HomeMy WebLinkAbout0104729-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1535 COVINGTON DR
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 THOMAS H/MARY STEIN
Category 502- Residential-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
L~ Solid
104729
10/10/2003
Other J
Vent J
Use/Nature SFR/Replace furnace & A/C. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$3,940.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$65.00
Date 10/10/2003
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
Agent/Owner
Address PO BOX2264 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.
Ci*ly nt'Osi&koslt
P.O. flax i
Osl~ko.lL Wi 5400~- i 130
Phone (920) 236-5050
Fax (920) 236-5084
Applioalior~(s) and f~¢(s
Oshkosh WI 5490:~-1128. 4
rna'mai permit fc~, V
OR
JOB
CONTRACTOR
CiIR .lC I~i ALL APPLICABLE
I Air ElRadiant VISl~ala '
Hmo: All chinmeys shall ho sized
CIlIMNEY TYPE C]Chim~cy ~'
I~AT LOSS ~A~
iITU RATE ~Aq P~
DESCRIPTION O~ ALi
VALUE | lad ~
I?.I.RCTRICAL CONTRAC'TO'R.
~1 For applioabl~
auaahed.
10/07/2003
(DO
9202317255
B~Ez ELECTRIC PAS[5
Electric Installation Verification
-.'e zEl~z~c Inc. !
52! W. ]./th Osh~cosh ~ ;54902
have b ~ comracted to
lo !'
at the {lowing address: 1535 CovLn~o~.,
The n~ture of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or ~ circuit for replacement Heatln. g Plant ~_d/or MC Condenser.
Reconnection or Kew circuit for r~placcment Elecmc Water ~leater.
Reconnection of the Service B~arance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to sid~ / soffit i~stallation. Note: New Se~ice Entranr~ Cables
will requ~ a sepantte p6n~,., . .... .
Reconne~'tion or new circuit for other permanenuy vareo applian~s / ~'ures.
Other
The ~ilue of this work is
I h verif7 this work will be pedormed by an employee of tl~s r, ompamy and t~.er verkCy the
reC'~l~e~ti°n / installatiou will be done in compliance with man~ and Electric code
reqmr~raents, ]
,(~ignature of Company'