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Home My WebLink About0103015-HVAC (a/c)OSHKOSH ON THE WATER .lob Address 300 302 STATE ST Contractor Fuel ~J Gas ~ System ~J New CITY OF OSHKOSH HVAC PERMIT - APPLICATION AND RECORD GARTMAN MECHANICAL SERVICES Oil Owner KIECKHAFER REV TRUST H A/P D Category 511 - Ind. & Comm-Air Conditioning L~ Electric Replace Forced Air I ~J Radiant Electric I ~J Hot Water L~ Steam L~ suppl. Solar A/C Con. Burner Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I Heat Loss I~ As Approved ~ Existing O Not Applicable I Value BTU Rate I~ As Per Plan ~) Variable ~ Other I Value No Create Date Plan L~ Solid 103015 07/17/2003 Other Vent J Use/Nature COMM/ 300/ Replace a/c condenser. *EIV form from Beez Electric. of Work Fees: Valuation $1,190.00 Plan Approval $0.00 Permit Fee Paid $23.00 Issued By: Date 07/23/2003 Permit Voided J In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. Signature Date Agent/Owner Address PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231-5530 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. Ci~,/al' Oshkosh Division of Inspacfioa Re~ices P.O. B~x 1130 Osbkosk, WI 54fi03-1130 Phon~ (920) 236-5050 Fax (')20) 236-5084 oH TU~i WAI'Ea HV.AC PERMIT APPLICATION - All information after bold categories 6oust be'provide. In.replete applical~o~ ~ill no~ bc p~e~csscd. Apphcallon(s) and fee(s) can bc brought to OA~kasl~ WI 54903-1128 Cammcnoing WOrk without pc~tt(s) will ~esult m fees normal pc~it fcc, which ever is ~catcr. OR l~t arc a c~traator partt~l~atln~ In tho PertnH f~a Account System and have adaauat$ funds, ~.~ this orocessed through Pour aacottn~ CIIECK I~1 ALL APPLICABLE USE CATEGORY I-I~ingle Family ClDnplex TYPE ~A/ ElForced Air UIRadianl ElSteam C UIVent ElEleetrie IS CIIIMNEY BEING LINED ~Ho E]¥es - LI'N~R SIZE Hole: Ail chimneys shall he sized per the BTU'a being vented. 13tier Wal©r ElSuppl. & MAIWL!FA C'TUR~!~ CilIMNEY TYPE E]Chimney A E]Chinmey B f'iDireet Vent . notbcr llEAT LOSS I-lAs Approved Ellixisling UINot Applicable BTU RATE I~lAs Per Plan nVariable f3Oihex Vahm __ VAL[}E (lfleladla~ lobar ami ali mai/rials lfldudlng light fl~tures) ~ ~~ ' E1,ECTRICAL CONTRA~OR ~ D For applicable projects, an E[aaffia lnsta~[~ Varifiaalion ~0rm, si~ad by tho Hla~a~[ CO9~1~, ~gs[ ~ attached I f not attached or no~ appljoab!e.~separate Ele~lrioal Pe~i~ ~s ~equired. ~ 07/~/2003 22:5~ 920231725~ BEEZ ELECTRIC PA~E 01 Electric Installation Verification Bee~ ~le~tdc. lac, 521 W. 12th, Oshko. sh WI 54902 have been contracted to perform electric installation work for ~6amnan.lV~l~nical Services, at the following address: 300 State. Street, The nature of the work consists of: (Check One or Describe the Nature of Work) [] Reconnection or new cireuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater. Reconn~ction of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation, Note: New Service Entrance Cables will require a separate permit. [] Reconnection or new circuit for other permanently wired appliances / f~tures. [] Other The value of this work is $150.00 I hereby vedf~ 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 requirements. (Sisuature of Company Officer)