HomeMy WebLinkAbout0106089-HVAC (2 furnaces)OSHKOSH
ON THE WATER
.lob Address 1332 MONROE ST
Contractor
Fuel [~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner OSHKOSH HOUSING AUTHORITY
Category 510 - Ind. & Comm-Heating & Ventilating
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
106089
01/16/2004
Other
Vent J
Use/Nature GROUP HOME/ Replace two furnaces. * EIV form from GMS.
of Work
Fees: Valuation
Issued By:
$5,750.00 Plan Approval
$0.00
Permit Fee Paid
Permit Voided J
$92.00
Date 01/16/2004
Parcel Id # 1507810000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
9
re.., , . •.,...
•
, ...,,
. •,0
City of Oshkosh
•
nivision of Inspection Services
P.O. Box 1130 y
OsI kosl►, WI 54903 -1130
Phone (920) 236 -5050
Fax (!)20) 236-5084 . ' - iNifil A f d
IIVAC PPRIVIIT APPI- !CATION
A4 Iufpfal$gp after bolo t:atogoric>} must 4'pr4V1404,
bicoInpiela applications will poi IN" processed,
• Application(s) and fee(s) can he brow
sh d IA City 1�a11 , '
409145 P r 19 Ilea 11e111101)1w91 Pcl D 11211, a.'
Oshkosh WI 54903 -1128. Commenpin8 work W11ho141 peR1111(s) wail 04911 h 1p� Using (19941r41 or
normal permit fee, which ever is greater, 111! ; 5
OR ;
•
IL air_ars a con raclpr_garlici , . , , 1 - , , . , L I r 1 , I r ( f
J
»4T; 1/14/04 `
.JOB ADDRESS 1332 Monroe •
C WNER Oshkosh Housing Authority
CONTRACTOR Gartman
C1I1! t'K R8 ALL APPLICABLE
IJSE CATEGORY Group Home i
[ 1Sin gle Family QDnple Q■t1ll1 144mIly °Rental FICRIl1111crc 14 1 At11s14t81141 '
•
FURL OilGas °Electric °Solid SYST1lk1 °1New /74400100 t • i
OOii °Solar
Aoll►W • -
TYPE
KtForced Air °Radiant OSteam °A/C °Venl °Electric 91101 Wa10r P4911)1, PPP% fl11mfr
1:; CHIMNEY BEING LINED Eli to C1Yes - Limit SILLS $c M4NU1z4G P ,
Mete: All chinuneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A °Chimney D °Direct Vent . °Othc-
HEAT LOSS OAs Approved C]SxlstinlT ANo, Applicable
ItTIJ RATE OAs Per Phn PVariable . IIOther \'ai►►c '
• 1)ESCRIPTION OF ALL WORM' TIEING pONE Replace two • furnaces
•
i
V:'. LI!E (Including labor and all ma ►- r1al91ncludiug fight fixtures) S 5 7 5 0.00 •
1?I.ECTRYCAL CONTRA Gartman
0 For applicable projects, an Iii Dieenie 41e4114on Verification form. woof(' by (ha TOM** PeotroPIPfs i11NS1 01
attached. If not attached or n ot applicable, it separate Electrical Permit Is required.
•
•
•
Electric Installation Verification
(We)
Gartmazi Mechanical.
(Elec~ealContmetorName)'
520 W. Southpark Avenue Oshkosh, WI 54902
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for Oshkosh Housing
(Name of party contracted to)
at the following address: ' 1332 Monroe
(Address where work will be performed)
The nature of the work consists of.' (Check One or Describe the Nature of Work)
X
Reconnection or new cimuit for replacement Heating Plant and/or AJC Condenser.
Recolmection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cebles will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit (house ar the
individual systems in a duplex or condomiph~m), including required service
electrical outlets.
Other
The value of this work is $ 150.00
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer and Electric code
reqmrements.
(Signature of Co~er)
Tim Weitz
(Print Name of Officer)
1/14/04
(Date)
5/02