HomeMy WebLinkAbout0102902-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 1731 SOUTHLAND 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 CLAIRE A HUSMAN
Category 501 - Residential-Air Conditioning
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
102902
07/17/2003
Other
Vent J
Use/Nature SFR/Replace A/C. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$2,875.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$48.50
Date 07/17/2003
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
P.O. Box 1130
Oshkm~h. WI 54903-1130
Phone {920) 236-5050
Fax (020) 236-5094
EIVED
JUL I 6 )_0O3
~;EFART~ENT OF
~.~,~ .,. ~,irrv DEVELOPMENT
HVAC PERMIT APPLICATION
All information ~fle~r bold categories O~usl be'provided.
Incomplete applications w. Jil no! be pro,cased
· Appheafion(s) and fee(s) oan be brought 1o Cit~ !.{ali, Room 205 or n~ilc~ tO ~sp~llon ~i~, EO ~o~
Oshkosb WI 54903-1128. Commenoing work Wlth~ul pc~it(s) w I
normal permit fcc, whioh over is ~oatcr.
~RL~ arc o c~r ~art[~atlno In fha P~rmN f~e A~m~tiL Svslem and Aava ada~ua~a funds.
if I'Q~l this processed thr~.gh _vonr aaavunt ~ - '
CIlEt~K 1~ ~L~L APPLICABLE
i USE C'ATEGORY
nglc Family
]?IJEL
ElOil
rced Air ~Radianl ~Steam ~MC ~Vcnt ~Elcc~c
IS CIIIMNEY BEING LINED ~No ~Y~s - L~R SIZE
, .o~e: All chi~mys ~hall bo sized po,'
[3Duplex []Multj-Fami!y EIRenial [--ICommoroial ~!lldaatfial
ElEleotrie VISoiid SYSTEM ow pl~o0
Elgolar E~Other
IEHlot Water FISuppl. ~Cola, Burner
& MAIqrtIFA~R
CIlIMNEY TYPE ElChimney A I]Chinmoy B EIDircct Vent .13Oilier
IIEAT LOSS I-lAs Approved [ll[!x/~ting EINot Applicable
BTIJ RATE [lAs Per Plan VIVariablo [IOther Vabm
DESCRIi TION OE ALL WORK BEING O
EI.E~RICAL CONTRA~OR ~~ '
For applioablo projects, an E!oo~io ~slailaflon ~edfioation fem,. si~ by [h~ ~ioofflo~i CoRSelet, ~0st ~
loci ed If not at~aclmd or not applioab!~, a~lo Eloolrioai Peril js ~qul~d.
9/02
~ . 87/i3/2003 22:52 02023i7255 BEEZ ELECTRIC PAGE
Electric Installation Verification
~ h~ WI 5490~
have be~a contracted to perform elecqric installation work for ~ Mechanical Services,
at th~ following address:
The nature of the work consists of: (Check One or Describe the Nature of Work)
[] Rec~nnection or new circuit for replacement Heating Plant and/or MC Condenser.
[] Reconaection or new ~ouit for replacemeat Eleotrio Water Heater.
[] R~ormection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Sel~ine Entrance Cables
will require a separate permit.
[] Reconnection or new dr~uit for other permanently wired appliances / fvctures.
The value of this work is $150.00
I hereby verify this work will be performed by an employee of th~s ~ompany and further verify the
reconnecflon / installation will be done in compliance with manufacturer and Electric code
requtreme~ts,
(Sisnature of Company Officer)
C-air Biesinger 0~7/08/03