HomeMy WebLinkAbout0098625-HVAC (boilers)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
221 223 W 10TH AVE
GARTMAN MECHANICAL SERVICES
No
98625
Owner HALLIE RUSCH
Category 500 - Residential-Heating & Ventilating
L~J Gas I II Oil I ~-Electric 1
[] New I [] Replace
L--J Forced Air I L-J Radiant I ~J Steam
~ I Electric I L~J Hot Water I
Chimney Type ~) ChimneyA (~ Chimney B
Heat Loss ~ As Approved (,~ Existing
BTU Rate ~..~ As Per Plan (.~ Variable
~-Solar
I LJ Nc
[~ Suppl. I [~ Con. Bumer
~.~ Direct Vent ~1 Not Applicable
~I Not Applicable
~ Other I
Value
Value
Create Date 11/13/2002
Plan
[] Solid
[] Other
k-J vent
Use/Nature DUPLEX/ Replace 2 hot water boilers. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$4,000.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$65.00
Date 11/13/2002
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 PARK AVE PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number
(920)231-5530
City o f Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
OJHKO/H
ON THEWAT£R
· Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, .PO 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
I_f_¥ou are a contractor participating in the Permit fee Account System and have adequate _funds, check hcrq
i~y_9_:~ wf~!~t t. his processed thro~,~..your account~-]
CONTRACTOR
CHECK [] ALL APPLICABLE,:~
USE CATEGORY
FIsin.gle Family .... fi~Daplex
FUEL ~Gas
mOil
ElMUlti-Fami'lY FIRental
FIElectric DSolid SYSTEM
F1Solar
NOV 12
. "vvT lOtflTy T
UINew ~Replace
~Other
TYPE
ElForced Air F1Radiant FISteam FIA/C UIVent FIElectric ~Hot Water FISuppl. ECon. Burner
IS CHIMNEY BEING LINED FINo F1Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per tte P, TU's being vented.
CHIMNEY TYPE FIChimney A EIChimney B FIDirect Vent UIOther
HEAT LOSS IDAs Approved EIExisting UINot Applicable
BTU RATE I-lAs Per Plan UIVaria~ FlOther Value
VALUE (Inc!udirig labor and all materiali im:luding light fi~tur~l) $
ELECTRICAL CONTRACTOR
D For apphcable projects, ars Electric In~aliatmn Venficatmn form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
City of Oshkosh
Division of Inspect/on Services
2t5 Church Avenue
PO Box 1130
Osh&osh Vv'! 54903-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
(I) (We) Beez Electric, Inc.
521 W. 12th Oshkosh WI 54902
have been contracted to perform electric installation work for Gartman Mechanical,
at the following address: 223 W. 10th.
The nature of the work consists of' (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection 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 / fixtures.
Other
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.
(~'~nature of Company Officer)
Gary Biesinger 11/05/02