HomeMy WebLinkAbout0126799-HVAC (furnace)
o
OSHKOSH
ON THE WATER
Job Address 1817 SIMPSON ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
126799
Owner KATHERINE J ROESKE
Create Date 09/17/2007
Contractor
GARTMAN MECHANICAL SERVICES
Category 502 -B~sJ<:l~ntia~Both
Plan
Fuel
~ Gas ITQ[ -,
I
~New
0J=orced Air U Radiant
Olectric U Hot Water
~himney A () Chimney B
0:: As Approved . Existing
o As Per Plan CTVariable
U Electric I U Solar
o Replace____~~
U Steam =:J ~ AlC -1
U Suppl. =:==J U Con. Burner l
. Dir~~____-=_~O_~~ fi.pprfCab1e-~
-=:0 Not Apel~l~_==_=:J Value
.--.9J!1er____=---:=] Value
OSOTIa--3
o Other I
UYenl=~
System
Chimney Type
Heat Loss
BTU Rate
Use/Nature SFR I Replace furnace and a/c. Install 3" chimney finer. EIV provided by-Slim's Elecfric. **DEBIT ACCT**.
of Work
--I
I
I
l~__
Fees: Valuation
_~__~~n5.00
~
Plan Approval
$0.00
Permit Fee Paid
_ _ _ ____ _ _ n18~:s>Q
Date 09/17/2007
Issued By:
D_~ermitY_~ided J
Parcelld # 1407440000
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 i~.?O) 231-5~~
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.
!EP-17-2007 08:07 AM
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Electric InstaUatJoJlV erlftcatlon
I (We) SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
260BOakwood Circle Oshkosh WI 54904
(Address) (City) (State) (Zip Code)
have bom _ to perfuun elec1ric illSlallallon worlc lbr1'0. ~~..! ./
(Name ofp contracted to)
at the following addresa: \ ~ \1 ~m l5<J.~
~ work will be performed)
The natunl of the work conaisltt of: (Chedc: One or Describe the Nature of Work)
~
Reconnection or new circuit for repJacemClllt HoatiDgPlw aDdIor A/C Condenser.
Roconnection or new c:it'cuit for replacmnCll1t EJactr:ic Water Heater or power vented
WaIer heater.
Reconncction of the Service Entrance CabJ~ Meter Box, alterations to receptacles
and lightillg fixcum due to siding IlIIOftit installation. Note: New Service
Enf.r1lQce Cables will require a separate permit.
RecoMection or new cirellit for the roplneement of other pemwnontly wired
appliances} fixtures.
New circuit for the addition of Ale to an IndiVIdual dwelling unit (house or tile
individual &yItems in a duplex or oondominiUJh.), inchldiag required service
electrical outlets.
Olhr:r
The value ofthia work is $ a:t> 00 .
J hereby vorify this work wilJ be perfonned by an employee oftbis company and further verify
the reconnection / installation will be done in compliaGce with manuf8ctum' and Electric code
rcquiRlll1cotll.
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(Print Name of orn (Date)
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