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Home My WebLink About0132161-HVAC (furnace)OSHKOSH ON THE WATER Job Address 1032 EASTMAN ST CITY OF OSHKOSH HVAC PERMIT -APPLICATION AND RECORD Owner PAMELA A DISTERHAFT No 132161 Create Date 08/11/2008 Contractor GARTMAN MECHANICAL SERVICES Category 500 -Residential-Heating & Ventilating Plan Fuel / Gas ~ Oil Electric Solar Solid System ~ New ~ ~/ Replace ~ ~ Other / Forced Air Radiant Steam A/C Vent Electric Hot Water Suppl. Con. Bumer Chimney Type Chimney A Chimney B Direct Vent Not Applicable Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other Value ..Use/Nature FR /Replace furnace. EIV signed by Slim's Electric. ""debit acct .. , ,. ; _: ~ ~ .: , of Work Fees: Valuation $2,785.00 Plan Approval $0.00 Permit Fee Paid Issued By: /~~~ Date 08/11/2008 Permit Voided ~ Parcel Id # 1002730000 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 AgenUOwner Address PO BOX 2264 OSHKOSH WI 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_ $52.00 RUG-08-2008 02 54 PM Cite of Osi~!;c::'• 1•)ir~~,inn o 'lips; :11~;;. ~.._,~:,:~-~ 1'.l i ].~U:. 1 i jai .. c?sLi;us1~, ~V.`1 ~g9(13-1 13p Pl•~one (92U) 7,6-5050 Fax f92U)256-5034 P, 09/11 ,,~••T'n '' ~!~ ~`~~~ ~~~KCG1i_'~l HVAC PERMI'T' APPI_ICA71~Pt All infOr771xtion after bold categories must he pro~•ided. lncoanplete applications will not t-~e pr~cetiscd. • Ai)hliefltiu'i!s) and fec(~.1 ea7~ be brou~!it to City' 1~3a11, Rnon~ ^US car iitailecl to Inspcctic~n Sur~-ice:.; ]~'U r~c~`: ] ] ~S, Oshkosh Vl%1 ~49Q3-1 12~. Comiz7encing »•ctrk ~~ithout }~ertnit(s) ~a•ill rus~11~ in ices bzntt tioub!rd or ~IUU.UU plus tl:e normal permit fee, w}tioh ever is greater. i ~x lf,~;pzt Oi'L' a cor71~~7cfC,r ynrf,iCir,~ur117,gi17,,,1h~ Pe~'mrr~.e_.~rcv_u;~l ;ii.s~~~m crr~r:( ~t~:~re vrde~;rurJV!tas chick Ite~.e. if,~~~,lr ,•rarti rl~~l'c,cesse~.rhrotrgh >>our„gcco~rnr ~~~~ i ** Advi.sor~• - Fut applicable projects, an. T'Iectrical Ynst~~llatiun Vern e~ttion (lrl.~') form, sigltcd b}• the Electrical C.'or~tractor or IZotncowner (for installatiot.ts allo'w'ed to be perfot•tned b~• the hotatea~•ner) ri,tust be s~aLvtitted wi.tla tl,.e pc~t~n~.it application. Applicatiotas submitted without anL"'l~" tit~li.czt such is reclui.red, will trot be processed for PexTnit Issuance a7:1:d will be returned for completion. DaTE__,•B U ..... JO$ ADDRESS I U`~„~ L r..~ ~-w,, .;~_,~_ ' a ~, ~ OWNER_ ~c~v., (~ t S ~-c.~. Ira:- ~ ,_ CONTRACTOR ~~ I'-1 S ~ I -~ c. ~ '~ CHECK ©ALL APPLICABLE USL CATEGORY gle Family ^Duplex QMulti-Family ^Rental ^Cornmer~ial ~lndustrial FUEL 't+~Gas ^Electric ^Solid ^Oil ^Solar T~ orced Air ^kadia7tt QStcam ^11lC ^Vent SYSTEM ^New Ql~place ^Other _ _.. ^Electric CJHot 1~'ater ^Suppl. ^Con. Hunter 1S C'HIIVINEY BEING LINED ~ C1Yes - L1NE1; SIZE ~ A7F Note; All chimneys shall be sued per the E~TU's being vented, CHIlViNEY TYPF, ^Chimney A ^Chimncy B f~Plrect Vent HEA'T' LOSS Offs Approved C}E'Sisting l~Not • pplicable BTU RATE ^A.s Per }'lsn ^VariA}~le per Value DESCItII'T10N /SCOPE UP ALL R'OR.K $EING DONE C~ ~r ^Uther ,...,-_~~ GOM f r „'~ C> VALUE (including labor and materials) ~ .275~~ _ __ _ I 1h LIrCTRICAL COnTRAGTOR (for projects not requiring sn E1V Form) ~'4"'•~ ~f« r'-~'~'s;~ o~fo•1 AUG-08-2008 02 55 PM i crroro.MmAi oMNo.o[isrp~o~&aNfel 7) f C1Mww Ayww r0 ROy 113N OMIY~tI Wt !!96!'.1130 OfMot f10.27d-1o~0 Fay 910.]~6•SM1 Electric Ily~tallatio>lt Verificstfon t(we) SLIM'S ELECTRIC INC. (Electrical Contractor None) P, 10/11 Oshkosh WI 54904 (Address) (Zip Code) have been contracted to perfot=ri electric ipatallation work for ,wt~l rY, ~ ~ .S`~.V" r ~` ~ (Name of party contracted to) at the following address: ~ O~ ~ ~~~a-~V~, (Aearese w4ere work will ba perfomled) The nature of the work wnaiats of (Check One or Daea-ibe the Nature of Work) ,y/ Reaonnxtion or new circuit for repbeettiemt Heatiag P1aat aad/ot' AJC Condeuscr. R~aormection or new circuit for replacement Electric Water Hem~ea er power vested water beater. Reconnection of the Service F,trtraaee Cable Meter Boot, ah+esat~9s to receptacles Arid Ughting fuctatrae due to siding / aof~t installation. Note: Nda+ Servico Entrmce Cables will roquire a separate permit, Rcoontteetion or new circuit for the replacement of other poetasaartly wired appliances) fixtures. New circuit for the adelitton of A/C to a>i ixdtv~daal dwelling awit (house or the individual systems in a duplex or oandotniaium~ irtchx~ ceq'ared service electrical aartleta. Other i - - The value oftbie wotic is ~ ~~7! I horcby verify this work will ba performed by an employee of this company Rod flutlter verify ttre recomteotion /installation wilt be dose im compliaexx with manufacturer and Electric code roquirnmanta. I ~/ ~~r ~rf/! 0 (Signature of Camp cea) (Print Name of Ofll s,oa.