HomeMy WebLinkAbout0125165-HVAC (furance; a/c)
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OSHKOSH
ON THE WATER
Job Address 1950 CLlFFVIEW CT
CITY OF OSHKOSH
No
125165
HV AC PERMIT - APPLICATION AND RECORD
I
Owner LAWRENCE A JOHNSON
Create Date 06/05/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
Contractor GARTMAN MECHANICAL SERVICES
Fuel [-.(J Gas I I Oil
System o New I
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A . Chimney B
Heat ILoss r) As Approved . Existing
BTU Rate KJ As Per Plan () Variable
I ~ Solar ~olid
o Other
~ NC U Vent
U Con. Burner
() Not Applicable
I:
i
() Not Applicable
. Other
Value
Value
Use/Nature SFR / REPLACE 120,000 BTU FURNACE AND ADD 3.5 TON NC UNIT, EIV SIGNED BY SLIM'S ELECTRIC **debt acct
of Work
Fees:: valuatio~/",\"",--" $5~5.00
Issued By: ~
Plan Approval
$0.00
I
:
i
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Permit Fee Paid
$100.00
Date 06/05/2007
o Permit Voided I
Parcelld # 1525950000
I
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 perfor!TI 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 (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Nlumber. 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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City ofOsllkol'h
Division oflalpccUon Servicr5
::!lSo..-b"'_
POBox mo
OalliDllh WI 54903-1130
0IIice no.2J6-Sll5O
Fax 920-2$6-5084
Electric Installation Verification
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circte Oshkosh WI 54904
(Address) (city). (State). (Zip Code)
have be", COI1tl:acted to perfunn electric installaion worl< fur ~Q)v,.A ~ ~
~ame OfPart~ed to)
atthefoDowingaddress: \Cj;2L2 ~g, ~l1VJ-l ~
(Addres~rk will be petformed)
I (We)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X-
Reeonnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconncction oftbe Service Entrance Cable. Meter Box, alteratiODs to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrallce Cables will require a separate permit
Reconnection or new circuit for the replacement of other permanently wired
appliances 1 fixtures. .
New circuit for the addition of AlC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Oilier
The value of this work is $ ~ ,CX)
I hereby verify this work wil1 be performed by an employee of this company and further verify
the reconnection I installation will be done incompliance with manufacturer and Electric code
requirements.
(Signature of Comp
YjV).o A tJ~J1 ~~ jyf4 . kl J ( fY1
(PrintNameofOffi ~
5102
~ . JUh. ~3 Q4' Oi!20p
OSllkush )nspections
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,j..'): . '.' :'. '. tUy oroshkosh
;';. .'.; ':. bivilloli ot inspection Senrices
~' .i; . P.O. Box fbo ..
! ',:; .' Oshkosh, Wi 54903.t jjo
". PhOn~ (92.0) 2j 5-5 050 "
~. Fax. (920) 236-50S,j
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i}:;'\'.:,,' '. ~-:'.' \ ertEck El ALL Al'PLiCABLE
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;".:" ':i:f,f.'1':~Y ODuplex OMulti.Family
~~;ll1iEt ~ bEI.otrio OSoHd.
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'1~:~~~:~J.::'~~~;~:~}~'2~f ;t!Nt;t~b~~';~ _ LINE; SlZE
~:fC:'t). ..' Mote: AU ehlriii:ieys !haII be !.izcd per the BTIJ'$ being venfed.
w:::;,~y ~ii bCirlmney A ' . :imneyBDD"';! Ven' ,. OOth", .
::~.:.'.':_:t,r.:.'~.i.:.;';'. . ':.~~r.\.-t. toSS. DAs Approved 'sting Ol4ot Appli~b1e ;
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. HV At PERMIT APPLiCATION
AU Informatiql1 after bold CalcgDr1~8 must be pTc,:id~d.
Incompiele Bpplication! will no.! be processed.
.. Appi'ca.tion(s) arid fee(s) ca~ be brought to City Hall, Room 205 or inajk.il LU lnspccHon Services, PO Box 1 J 28,
Oshkosh WI 54903-1128. Commencing.work .yithout permil(s) wiil n."Sull in fees being doubled or SIOO.OO pluB tbe
tiohnal permit fee, whioh ever is greater. .
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conti-'c or . ar Ie' ai/II
hi' r ud r-cu h 11
ee Account S'VJ'tc .': and have ade!lt.l~te
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DATE
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ORentaI
o Comrnercia I
OIndustrial
SYSTEM
~lace
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o Other
& MANuF ACTIT.P...ER .
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. DE$eilirioN OF ALL WOR1CBElNG DONE
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. .:::-.... '~':.' tI ~oi tipp1.icable Projects, an Electric lns,blllation Verification [oTm, signed by the Electrical Contractor, mu.;t be
. :'~.:';j'" .:;'.'-"itta6hed, Uno! ~H:aohecl or noLappucabie, Ii. sepa..--ale Bleotrlca, POi1l1it is ~'eq\.llred. .
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