Loading...
HomeMy WebLinkAbout0102652 HOSHKOSH ON THE WATER 1275 PHEASANT CREEK DR GARTMAN MECHANICAL SERVICES Job Address Contractor Fuel System CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD Gas J ~J Oil New J Forced Air I ~ Radiant Electric I ~J Hot Water Owner RUSCH HOMES LLC Category 501 - Residential-Air Conditioning Electric Replace Steam 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 102652 07/07/2003 Other Vent J Use/Nature SFR/Install A/C. *EIV form from Beez Electric. of Work Fees: Valuation Issued By: $1,950.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $35.00 Date 07/07/2003 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 Ci~ at'Oshkosh Division of Inspection S~s'viccs P.O. Box 1130 Oshkosh, WI 54903- I 130 Phon~ (920) 2364050 Fax (920) 236-50~4 {ECEIVED JUL. DEPARTMENT OF Tv DEVELOPMENT HVAC PERMIT APPLICATION All Iofor~mflon after bold categories must b~ provldmd. Incomplcto applications w, lll Uo~ be processed. n ^ppliealion(s) and fee(s} O:&kosb WI 54903-1128. Commencing work without normal pe~it fee, which aver is ~oater ..... OR ~It ar~ a c~tracto~ parllcloatln~ In tho Parn~t f~a ~ccmtnt Swtatn anti hera adaouata funds, c~eck hat coN', .,c on CIIE(:K I~ ALL APPLICABLE  E CATEGORY logic Family FUEL ~as VIEIcctrio ElSolid IZIOil E]Solar VIDnplox ~Multi-Family ClRonial TYPE C]For¢ed Air VIRadiant IIStaam ~A/O []Vant I]Eleotric IS CHIMNEY BEING LINED []No []Yas - LlflqI!R SIZE Note: All chimneys shall b& sizod per lho RTLPs b©iog wnt~d. [lllat Watar ElSuppl ~[Oon, Bm'nor & MANUFACTOR~R CIIIMNEY TYPE C]Chimnoy A EIChinmay B ClDireot Veal . [lOflgr IIEAT LOSS E]Aa Approved nExiating nNot Appticab!a ~gTU RATE I-las Par Plan DX/ar/ohio VIOther Valup . ELECTRICAL CO NTRA CTO'R ~/-'~l_.O_~ El For applioabla projegts, an E!aclrlc lnil~l~on Varlfioafi0n fom~, signed by {h~ Eieoglcll COnrcactor~ FOP, st be al(ached. If not attached or not appljaab!a,"-a/separate Eleclricai Permit js requirad. . ' ' I~S/~5/2003 ~1:06 9202317255 ~EEZ E~ECTRIC PA~ 81 Electric Installation Verification Oshkosh W~ 5~49o2 have been ~ontra~ted to perform electric installation work for ~ at the following address: ~275 Pheasant Creek Drive. The nature of the work consists of: (Check One or Describe the Nature of Work) [] Recon~ection or new circuit for replacement Heating Plant an~Vor A/C Condemcr. [] Renonnention or new circuit for replacement Electric Water Heater, [] Reconnection of the Sela, ice BIr~rance Cable, Meter Box, alterations to receptacles and lighting fixtures due tO siding / soffit installation, Note: New S~l'vice Entrance Cables will require ~ separste permit. [] Renonnection o~ new circuit for o~er penn~entiy wired appliances / fixtures. [] Other The vslue of thls work is $150.00 I hereby verify this work will be performed by an employee of this company and further verify the recormenfon / Mstallation will be done in compliance with manufacturer and Electric code ~iuiremcllt s' (Sig ur of oe, Va