HomeMy WebLinkAbout2013-HVAC (furance & a/c) � CITY OF OSHKOSH No �5sas� ,
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 605 N SAWYER ST Owner JEFFREY/SANDRA PAFFENROTH Create Date 10/25/2013
Contractor GARTMAN MECHANICAL SERVICES Category 502-Residential-Both Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil ✓ Electric Solar ' Solid
System ❑ New � �✓ Replace ; �Other j
✓ Forced Air Radiant Steam ✓ A/C ' Vent
Electric I Hot Water Suppl. Con. Burner i
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 SFR\Replace furnace and A/C ,
of Work
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Fees: Valuation $4,370.00 Plan Approvai $0.00 Permit Fee Paid $94.00
Issued By: ���� Date 10/25/2013
❑ Permit Voided I Parcel Id#1604400000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the Ciry of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920)231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of
Inspection (i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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Flectric �nBtallat�on Verifica4on
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(Electrical Co�actor Name) , . :
_ �55 E� ack�- � ven �D�ko�G, I,�i. �o I
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� � �C�3'� � (State� (?ip Cods) :
have been contracted to perform eleat�ic installation work for__f�6•r��c�� I`1� G,�`�`
(Name ofp8rty con.ltaated to)
at the foIIowing eddr�s: ' t�S�. o r � t:.9 a/ �I' , •
(Address wheze work will be esfom�ed)
x'he uat�uo of the wark eon�istg oP. (Chcck One or Describe the Nature of Work)
'" Rexonnacdon or new c�t�cuit�for lacemeat H ' Plant
�P �g_ �dlor A/C Coadenscr.
Reconnection or new cizcuit for replacement$le�ic'4yateY I�eater ar powe�.veated
water beater. , ,
�, R000nae�ioa of the Servics Entr�ce Cable,Meter Box,�Ilterar�tions to reeeptaalea
and li�iiing fuct�a�es due to siciiqg/so�t iastallstion. Nota: New 3ervice
P.�z�trattce CableB will raq�re�separace pe�i� .
` Reeaaaection or�ew c�ircuit far the replaeem�t of other pe�manently wir�d
ap�iiances/fixtus�s, � �
New cirduit for the addidon ofAlC ta�n.indiv�dual dwetli�rg untt(house o��
iadividnal systems in a duAl�x or aoadominium),inolttdiflg re�wlred seevice
. eleatrloal otltlets. ,
. Other
T1ae v�e of this wo�k io$ a� ~
I bereby veri.fy thie wo�c a►ill be perfarmed�y an employee o�this company and�iuther ve�fy
'the racoanecaon/instaIlation wili��e done ia compli�uce w�ith.meaufaetiaer snd,Eleotric cod�
recNir�ments. � :
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(Sigaature of Company Officer) (Print�1Tanie of O�Y"icer) (Date�j
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