HomeMy WebLinkAbout0098408-HVAC (furnace)OSHKOSH
ON THE WATER
Job Address
Contractor
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
929 EVANS ST
GARTMAN MECHANICAL SERVICES
Owner ARTHUR V JORDEE
Category 500 - Residential-Heating & Ventilating
Fuel ~ Gas I ~ Oil I ~ Electric I ~j Solar
System [] New I [] Replace I
L~ Forced Air I L~ Radiant j [~ Steam I [~ NC J
~j Electric t ~J Hot Water I U Suppl. I ~ Con. Burner I
Chimney Type ~ Chimney A O Chimney B O Direct Vent ~1t Not Applicable I
Heat Loss ~,~ As Approved ~ Existing O Not Applicable I Value
BTU Rate ~) As Per Plan ~ Variable ~11 Other I Value
No
Create Date
Plan
[] Other
98408
11/04/2002
Solid
b-J Vent
Use/Nature SFR/Replace furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation $1,975.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
[] Permit VoidedI
$35;00
Date 11/04/2002
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 64903 - 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/HKO/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 or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participatin~ in the Permit fee Account System and have adequate _funds, check here
if you want this processed through your account'~.~
' clVED
NOV 0 4
CHECK [] ALL APPLICABLE
x~Sihgle Family I-1Duplex V1Multi-Family I"lRental
FUELI~lO~il ' [3Solaf[3EleCtric tfS0iid
SYSTEM FINew
[3Other
[~Replace
T E
~FPolrced Air I-IRadiant FISteam U1A/C r'lVent U1Electric
\
IS CHIMNEY BEING LINED F1No l-lYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
F1Hot Water FISuppl.
& MANUFACTURER
ElCon. Burner
CHIMNEY TYPE V1Chimney A [3Chimney B [3Direct Vent F1Other
HEAT LOSS F1As Approved V1Existing [3Not Applicable
BTU RATE FIAs Per Plan IDVariable DOther Value
DESCRIPTION OF ALL WORKBEING DONE r ~rd'~ ~ ~_Z~)~j'~_G_,0._A~
V~E (Including labor and all materia!s including light fixtures) $ iq'~5. ~-) ~
ELECTRICAL CONTRACT0R ~~/~'x~
[] For applicable projects, an Electric Insta~ion-"Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applioable, a separate Electrical Permit is required.
9/02
18/31/2882 20:23 9202~t17255
BEEZ ELECTRIC
PAGE 01
C/~ of O~ko~h
1115 Cb~=~
POBox 1130
Os~osh WI .~-I!30
0~ P20.23E,5050
Fa~ ~/D-2,,.,.~-3~ )~t
Electric Installation Verification
(I) (We) Beez'Elec~¢~h_c~
521W. 12th_ ~ WI ~4902
have been contracted to perform electric installation work for. _Gar!man Mechanical $¢rviees,
at the followiI~ address: 929 Evans_Stae.~.
Thc rmture or,he work consists of: (Check One or Describe the Nature of Work)
Rcconnecfion or new circuit for replacement Heating Plant and/or AJC Condenser.
Reconnectioa or new circuit for replacement Electric Water Heater,
Reconnectioa ot'the Service Ilntrance Cable, Meter Box, alterations to receptacles and
lighting fixates due to sidin~ / soffit installation. Note: New Service Entrance Cables
will require it separate permit,
Reconncetion or new circuit for other permanently wired appliances / fixtures.
Other ~.
The value of this work is $.7_5,00
I hereby verify this work will be performed by an er~ploye~ of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
~alx_B. it, gttK~ 1._0I$ I/02