HomeMy WebLinkAbout0125688-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 1071 W 5TH AVE
CITY OF OSHKOSH
HVAC PERMIT ~APPLlCATION AND RECORD
No
125688
Owner JAMES C/RUTH SITTER
Create Date 07/09/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
I j Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss [) As Approved . Existing
BTU Rate [) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
j Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
60,000
Use/Nature JSFR / Replace furnace. EIV provided by Slim's Electric. **DEBIT ACCT**.
of Work
$3,300.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$59.50
Issued By:
~
Date 07/09/2007
D Permit Voided I
Parcelld # 0608100000
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 (Le. 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.
::?L -OB~c~,007 :09 ~:J~ :: 04 01.20p O,"ko.h ,Inspe"lon.
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.~: ;. Fex. (P2Cl) 236-$084
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'\'.'YAO PERMIT APPLiCATION
All infPntJalrtll1 after bold cBlellDTlce must be pro~ld~d,
~ll~omplclc .ppJioaHo/lJ will no.! be "ro~c:u~d,
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.1\.:. . ; · ' AppiiCALl?Ii(e) arid f~e(B) ca~ be hruughi ~o City HaJJ, nOOnl 205 or mallu.)] ILl lnspeoU?n Services, PO DOl 1128,
. . . Oehkosh Wl '4~03-1 I 28. Conun~olng :work \Yithout pmnll(s) will n:sul tin feu bemg doubl cd or S 100,00 plus lhe
.( ..:~ .. ~ohD~1 ~H tee, whfoh elVer,lll gl'r.lller, " I '
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(, );::'.\ ":' ;.: ::. ~Eck &; Ai:.L Arrti cABLE
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'1~~,~:~ft~:':~i~;;g_~ ;~iN'~-~b ~~,~~ _ LINER' SIZE
i~:9'~.' ,,' ~.Q~ei~~!. ~hlriili~y, shill bel.hod pilr the ~ro'll br:ms v~nted,
t~::, d~~~E gX:J:':;o~d' =iB~~~I: DOU,,, '
:,A." .' ';~T:i1.RATE. DAti Per .Plan DVamble 0atJler Value 6~ c-cc
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:*~:';.... ,DiSchbnoN OF ALL WORK llElNG DONE
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<. ",XLEt;:fiqc4 dONT.RAcroltr p4 y ~~.~. .1, . . .
. ...-..:.. ". .~Ppjio~bl~ Project!. ah .Eleol:rio lns~llatJon Veriflcll1::ion form, Dig.:'l.erl by th~ EJacLnoaJ ConlrBclor, mlJ..t be
. :.: }':' ",:'.:~~..il1aoh~. Hoo! iltiaohed or not.appliclI.bitl, Ii lI!:'pll.l'lllc .EJeotrlo~1 pe.rml.l is requIred. '.
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JUL-09-2007 09: 14 AM
P. 02/02
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Electric Installation Verifieatlon
J (We)
SLIM'S ELECTRIC INC.
(Electrical Contragtor Name)
?608 Oakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
hovo boon _tal to perfonn olootri. iaolallation _ ~xY\ J;.~ liJl A
e of pany contracted to)
at the following address: \ ()~u.) 5th
(Address wbere work will be performed)
~.
The u.at:ure of the wodc r;onaists of: (Check One or DCl8Cribe the Nature of Work)
L Recormection or now circuit for replacement Heating Plant and/or A!C Condenser,
RClCOJUlection or new circuit for replacmnent Electric Water Heater or power vented
wiler bealer.
Rcconnection of the S<<Yk:e Entrance Cable. Mcrer Box. aJtemtions to receptacles
and lighting fixtures due to ai4iDg I soffit inatallatiOQ. Note: New Service
Entnmce Cablea will require a .eparate permit.
Reoonnec1ion Dr now circuit for the replucement of other pcnuanen.t1y wired
appliances) fixtures.
New clrc\lit for tho ad4Uion of Ale to 111 mdMtIuIll dwelling UJltl (boutie or the
individual aystems in a duplex or condominium). includiDB nquind service
electrical outlets.
OLhc:r
The value of this work is $ \nO. a'~ .
I hereby verify this work will be perfonned by an employee of this company and further verify
the reconneotion I installation will be done in compJitmce with xnanufaclUm" end Electric code
roqv.in:monta.
7),40/ J .0 ,4 ">1> ":i~./Y/( Ij I q I (!)
(Print Name of om (Date)
61112