HomeMy WebLinkAbout0102802-HVAC (a/c)OSHKOSH
ON THE WATER
,Job Address 247 W 6TH AVE
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 SHARON A KRIZ
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
102802
07/14/2003
Other J
Vent J
Use/Nature SFR/Install A/C. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,750.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$32.00
Date 07/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
City of Oshkosh
Division of Inspoclioo Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phon~ (920)
Fax (920) 236-5084
HVAC PERMIT APPLI CATION
All information after bold catogorics rous bo'provldad
lnoomplato applications will nnl be processed.
· Applioation(s) and fee(s) nan be brought to City Hall, .... Room 205 or mailed t0 lnspcotlu~ 8~rvip~, ~O. Bog 1128..
O~bkash WI 54903-1128. eommen~ing work wilhoul permil{s) will
normal permit t~c, whiah over is
OR
If ~,o~t~'~ n ~tractor partl~atln~ In lhe Per,~t.f~ ~ccoun&$vst~m and haw ad,aunts fitnds, cfieck
~ff ~( (JtJ~' oroc~s~d thr~*tgh your account ~x
CilECK I~ ALL APPLICABLE- -
~I~E ~'~ATEGOIIY
inglo Family IDDuplex r-IMulli-Family IZIRontai '
I?U~L ~as ElL~lectric ElSolid SYSTEM
il ElSolar
EIComm0mial
thor
TYPE
1~ Forced Air ElRadiant ElSteam 12]Vent
~ CIIIMN~Y BEING LINED ~, Io ~Yos = L~K SIZE
Nam: All chimneys shall bo sized par dm BTH'~ bo~g wnlod.
Elliot Walnr El~uppl.
&MANUFACTURER.
~on. Burner
CIIIMNEY TYPE ElChimney A ~Chinmcy B f-IDirool Vent IZIOlbor
IIEAT LOSS EtAs Approved DExiating ElNot Applicabln
~IT[J RATE VIAs Per P!an ElVariablo ElOIher Valu,~ __
A.LL~E (loci ,,llaR libor ami all maltrlals including ligh~ fl~tur.~) $ !f~5--~
:.
EI,ECTRICAL CONTRACTOR ~~t~.
13 For applioable projecls, on E!eoh'i0 !ns~aila~ion~/~fi~ation f. om!, signod by ll~o l!ioolIJ0#!
attached. If nol allacbed or not applioablo0 a seP~amlo~EIoolri°~'1 Permi{ is lrnqu!rnd. .
~ ' ~07/07/2003 iS: 42 92023i7255 BEEZ ELECTRIC PAGE 01
Electric Installation Verification
(1) (We) Beez Electric. Inc.
5:21 W. 12th O~hkosh WI ~
have been contra~ed to perform electric installation work for ,.C~-tu~n Mechanir.~I Services.
at the following address: 247 W. ~.h Avenue..
The nature of the work consists of: (Che~k One or Describe the Natur~ of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconneetion or new dreuit for replacement Electric Water Heater.
P-.econneciion of the Service Entrance Cable, Meter Box, alterations to receptacles and
lightiog ftx-tures due to sidi~ / soffit installation. Note: New Service Entrance Cables
will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
The value or,his work is $~
I hereby verify this work will be performed by an employee of this company and further verify the
reconnecfion / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
B.~ 07/08/03