HomeMy WebLinkAbout0099388 HOSHKOSH
ON THE WATER
.lob Address 624 SCHOOL AVE
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner 624 SCHOOL AVENUE LLC
Category 500- Residential-Heating & Ventilating
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
99388
01/06/2003
Other J
Vent J
Use/Nature SFR/Replace furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,850.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 01/08/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 520 W SO PARKAVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
Division of Inspection Services
Oshkosh, WI 54903-1130 .
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLI O -ii
All information after bold categories must be prOvided. / .h(~ a(~ h'[~J
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, P.O Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If 3,ou are a contractor participating in the Per[n[trnfee Accou..n.t .S.¥stem and have adequate funds, check here
i_f yo.; want this processed through your accounl I~1
CONTRACTOR
CON3 UNffY DEVELOPNIENT
~USE CATEGORY
ifigl' F~ii~ ~Commereial ~dustfial
~Duple~ ...... ~Multi-F~ily ~Rental
F~L~il~Gas '~Eiec~c ~Solid~solar SYSTEM' ~New~other ~eplace
rced Air f-lRadiant FISteam FIA/C F1Vent UIElectric
IS CIIIMNEY BEING LINED EINo ~Yes - LINER SIZE
Note:. All chimneys shall be sized per the BTU's being vented.
[]tlot Water FISuppl, F1Con. Bumer
& MANUFAC~R
CIIIMNEY TYPE E]Chimey A [IChimney B IDDirect Vent. ElOther
HEAT LOSS IDAs Approved FlExisting I-INet Applicable
BTU RATE F1As Per Plan F1Variable FIOther Value
DESCRIPTION OF ALL WORK BEING DONE ~~-.~ )~~ ~ 0..~,
VALUE (Includi[/g labor and all materials including light fixtures) $ Ii ~)-~
ELECTRICAL CONTRACTOR' ~f~
[] For applicable projects, an Flectric Installation Verification ed by the Electrical Conlxactor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/03
12/30/2002 02:51 9202317255 BEEZ ELECTRIC PAge 01
Electric Installation Verification
(I) (We) Beez Electric, Inc,
S2t W. 12th Oshkosh
WI 54902
have been contracted to perform elcctfic installation work for Gartman Mechanical
at the following address: 624 School.
The nature of the work consists of: (Check One or Describe the Nature of Work)
0
0
0
Reconnection or new circuit for replac~m~t Heating Plant and/or A/C Conden,ser.
Reconnection or new drcuit for replacement Electric Water Heater.
K~conne~'tion of the Service Eii'u-ance Cable, Meier Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service l~ntrance Cables
will require a separate permit.
Kecormection or new circuit for other permanently wir~ appliances / fixtures.
The value of this work is $150.00
I hereby verify 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.
(Signature of'Company Officer)
~ Biasing_er 12/30/02