HomeMy WebLinkAbout015745-HVAC (furnace) � CITY OF OSHKOSH No 156745
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2200 MEADOWBROOK CT Owner GE/YONG LOR Create Date 07l17/2013
Contractor GARTMAN MECHANICAL SERVICES_ Category 500-Residential-Heating 8 Ventilating Plan
Inspector Nicole Krahn
Fuei ✓ Gas '� Oil Electric j Solar ! Solid
System � New �✓ Replace i � Other
✓ Forced Air � Radiant � Steam� A/C Vent
Electric Hot Water Suppl� Con.Bumer I
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss p As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value
Use/Nature DUP\Replace furnace �
of Work I
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Fees: Valuation $3,490.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: Date 07/17/2013
� Permit Voided � Parcel Id#0620250000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenVOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
,lul 17, 20131 1: 37ANk GMS INC No, 6255 P, 1
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AD mfo�mation efte,r bold c�tegories mvai bcprovided.
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' APP�an(s)and fee(s)cen be broughi fo .
Oshkosh WI 54903-112R: ��RD�zOS nrmailed to�eCbon Sqy��,PO Box 112B,
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Elec�r�c Installation Ver�f�cat�o�
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I�e� � f �C� .�C•
(Electrio�l Con�actor Name) '
l55 E. '�a�,.. �v�n � D�hkos�,
c�aar�sa� c��v) � 5�f9�(
(Stata) (Z{p Code)
hav0 beeA contracted to perfortn elecaic installation work for ~`
(Name ofp cont�ted to) �
at the�'ollowiag address: � ' f`�
' l$�i� 0 � �C04 �
(Address where work wtll b�perfanned)
Tbe natuxe of the work consists af, (C`bsck Ono or Descn'be t�e Nature of Work
/ )
--s�/ Reocnnect�on or ncw circuit for r lacement He '
�., Reconpectio�or new circuit for ro'�Pl�em�t$Ie�c�W�r H��r orC Condenser,
water haater, Po��ve,�ted
.� Reconneotion of the 9ervlce$ntrance C�b1e,11�eter Box, aItoradons to re tacles
attd lighdng fixtzaes duc to s�ding/soffit installatioa Note: N�cv Service
��nce Cables wi11 require a�eparate p�i�,
,^ Reconvoc�o�or new citcqit for the repl�emesit of oth�c �A
appiiaoces/fixctr�s, P antly wi�ed
� Ne�►ci�t for the ad�on of 1�►►/C to an tndiv�dual dw�l'!'
individu�!systams in a d�pl�x or condom�n�um), iaclud�inr�i�t(houee or the
elactrical outlets, g�qtured eervicE
Other
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The v�lue of this work is$ /�. 5
Ibereby v�'y this work will beper�ormed b an
cbe raconnectios�/mstaila�o�wi]l�be dona f n oomp�ce with maaufactpi�er ��er ven�y
roquirements. �nd,Elec�ic oode .
.
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�sl�8tlif'�Of COII1p8II3/Q�CE!'� t �r/� ' ��
(Print Name o#'Officer) (Datc)
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