HomeMy WebLinkAbout0127092-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 137 W 11TH AVE
CITY OF OSHKOSH
No
127092
HV AC PERMIT - APPLICATION AND RECORD
Owner ROXANE M WOLFF
Create Date 10/03/2007
Contractor
GARTMAN MECHANICAL SERVICES
Category 500 - Residential-Heating & Ventilating
Plan
Fuel [?J Gas U Oil U Electric :::=J U Solar __~
System ~New 0_~~place,__,_J
~ Forced Air I U Radiant:J U~~~_J ~~_~=:J
Wlectric J 0 Hot Water, J U Suppl.____J U~'-.s~':!~_J
Chimney Type llib~~~_______O Chimn~___:_=]t~~t Ve~--=:==O Not Applica~~J
Heat Loss U As Approved . Existing ITNot Applicable ~ Value
BTU Rate 0 As Per Plan () Variable . Other I Value
U_lls>lfd,==1
Other
D_~~~T=--=~-~=-
80,000
Use/Nature S-FRlReplace furnace. Install 3" chimney liner. EIV provided by Bowman Electric.' **DEBIT ACCT**.
of Work
Fees: Valuation
$2,980.00
Plan Approval
$0.00
Permit Fee Paid _______~5E.00
Date 10/03/2007
Issued By:
D Permit Voided I
Parcelld # 0302830000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
PO BOX 2264
OSHKOS_,=,--_ WI 54903_ -2264 Telephone Number (92011~1-55~~
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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. 'HVAb PERMl, APPLiCATION
AU IDfb.tmllllqJ1 Bller bDld cllcl1Drle$ m\l61 be ?ro",:ld~d.
l.tlcompl1l1e I1ppJjpltiom w'f11 no,' be pro!:cSlil!:d.
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00T-03-2007 01:55 PM
P. 02/02
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CIIY (If O~hkosh
DivideD ofllllll"!o!i(lD Services
215 Cblll'ch A"l'DUl:'
PO Box II 30
Oallkosh WI 54903.1130
OffiCI:' 920-236-50S0
Fax 920-236-5084
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" Electric Installation Verification
I (We)
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1::>0 w~V'- E lc.,-tr;L... L-L L
(Electrical Contractor Name)
9/L/
(Address)
LA) 1,l. r1-- A-u<:- C6t~ k,y>h..
(City)
wE
(State)
t[; '-I jl) L.
(Zip Code)
have been contracted to perform electric installation work for
l3Y] u) l-ph
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
at the following address:
4-
Reconnection 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.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit. for the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual sy~temfl jn ~ duplex or c,o:p.dominium), !ncluding required service
electrical outlets.
Other
The value of this work is $-15; (). (::;()
I hereby verify this work will be performed by an employee of this company and funher verify
the reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
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(Signature of Company Officer)
CV1 L:: d .8 ()~ /YJ~r"/
(Print Name of Officer)
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(Date)
5/02