HomeMy WebLinkAbout0103016-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
.lob Address 246 W 16TH AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Owner NORMAN A/LAURA GOODACRE
Category 502- Residential-Both
L~ Electric
No
103016
] ~] Replace ] ~ Other ]
L~ Steam
Create Date 07/17/2003
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 furnace & A/C. *EIV form from Witzke Electric.
of Work
Fees: Valuation $3,800.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: Date 07/23/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
Cii¥ of Oshkosh
D%ision of Inspection S~rvices
P.O. Box 1130
O~hko,~lt, WI 54003-1130
Phon~ {020) 236-5050
F~x (020) 23d-5084
ECEIVED
JUL ~ 6 2~;5
DEPAR%~ENT OF
iSOI,~U~tT¥ DEVELOPN~Eb~T
HVAC PERMIT ^PP!.!C^T!ON -
All lafonmlton after bold categories must be'provided.
I~ompic}o appllcatio~ ~Jll no} bc pro'cased,
Oshkosh WI 54903-1128. Commencing wo~ ~ithout pc~il(s) will
no,'mul pclmit fcc. which cvc~
OR
~ ~ant thi~,'oces~ed through ~o~tr accbunt
CHECK I~ ALL APPLICABLE
IC i?ATEGORY
ingle Family C1Duplox
~o
ii ~Solar
EIRentai L--ICommcro{~l
~A/
rced Air 13Radianl EISteam C ElVenl I'lElectria
Hote: All chhm'.eys shall be sized per the BTO's b~iag yealcd.
f']Olhcr
f'3Hot Water E]Supp{, ~Con, Burner
& MAHUFACTUp~R~ ~
CIlIMNEY TYPE I]Chimney A []Chinmcy B ElDircct Vent
IIEAT LOSS f'lAs Approved I-IExiating
~tTLI/lATE []As Per P~an I-IVariabl~ [lOthcr
DESCRIPTION OF ALL WORK BEING DO ~'-~
El For applioablo projeo!a, an ELoir}o tns. l~lation V~dfioation form, started by the ~I¢OMO~}
attached. If not attached or not applicable, a separate ElceJrioal Permit {$ r,,quir~d. .
~ JUL.l~.~00B I~:~BPM WITZKE ELECTRI~ NO.l?? ~.R/~
Electric Installation Verification
(D (~)
("~lec~c~ Contr.:tot Name~
(Address) (tit-/) CS~e) (Zip Cod~)
have been contracted to ~ electric installation work for
~amo ofo~'~ comracted to)
(Address where work will be performed)
Th~ nat~e oft~e work consists of: (C~eck O~e or Describe the Nature of Work)
~----~R¢co~n~ction or m6~v cimuit for r~placement It,ea6~,g Plant and/or A/C Concte~ser.
__ ' Reco~n~ction or new circuit for replacement'Bleclnc Wa~er Heater,
R~conncction of thc Service Entrance Cable, Meter Box, iterations to r~ceptaclei a~d
liF, hiing flxtur~ duc to sidins / soffit insmllalton, No~e: New Service Enlrance
Cables will require a separate pcrmtt.
Reconncction or new circuit for other permanently wired appliances / ~xtu~s.
Thc value of this work is S I~,~1~)
I heroby verify this work will bo performed by ~, ~mployee oftkis c~mpany and further v~rif7 ~e
reconncclion / installation will be clone in compliance wi~ manufac~u-~r and Eleclric cod~
l~qllil~men~,
($i/n~Uu'e of Com~eay Officer)
f~nt t~'~Lm, of 0.~¢~)
(Datc)