HomeMy WebLinkAbout0103017-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 750 EVANS ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Owner DIANE L SMITH
Category 502- Residential-Both
L~ Electric
No
103017
] ~] Replace ] ~ Other ]
L~ Steam
Create Date 07/23/2003
Plan
Solar ] ~ Solid
A/C ] ~ Vent
Con. Burner I
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ suppl.
Chimney Type I~] Chimney A ~] Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~] As Approved ~] Existing O Not Applicable I Value 0
BTU Rate I~] As Per Plan ~] Variable ~ Other I Value
Use/Nature SFR/Replace a/c & furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation $3,035.00 Plan Approval $0.00 Permit Fee Paid $51.50
Issued By: Date 07/23/2003
Permit Voided
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.
City of Oshkosh
P.O, Box 1130
Oshkosh. Wi 54903-1130
Phone [920) 236-5050
Fax (020) 236-5084
Oshkos i Wl 54903-1128 Oommeno~g Work;
nonml permit fee, which ~v~r is ~oaler.
~t~ tlt[~ pro~sed tgro~gh vaur a~ount
CIIECK I~ ALL APPLICABLE
. C CATEGORY
ingle Family
m-ced Air [3Radiant [3Steam [~pd'C ElVent EIEieelria
IS ClilMNEY BEING LINED El'Ia DYes - LINER SIZE.
i'tole: All chirm~oy9 cheil bo 9izod per tho BTU's being yentod.
ClllMNEY TYPE 15lChimney A lr-IChimney B nDireet Vent . [3Otlmr
HEAT LOSS [3Aa Approved nExisling r-INo; Applicable
a~TO BATE [3Aa Per Plan I~Var[abl~ [2lOthcr Vahlo .
I,ESCRIPTION OF ALL WORK BEING DOI~g0 ~ '/~ ~0_~ hr-
EI ECTRICAL CONTRA~OR ~
D For applicable projects, an E!o0~io ~aiallailon ~ation (om~. $i~ by ~ ~1~0~! CP~l~, ~,~t b~
Electric Installation Verification
h~ve been contracted to perform ele~4c i~talhtion work for ~,
at thc fo~owln~ address:
The nature oft. he work consists of: (Check One or Describe the Nature of Work)
[] ReconnecQon or new circuit for ~placement Heating plant and/or A/C Condenser.
separate pem~it.
Reconnection or new circuit for other perluanenfly wired appliances / fixtures.
The va~ue of this work is $~0~
I hereby verify this work will be performed by an employee of this company and further ver~ the
reconnect, ion / installation will be done in compliance with manufacturer and N. Jectric code
, Officer)