HomeMy WebLinkAbout0102048-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1032 EASTMAN ST
Contractor GARTMAN MECHANICAL SERVICES
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner PAMELA A DISTERHAFT
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
102048
06/09/2003
Other J
Vent J
Use/Nature SFR/Replace furnace and install a/c. *EIV form from Heritage Electric.
of Work
Fees: Valuation
Issued By:
$4,750.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$77.00
Date 06/09/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
City or'Oshkosh
Division of Inspection Services
P.O. B(,x i 130
Osl!kosh, WI 54003-1130
Phon~ (920) 236-5050
Fax (920) 236-5084
Oi?ARTMENT OF,
,~vi i~:, i"l"'¢ DEVELO PM ENT
HVAC PERMIT APPLICATION -
All iafomtlon aft0r bold categories must be'provided.
lacomp!e$o applications will not be pro~:i:ssed,
· Application(s) and fee(a) can be brought lo Ci~ Hall, Room 205 or mailed, lc) InaPee!Ilon 8eh'. tp~, ~O Box 1 !28,
Oshkosh WI 54903-1128. Commenoing work without pe~il(s) will result iq fcc, being dooblcd
normal permit fee, whioh ever ia ~ca/cr.
OR
t~ ar~ a ~traetor Pa~l~lpati~e ~ t~ P~F~ f~ ~eeouBI~r~tom and hav~ adaauat$
lies ,K El ALL APPLICABI,E
~,! IS~ CATEGORY
K~ ingle Family
l-leas
ElOil
,PEorced Air i-iRadiant I-1Ste.~m '~A/C EVent ElEleotrio
iS CIiIMNEY BEING LINED ['lNG IZIYes - LINER SIZE
I !Gte: All chimneys shall be sized per the BTLI'~ being venled.
ElDuplex IDMu!ti-Family ElRenlai ....... L-lCommordM .E]!odoald#!
l-lEiectrio IZISolid SYSTEM ~'~t~ow ¥ ~i~Ropl!~oe
nSolar EIO!her
ID!lot Water 121Supp!. [:!Con. Burner
& MAI'a/V^~R
CIilMNEY TYPE EIChimney A EIChinmey B EIDirect Vent . EIOllmr
iiEAT LOSS I-lAs Approved IZlExiating [211qot Applicable
PTU RATE I-lAs Per Plan IZlVarlable IDOIher Vahm
VALI!E (Inch, ding labor ami ali mh¢e]-lals i. Cludlng light llxtur~O $ 4r-~.c}~"(~). '" ~'
El ,ECTRICAL CONTRA~OR ,
fl For applioabl~ projecls, an Eleo~io Installali6~ Vertfioalmn fom~, si~ed by th~ ~ioo~ogl CO~Oo{or~ ~ugt bo
allached, lfnol attached or not applioablo, a separato EleolrioM Pe~it ja roquirod.
~/02
~ ~S/04/2003 0?: 5?
............ -Iq'~-~'~ '..'.01 03: 021, Code
HERITASE
Electric lastallation Verification
have boen oontraol~ ~o perform el~trlc ins~latlon work for ~,,,x_._ t% J~; ~.~,r/~. $ ~ :i
(Namo uf pan~' mntta~ted to)
(Add~ess where woTrk will b~ .~rlbrmed)
Th~ n~tute of the work consists of:
(Ch~ck One or Describc thc N_~_n~ of Work)
Recormection or new circuit for replacement tteagrlg Plant and/or A/C Condenser.
Reconmogon ot a~,~ circui~ f~r r~pl~,am~nt Elect, rio Warn' Heart. '~
Reconneclion oft-~ Service Entrance C~[e, Met~ Box, alter, uions to reu~lsa and',
lighting txtur~ due to siding ! aoffat immll~,ion. Nora: N~ Sar, ice Eawanoe ~
Cables will requ/r~ z soparato pennJt.
gu-connection o~ r~v c~uit for o~r p~man~fly ~ Sl~lia~cm / ~xturm.; ,
~
The vaheofthiaworki~$ ] ~.... O0
I he. by verify this work will be ~rform~ by m ~nploy~ of~his comply ~d fur~er vmify:the
r~om~ction / installation will be doua in compllanc~ wRll rt~n~ md Electric cod~
r~qu~,
~rint Name of
,,
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