HomeMy WebLinkAbout0127938-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1200 WAUGOO AVE
CITY OF OSHKOSH
No
127938
HV AC PERMIT - APPLICATION AND RECORD
Owner
NICHOLAS M JURGELLA
Create Date 11/26/2007
Contractor
GARTMAN MECHANICAL SERVICES
Category ~~- Rf:l_sidential-Heating & Ventilat!~_g_
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~~pJace _________J
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Plan
Fuel
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O Solid --,
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System
OlJew
~ed Air 1
U Electric
Chimney Type . Chimney A
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Other
o Radiant - l
U Hot Water ]
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D~Con=~~~~'!!J
o Vent
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() Chimney B
o Existing
() Variable
--0 Direct Vent 0_ Not Applicable - -==
~~~_==.J Value
. Other Value
BTU Rate
D As Approved
llis Per Plan
100,000
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Heat Loss
Use/Nature [RENTAL (downstairs tenant space) / REPLACE FURNACE, EIV SIGNED BY SLIM'S ELECTRIC "debt acct
of Work i
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Fees: Valuation ______~2,390.0Q
Issued By: ~2r
Plan Approval
$0.00
Permit Fee Paid
$46.00
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Date 11/26/2007
D.!ermit V~9~.c!J
Parcelld # 0204680000
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
OSHKOSH
WI 54903 - 2264 Telephone Number ~92QE~1-5530
Address
PO BOX 2264
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.
XOV-26-2007 11: 42. ~M .
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. 'HVAC flERMJ'r APJ'-'LJCAT10N
. Al1lpfl'mnllti~n atlcr bold ~Ble~Ddel! musl b~ pfo~ld~d.
,rtl~pmplele Jpplj~lljonl will no.! be l'I{p~cli'ccl.
". Appifot.llOri(li') end fee;(Il) cfil~ be brllughi to' tlty HIlJI, Room ~os or,rIllilil\i.il1.lJ Inspectfon fiervi\o-t:.'j'c"o' p~~;; ~oJ2f~i Lh
Oshkosh WI 54903~112.8, Commencing work withClut p!:nmt(s) WIll rr:,Sult In [Cell being douu e or ,p
hoifu~1 permit fe!., whIch ever hi gU.lllcr, . . , .
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NOV-26-2007 11: 42 AM
P.02/04
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C1\J or o.hhIli
Divlllo1IDf~~
~>5 Cluooh A_
PO.", 1130
0IIlb1IlI WI S490H 1)0
om... t20-236.S05ll
Flll '>>n60~
Electric Installatioa Verlflcatlon
I (We)
SLIM'S ELECTRIC INC.
(Electrical Contractor Name)
2608 Oakwood Circle Oshkosh WI 54904
(Address) (city) (State) (Zip Code)
heve _ r;oI>lrllCll<d to perfilrm electric illlt8lladcm weal< Ibr ~\fJ( .II. J.f:\ ~ ~
(Name of::nfcontt tcd to)
otthefenowingoddreu: 1~X) LW~ sau~ ~
(Address wbcrc work 11 be performed)
The nature of the work consists of: (Check One or Dcl8cribe the Nature of Work)
L Reconnec:tion or new cirouit for repJacern=t Heatin& Pllmt and/or Ale Condenser,
Reconnection or new circuit for r"J)lacament EIClOtric Water Hea1clr or power vented
water hoater.
Reconnection of the Service Entrance Cable. Meter Box, 8lte:rations to receptaclos
and lighting fixtures due to siding I soffit installation. Noto: Naw Service
EntrBDce Cables \ViII require a e~arate permit
ReccMec1ion or new circuit for the roplsccmcnt of other pennanontly wired
appliances J fixtures.
New circuit for the ad41tion of Ale to an tndlVldual dwelling tUJit (house or the
individuala)'lttllU8 in a duplex. or condominium). ineJuding required service
electrical outlets.
Olhcr
The value of this work is sJ 5C) ,vQ
I hereby verify this work will be perfonned by en employee of this company aod further verify
the reoonnection I installation will be done in compliaace with manufacturer and Electric code
roquircmc:nte.
OJiJ~
(SiJnatun OfC4mp~ eer)
-7).41/ I It A "*:1~ iyl4
(Print Name of om
\\ \d-lo \ OJ
(Date)
5102
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