HomeMy WebLinkAbout0098745-HVAC (a/c)OSHKOSH
ON THE WATER
,lob Address 2203 DOTY ST
Contractor
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner MICHAEL A/TERES GORDLEY
GARTMAN MECHANICAL SERVICES
Category 501 - Residential-Air Conditioning
No
Create Date
Plan
98745
Fuel
System
[] Gas 1 IZ~-oil ]
[] New
[~ Forced Air
b.J Electric
[] Electric
I [] Replace
[~ Radiant J id Steam
[] Hot Water I ~- Suppl.
bJ solar [ b~ Solid
[] Other
~J A/C I ~J Vent
[] Con. Burner 1
11120/2002
Chimney Type ~ ChimneyA
Heat Loss ~ As Approved
BTU Rate ~.~ As Per Plan
Use/Nature SFPJ install A/C.
of Work
Chimney B (.~ Direct Vent ~t Not Applicable I
~ Existing ~11 Not Applicable I Value
(.~ Vadable 0 Other I Value
Fees: Valuation
Issued By:
$1,550.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$29.00
Date 11/20/2002
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 c,f Oshkosh
Division oflnspection Services
P.O Box i 130
Oshkosh, WI 54903-1130
P}~o~e (920) 236-5050
Fax (920) 236-5084
· . HVAC PERMIT APPLICATION
Al! information after bold categories must be provided.
Incomplete applications will not be processed.
OJt--tKO/H
ON THE WATER
· Application(s) and fcc(s) can be brought to City 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
l_fA,_qu are a contractor partic~pati, ng in the Permit_fee Account System and have adequate_funds, c. he. ck he.r,e,
i~(j.',.:t want this processed ~hro:'gh your accoun~
OWNER ~ ''~
·. ..,, 5.xtqRTMEN'r ,,,,..
CIIECK [] ALL APPLICABLE O"
~ingle Family I-IDuplex E1Multi-Family ID.Rental .... IZl~d~fif~,l~l ....... Fllndustrial ...
FIJE, L as I-IElectrie [-3Solid SYSTEM ew I-IReplace
I-lOll I-ISolar ' ther
TYPE ~A/
IDForced Air FIRadiant I-ISteam C I-IVent [3Electric
IS Ct~IIMNEY BEING LINED [31'Io ~Yes - LINER SIZE
N~te: All chimneys shall be sized per the BTU's being vented.
[DHot Water FISuppl.
& MANUFACTURER
I-ICon. Burner
CItlMNEY TYPE [3Chimney A ~Chimney B FIDirect Vent I-IOther
HEAT LOSS [3As Approved FIExisting FINot Applicable
BTU RATE I-lAs Per Plan FIVariable [3Other Velue
(in ddi labor and all materi~ls including light fixtures) $ "
EI~E.CT~CAL CONT~CTOR ~ '
For applicable projects, an Elec~ic ~stallation Vedfication fora, si~ thc Elec~cal Con.actor, must be
tached. If not a~ached or not applicable, a sep~atc Elcc~cal Permit is required.
~/o~