HomeMy WebLinkAbout0103778 HOSHKOSH
ON THE WATER
.lob Address 1817 OAK ST
Contractor
Fuel ~ Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Owner MARION BUTLER
Category 501 - Residential-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
103778
08/28/2003
Other
Vent J
Use/Nature SFR/Replace a/c unit. *EIV form from GMS.
of Work
Fees: Valuation
Issued By:
$1,550.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$29.00
Date 08/28/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
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.
Cil y o f Oshkosl;.
P O. P, ox ll30
Oshko~k, WI 54903- I 130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after hold caiesorie~ ~pust be provided.
· Applicntion(s) and £ee(s) can be brought lO CiO Ha!i, Room 205 er mailed lo ~sp~otioo 8~iP~. EO BoX 1128,
O~bkosh Wl 54903-1128. Ccmmencingworkwithouipc~lt(s) will
normal pc~il fac, which ew
OR
[~'~ A G~ttt'acto~art~tlne In tho Permit f~ 4ccount=ev~tam and have adequate ~tnd~. check hera
~.l.~t l/t(~proce~d throt~gh voit~ a'~count ~ ...........
CIIECK [] ALL APPLICABLE
TyPE
ElForced Air [3Radianl I~Sie~m ~](A/~ I-IVenl ~1~
CIigMNEY BEING LINED ~i b~ ~yes - L~R ~iZE All chi~eys shall bc sized per lbo BTU'a being v~ntcd.
Dlflol Water DBuppl. ~Omn. Burner
& MANUFACTIJRBR
CliiMNEY TYPE ElChinmey A glChinmay B EIDireat Vent UIOilier
IIEAT LOSS EIAa App~'oved ElExisting DNot Applicabl~
~.ITU RATE [3As Per pLqn..
V,~ LUE (Includln~ labor ami all ma'.-riaIs including light flxlures) $ \ ~ '
ill ECTRICAL CONTRACTOR ~, )o~
13 For appliaabl~ projecla, an Elealrie Installation Verification form., signed by the ]!ieo0;io#i. COl~Ir~eCm'~ ~ost be..
atlached. If not attached or r qt appliaab!e, a separate El¢clrical Permit js required.
RU6-28-2003 THU 09:52
GTI~ Inc,
9202310486
P, 02
Electric Installation Verification
i ' ' ' :
(Addr~) (City) (SJat~)
; ~e ofp~y ~n~t~ to)
(Ad~s wh~ work will ~ p~)
~e n~re of the work c~sla o~ (~cck One or D~cribe the NaCre of Work)
f ~o~c~on ~ h~ ci~uit ~ r~plaa~ment H~afing Pl~t ancot ~C Condo.
~o~i~ ~ new circuit for r~la~m~t E~c ~at~ H~m or ~w~ v~d
wm~ hea~, L
~ ~ Rcco~cfion of me Se~ce Entice Cable, Meter Box, alt~atto~ to
~ ~d li~tin~ fixtu~ due to siding / ~t inst~la~. ~ot~: ~w S~icc
~ R~cction ~ new ci~u~t for the r~l~em~t af o~ p~y wir~
appli~c~ /
.. N~ c~cuit for ~e ad~fion of ~C ~om individual d~lling uno ~ ~ the
individu~ ~ems in a duplex or condominium), Jncl~g
old.cai outlets.
Oth~
(Zi.p Code)
The valge of this work is $
,
I hereby!ve~fy this work will be performed by an employee of this company and further verify
the r.eco~ncofion / installation v;,i]l be done in compliance with manufacturer and Electric code
reqmrements.
(Sigmat ure o~"~mpany Officer)
(Print Name ot~Of~cer)