HomeMy WebLinkAbout0126109-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1248 WESTERN ST
CITY OF OSHKOSH
No
126109
HVAC PERMIT -APPLICATION AND RECORD
Owner ALBERT C BURNS
Create Date 08/06/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas LJ Oil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A () Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate o As Per Plan () Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR / Repalce furnace and alc. Install 3" chimney liner. EIV provided by Slim's Electric. **DEBIT ACCT**.
of Work
Fees: Valuation
$5,300.00
~
Plan Approval
$0.00
Permit Fee Paid
$89.50
Date 08/06/2007
Issued By:
D Permit Voided I
Parcelld # 1203330000
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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'HVAC PERMfr APPLICATION
Allil1fOIn1l!tiq71 after bold cliIcgorJes musl be pro,:id~d.
f.t:lCompieie applicaHon! will no.! be prot:c~sed.
· . Appil"'t;on(,} <rid fee(,) e;n be bcoughi to ti Iy !loll, Room 105 0' hWI", '" L,-"p"'Uon Becvi",," PO Box 112B, .
Oshko,sh Wi 54903-1128. Com.lT~ncing..wDrk ;.yithollt pr:nnii{s) wHl restilj in fee.s being dou!5Jed or $1 00,00 plus in!
nOh1:i~l p~1t fee, whioh ever is gn"a!er.' .
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AUG 0 6' 2007
".c~, ~/~~
DEPARTMENT OF . .
~ COMMUNITY DEVELOPMENT
INSPECITON SERVICES DIYISION
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C'1I)' t'lfOlbklllb
Divisilm oflllrpmion Senic~
:l15Chu.chA_ ..
PO Box n~ .
Otbltosh WI 54903-1130
onict nO-ZJo.SIJ5D
fax P2!)..:%J6.s()84
Electric InstallatioD Verification
I (We) SLIM'S ELECTRIC INC.
(EleciricaJ Contractor Name)
54904
(State) (Zip Code)
have been contracted to perfonn electric installation work for ~ )'::x. \) ~ 1(\ (\l)
(Name of party contracted to)
at the following address: \~L\({' ~b'\ &
(Address where work will be performed)
. 2608 Oakwood Circle Oshkosh.
(Address) (City)
WI
The nature of the work consists of: (Check One or Describe the Nature of Work)
d,-
Reconnection or new circuit for replacement Heating Plant andIor Ale Condenser.
Reconnection or new circuit fur replacement Electric Water Heater or power vented
water heater.
Reconnection oftbe Service Entrance Cable. Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit insta.llation~ NC>te: New Service
Entrance Cables will require a separate permit
Reoonnection or new circuit for the replacement of other permanently wired
appliances J fixtures.
New circuit for the addition of Ale to an tndMdual dwelling unit (house or the
individual systems m a duplex or condominium). including required service
elec::tricaJolltlets.
Oful:T
Th.e vaJ.ue {lfthis work is $ dt-f1 I'D
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Comp
\
~\S \01
(Date)
RECEIVED
.-. --AutrO 6 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPEC110N SERVICES DIVISION
.~_.- .- ----- --. -- -.