HomeMy WebLinkAbout0098624-HVAC (2 furnaces)OSHKOSH
ON THE WATER
Job Address 1852 ASHLAND ST
Contractor GARTMAN MECHANICAL SERVICES
Fuel
System
Chim ney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
[] Gas ] [~1
[] New [
L~J Forced Air J ( Id Radiant
LJ Electric I L~ Hot Water
~ Chimney A (..) Chimney B
~ As Approved ~ Existing
~ As Per Plan ~ Variable
Owner MR/MRS CURTIS R GEHLING
Category 500 - Residential-Heating & Ventilating
[] Electric 1 [~ Solar
[] Replace J
No 98624
Create Date 11/13/2002
Plan
I [] Solid 1
[] Other I
Steam I [~ NC
Suppl. [ [] Con. Burner
Direct Vent ~1 Not Applicable J
Not Applicable J Value
Other J Value
LJ Vent J
Use/Nature DUPLEX/Replace 2 furnaces. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$3,380.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided j
$56.00
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
Address 520 W SO PARK AVE PO BOX 2264
AgenVOwner
OSHKOSH
WI 54903 - 2264 Telephone Number
(920) 231-5530
City of 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.
O/HKOJ'H
ON THE WATER
· 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 ir $100.00 plus the
pormal permit fee, which ever ~s greater.
OR
I_f_j!ou are a contractor participa_Ling in the Permit fee Account System and hav.e adequate funds, check here
i. fxou want this processed through your accounT~
Qd cap
CONTRACTOR ,. NOV t 2 200?
~ DEPART~
' ~UNt. TY DE~ELOPUE~T
CATEGORY
~Duplex · ~Multi-Family ~Rental ~Commercial ~hdustdal
~Single Family
~Elec~ic DSolid SYSTEM ~New ~eplace
J
~Solar ~Other
FUEl., l~Gas
EX)il
[T~oPE
reed Air FIRadiant [3Steam FIA/C [3Vent ElElectric
IS CIHMNEY BEING LINED r-INo FIYes - LINER SIZE
Note: All chimneys shall be sized per the BliPs being vented.
Elliot Water f-lSuppl. I-ICon. Burner
& MANUFACTURER
CHIMNEY TYPE FIChimney A EIChimney B nDirect Vent UIOther
FIEAT LOSS F1As Approved UIExisting [3Not Applicable
BTU RATE [21As Per Plan [3Variable EIOther Value
DESCRIPTION OF ALL WORK BEING DONE
VAliUE (including lab°r'~fid~ ;11 materials including light fixtures) .$
ELECTRICAL CONTRACTOR
[] For applicable projects, an E ectric lnstal~a~on Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
11/86/2682 22:41 9202:]17255 BEEZ ELECTRIC PAtE 81
EleCtric Installation Verification
(We)
$~21
have been contracted to perform electric installation work for Oartrn.an Me~hanica!,
at the following address,.: 1852 Ashl~d Street...
The n~ture of the work consists of: (Ch~k One or Describe the Nature o£Work)
Reconnectic,n or new circuit for replacement Heating Plant and/or MC Condenser.
lt.econnectk,n or new circuit for replacement Electric Water Heater.
Keconnectk,n of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixU~res due to siding / soffit installation. Note: New Service Enuance Cables
will require a separate pem~it,
Reconnection or new circuit for other permanently wired appUances / t~x-tures.
Other
The va~ue ofth/S work is $100.00
I hereby verify ~his work will be performed by an eraployee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
r~uiremems,
City of 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.
O/HKO/H
ON THE WATER
· Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Ser~rices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
ncrmal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account S},stem and have adequate funds, check here
~f you want this processed through your account
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY .......... >':' '~"?' ':":'- ~'' ~!:"
F1Single Family
FUEL- ~GaS
[3Oil
~Duplex n~:!}~!tiTFamily .E]Rental .... mC°mmercial. . Fllndustrial'
[3Electric FISolid SYSTEM r'lNew
FISolar [3Other
CReplace
TYPE
[~rced Air FIRadiant FISteam F1A/C [3Vent UIElectric
IS CHIMNEY BEING LINED UINo F1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
[3Hot Water ElSuppl.
& MANUFACTURER
ECon. Burner
CHIMNEY TYPE FIChimney A I-IChimney B F1Direct Vent F1Other
HEAT LOSS [3As Approved [3Existing F1Not Applicable
BTU RATE [3As Per Plan FIVariable F1Other Value
DESCRIPTION OF ALL WORK BEING DONE ~0 ~(~'2..~.U~'L,~'r~q ('.-~
VALUE (InclUding labor and all mater':als including light fixtures) $
ELtCTRIC C0 TRACTOR
[] For applicable projects, an Electric In~llation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
11/06/2002 22:41 9202317255 BEEZ eLECTRIC PAGE 02
Electric Installation Verification
(We) Beez.~Eleetric, Inc.
$_21 W. 12tll Oshkosh WI 54902
have been contracted to perform electric installation work for C-artm~ Mechar, fi_cafl,
at the following addres,~.: 1~852A - Ashland Str_e_eX.
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnecfic,n or new circuit for replacement Heating Plant and/or A/C Condenser.
Recormectic,n or new circuit for replacement Electric Water Htmter.
Reconnecti¢.n 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 ~ separate perm/t.
Reconnection or new circuit for other permanently wired appliances / f~mres.
Other
The value of this work is $300.00
I hereby verify this work will be performed by an employee of this compauy and further verify the
reconnection / installat~.on will be done in compliance with manufacturer and Electric code
rlquirem~ts,
(Signature of Com~uy Officer)