HomeMy WebLinkAbout0098647-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
217 CEAPE AVE
GARTMAN MECHANICAL SERVICES
~j Gas t ~ I Oil
[] New I
~j Forced Air I [~ Radiant
~d Electric I b~ Hot Water
Chimney Type ~-~ Chimney A ~ Chimney B
Heat Loss ~ As Approved ~.~ Existing
BTU Rate ~ As Per Plan (...~ Variable
Owner JOHN E BERMINGHAM JR ETAL
Category 500 - Residential-Heating & Ventilating
LJ Electdc
[] Replace
LI Steam
[%J Suppl.
Solar
No 98647
Create Date 11/13/2002
Plan
[] Solid
[] Other
L_I Nc
U Con. Burner
Direct Vent O Not Applicable
~1~ Not Applicable I Value
~ Other I Value
Vent
Use/Nature COMM/Replace furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,700.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided j
$30.50
Date 11/14/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 520 W SO PARKAVE PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number
(920)231-5530
City of Oshkosh
Divisien of Inspection Services
P.O. Box 1130
Os!~kosh, 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.
OJt---tKO/H
ON THE WATER
Agplication(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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if )'ott want this processed through your account'~'~]
NOV I
USE CATEGORY
FISingle Family
FUEL '~asil
I-IDuplex l-J},~ulti-Family . E]Rental ~ommercial
FIElectric []qolid SYSTEM []New
[] Solar []Other
l-llndustrial
[~eplace
YPE
orced Air []Radiant []Steam I-IA/C []Vent []Electric
IS CItlMNEY BEING LINED []No []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
Elliot Water []Suppl.
& MANUFACTURER
EICon. Burner
CItIMNEY TYPE ElChimney A El. Chimney B []Direct Vent []Other
ltEAT LOSS []As Approved []Existing []Not Applicable
BTU RATE []As Per Plan FIVariable []Other Value
vALuE (Includi~ labor and all materi~!s including light fixtures) $ I q ~'~- (~--~
ELECTmc~ cONT~CToR ~),~ .
~ For applicable projects, ~ Elec~c hs~llation Vehf~ion fo~, si~ed by the Etec~cal Con,actor, must be
attached. If not aRached or not applicable, a sep~ate Elecffical Pcmit is required.
9/02
11/18/2882 28:15
9202~17255
~EEZ ELECTRIC
PAGE
82
Electric Installation Verification
(I) OW'e) Be~z Electric. Inc. _
.R2! W. 12th, _O_~.~.~.9~ WI 5490.2
have been ,:ontra~tcd to perform electric installations work for Gartman Me.ch.a'ni.caL
at the following address:
The nature off the work consists of: (Che~k One or Descdb~ the Nature of Work)
Reconnection or.new circuit for replacement Heatin~ PLant and/or A;/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
R.ec-onnoction of~e Service Entrance Cable, Meter Box, alterations t~ receptacles and
lighting fixtures duo to siding / soffit ir.~allation. Note: New Service: Entrance Cables
will :require a separate permit.
l~ecc,nnection or new circuit for other permanently wired, appliances / fixtures.
Othe:c
The value ofthis work is ~I.~..00
I hereby v~rify t:his work will be performed by an employee of this company and fi~rther verify the
reconnection / bnstallation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company. Officer)
~~i_n ,,er 11._/11/02