HomeMy WebLinkAbout0104858-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 1503 OSHKOSH AVE
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 LEE B KARLGAARD
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
104858
10/20/2003
Other
Vent J
Use/Nature SFR/Replace furnace and install new A/C. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$3,685.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$60.50
Date 10/20/2003
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.
City ot'Oshkosl~
Diviskm of h~a~ecfion .~rvicea
P.O. ~ax ti30
Osilko~i~, WI '~,!00~-1130
Phone (020) 236~5050
F~x (020) 236-5084
O-:hknsh~
OR
!f )'.olt ,
.lOB
CONTRA
~ingle Family 13Duplex
~Oil ~Solar
orced Air ~Radlani
H~tc: All chi~oys shall
i~AT LOSS ~A~
ilTU RATE
I'~ESCRIPTION OF.
VALUE (lacl,dla'g labor ami all
For opplta#blo
have
ThcJ
2~; 47 920231725!
Ek
BEEZ ELECTRIC
ctrk Installation Verification
:eh contr~cmd to pengo
bllowing address: 150
ture oft, he work consL,
~ ~ 54902
m elec~dc inmllatio, work for ~
s of: (Check One or De~a'ibe the Nature of Work)
Keconn~ion or ~ew ~ircu~} for replacement Heating ~t m~or MC Condo.
~oe~ ~ ~ ~t ~r ~t E~c Wat~ H~.
~ ~s di ~e to Si~ / ~t tnst~on. N~e: ~ ~ ~ ~
~ ~ a ~p~ ~ p~t.
Officer)
requi
:Sigrmtu~e of Company,
The ~e of this work is $1JO.O0
ih~' [ emi ee of this company and further verify the
by verify this work ~ be performed by an p o.y. ....
negtion / installation will be done in COmpliance with manufacturer and ~ectrtc