HomeMy WebLinkAbout2013-HVAC (furnace) � CITY OF OSHKOSH No 156642
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1762 RIVER MILL RD Owner TERRENCE/ELLEN EISCH Create Date 07/11/2013
Contractor GARTMAN MECHANICAL SERVICES Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas j Oil Electric Solar Solid
System � New I �✓ Replace j � Other I
✓ Forced Air Radiant 1 Steam � A/C Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable 1 Value
BTU Rate As Per Plan � Variable � Other � Value
Use/Nature SFR/replace furnace ;
of Work
�'debit acct**
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Fees: Valuation $2,970.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �"�'"� Date 07/11/2013
❑ Permit Voided i Parcel Id#1224240000
In the performance of this work, I agree to perform ali work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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' Electr�c Install$tion �erificat�on � �
I(We) �I1�1�� ���G_�l'1 G•
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(Electrical Con�actor Name)
l�� �� �ac,k�r �4v�� �hkosG, Ws= �f90 I
� �Aaa�s) (ci�y� � �st�a� t� coa��
have been contracted to perfosm electric instaltatioa work for ���e ti ���n It
, (Name of p2�ty contracted to)
SL tI1��OI�OWLll�S�dI689: ' � a ���J'J"l�
(Address where work wa�i be petfn�ed)
, Tbe nature of tho work con�ists of� (Check Oae or Aescribe the Nature of Work)
✓Reconneotion or new circuit fox'xeplacem�t�Ie�tiag Plant at�d/or A/C Condeaser.
� Reconaection ar new circuit fo�replavement Elcctric Water I�eater or power vented
water heatot, . �
Recobnection of tha Service Snfirance Cabie,Mete�Box, alter�tions to receptacles
and lightir�g fvc�ures due to siding/�offiit installation. No1;e: New Senrice
Entrance Cables will require a separate permi� �
�, Reconaection ar new oircult for the replacem�nt of othar permanently wir�ed
app�iaaces 1$�ctures.
, New c�uit�r the addition of A/C to an individual dwtll�g unit(hou�e or the
individual aystoms�a a duplex or cot�dotnit�lum),including required eorviee
eleoulcai outlets.
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The v�ue of thia work is S� � -
I baroby ve�tif�this work wiil bo performed by an employeo of this compauy and funber verify
the reernmect�iion/inetallation will be done in eoraplianee with manufacturer and fll�c�ic code
requir6ments, - �
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(S1git�tre of Company Officer) . (Print Name of Oft�icer) (Date)
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