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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)