HomeMy WebLinkAbout0127279-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1970 CLlFFVIEW CT
CITY OF OSHKOSH
No
127279
HVAC PERMIT -APPLICATION AND RECORD
Owner DAVID J BORSUK
Create Date 10/16/2007
Contractor GARTMAN MECHANICAL SERVICES
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U NC U Vent
U Con. Burner
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent () Not Applicable
() Not Applicable Value
. Other
Use/Nature SFR / REPLACE FURNACE, EIV SIGNED BY SLIM'S ELECTRIC "debt acct
of Work
Value
80,000
:::S~d :::uat~
$2,640.00
Plan Approval
$0.00
Permit Fee Paid
$50.50
Date 10/16/2007
D Permit Voided I
Parcel Id # 1525930000
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
~ 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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'HVAb PERMIT APPLICATION
. AIj It1frmtJ/I~it!n Iln!:r bold r;aleporI~ mlJsl bcprcl'\~ld~d.
.J%l"pmplcl~ .pplit:.tiolll will n".' be pro!:cs6ed.
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OCT-15-2007 03:03 PM
P. 02/02
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Electric InstallstloG Verification
I (We)
SLlMtS ELECTRIC INC.
(Elcsctrical Coritraetor Name)
WI
(State)
,.
54904
(Zip Code)
The nature oflhe work consists of~ (Cheek One or Doscribe the Nature of Work)
~
Reconnection or new circuit for replacement Hoatins Plant and/or NC Condenser,
Rcconnection or new circuit for rept8Cement Electric Water He8t<< or power vented
wiler heater.
RecQnnection ofibe Service EDtrance Cable" Meter Box, alterations to receptacles
and lighting hturcs due to aiditag I soffit i1lstallation. Note: N~ SCttVice
Entnmce Cables will reqwro a separate perm.it.
RecoMec::t10n or new circuit for the replacement of other permanently wired
appliances) fixtures.
New circuit tor the a44ttlon of Ale to an tndMdNal dwelling unll (boWIe or the
individual ayitems in a duplex or condominium), includina' n=quired service
electrical outletS.
OUter
The value of this work is $ \Sf),J:x.J
I hereby verify this work willbe perfonned by an employee oftIlie company and f\lrther verify
the reconnection I installation win be done in eompliucc with manufacturer' and Electric code
rcquiremf:l'ltll.
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7)/1'-,.0 d ~':J~IJ4
(Print Name ofOffi
) ()t\S In
(Date)
5102