 02/02
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Electric Installation Verification
I (We)
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,
(print h()meowner(s) name)
/~.t<5 C~~/LW ~
(address where work is to be performed)
the homeowner(s) of
accept the responsibility for pcrlbnnmg the electrical work as slated be.low fOT the property listed
above.
'l'hc nature of the work consists of: (Check Om: or Describe the Nature of Work)
~ Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
_ ,Reconnectioll or new circuit for replacement Electric Wal:er Heater or power vonted
water heater.
R~onncction of the Service Entrance Cable, Meter Box, alterations to receptacles
aocllighting fixtures due to siding / soffit installation. Note: New Scm1ce
Entrance Cables will require a separate permit.
Reconnection or new oircuit for the replaoement of otheT'perrnanently wired
appliances I fixtures.
New circuit for the addition of Ale to nn individual dwelling unit, including
required. service electrical outlets. Note: Homeowners can only do their own
electric on a singlefamily owner occupied home. Work on a candomi"ium,
duplex, rental, or multi-use building would require a licen.fjed master
electrician.
Other
The value ofthis work is $ .s D ~-----
r hereby verify this work will be porformod by me and further verify the rcconnection/
installati.on will be done in c. co with manufacturer and Electric code requirements.
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meowner(s) Signature
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