HomeMy WebLinkAbout0127560-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1402 ONTARIO ST Owner CHARLES J ISHAM Create Date 10/30/2007
CITY OF OSHKOSH
No
127560
HV AC PERMIT - APPLICATION AND RECORD
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Category ~O~_~F3~~l~_~n!ia!~E3_~th______ ________ Plan
D~~ectii~_-~_=~=J D__~9~T=-~-:_---1 D_~:~IiC[_ ~~:_~J
0~~pla~________J Q2t~~~______~_J
~~---l ~~-=:J Dvent---:J
I. J suppL=::::J U Con. Burner J
__..J;>irec~~r1L..____o.J'!~.Lp.pe-'l~c:I_~...--J
o Not Ayplicabl~____] Value _____________
__Other ________--==~ Value _________!3.0,_Q9_q.?_~~.t.()..I1
Contractor GARTMAN MECHANICAL SERVICES
Heat Loss
~9_~:___J
Ol-Jew
0}orced Air
[TIrectiiC----1
IT:Q:himney A
D As Approved
~Per Plan
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Fuel
System
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[I Hot Wate~-=:J
() Chimney B _______
. Existing
() Variable
Chim ney Type
BTU Rate
Use/Nature fFR / Replace furnace and a/c. Install 3" chimney liner. EIV provided by owner.
of Work I
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$9,520.00
a4?t~
Plan Approval ~____ $O.QQ
Permit Fee Paid
.. ____11~4.00
Date 10/30/2007
Fees: Valuation
Issued By:
D_~_~':..f1l~~~Oid~dJ
Parcelld # 1210330000
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
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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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:;. ~aii. (92d) 236-5084
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'HVAC PERMIT APPLfCATION
Alllllfonnatiqp after bold caIcgvries must bt prol:id~d.
fl1comp ieie sppIicaCiom ",;;iIl m:>.! be procc;;sec!.
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.. ij'ft~: i~~;~l ~;~-~;;;;bNo~ _ LINER SiZE;? . '8< ;"AmJFA=ER
~~{l~::'. ' .' ,". :~~M~.!.;~~f..t:hl~~YS,!b!lI bo ,ked per 1h~ ~ro'~ being v~nled,
~t;';~~FE ~~~e~d ;r~t '~~!:~I:'OO:;:Oib _,.;/7-7'1"-'
~i,~ ;b~~n6rH>" ALL WOP.KllI(lNG DO/,'E ~,~ '" ~C/ # .4. A /.I.....G..;,
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DATE
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OF-ental
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OlTlQllEtnal
tJElecbic OSolid'.
bSolar'
SYSTEM
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li:i.E!:1il:ii;Ai; dONiilACTGL [)y {:) ~v-- '.' '. . . . .
. .)..... ':>" ta'fcif appl,icabie Projects, an B1CiJ.trj'c: bstallatbn Yrnibaco;: form; siperl by the Eh::cirlcal Cor:.'ncto:-; m:.:.;l oe
. ,.. :fi'''' """,hod, If nol ""eh~d or ~O'''PPUO<hie, ; 'epe""e B,"'8RE eEl v ED
OCT 3 0 2007
:- DEPARTMENT g~MENT
COMMUN~E~~~~is DIVISION"
iNSPECTION , .
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CJ7FK07R
()!'i UILWAIL/rl
City "f()~llk.....h
niv~:iuu of bllCJutc1inn Servic~~
215 Chun;" A....nll.
PO n",. 1130
Osbkosh Wi 5490,1.1110
Office 920:n~-~0511
Fax 920-230-5084
Electric Installation Verification
ch.c.-.,..ks. \ s.. h~W\
(print homeowner(s) name)
the homeowner(s) of /'10;;; O~ ..J.~r>;o
(address where work is to be perronned)
I (We)
accept the responsibility for pcribrming the electrical work a~ stated below for the property listed
above.
The nature of the work consists of: (Cbeck One or Describe the Nature of Work)
V Reconneetion or new circuit for replacement Heating Plant and/or Ale Condenser.
_ "Reconnectioll or new circuit for replacement Electric Water Heater Of power vented
water beater.
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 pennit.
Reconnection or new circuit for the replacement of other pennanently wired
appliances I fixtures.
New circuitfor the addition of Ale to an individual dwelling unit, including
required service electrical outlets. Nate: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condomi7lium,
duplex, rental, or multi-use building would require a licensed master
electrician.
Other
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The value of this work is $ ~)(J -
I hereby verify this work w~il be performed by me and further verify the rcconnection I
installation will be do e in q~mpliance with manufacturer and Electric code requir~ents.
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(Date)
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