HomeMy WebLinkAbout0099233-HVAC (furnace)OSHKOSH
ON THE WATER
673 MOUNT VERNON ST
6ARTMAN MECHANICAL SERVICES
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
~J Gas t LI Oil
[] New I
~d Forced Air J [~ Radiant
bi Electric I I I Hot Water
Chimney Type ~ Chimney A ¢.~ Chimney B
Heat Loss ~ As Approved ~ Existing
BTU Rate ~ As Per Plan ~ Vadable
Owner DANIEL F HITZ/SHERRI KRAUSE
Category 500 - Residential-Heating & Ventilating
~J Electric
[] Replace
~ Steam
M Suppl.
Solar
L-J Nc
Con. Burner
Direct Vent ~I Not Applicable J
Not Applicable J Value
Other I Value
No
Create Date
Plan
[] Other
99233
12/30/2002
Solid
Vent J
Use/Nature
of Work
fFPJ
Install fumace. *EIV form from Beez Electric.
Fees: Valuation
Issued By:
$2,850.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit Voided
$48.50
Date 12/30/2002
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 PARK AVE PO BOX 2264 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/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 participating in the Perm~_~ee Account System and have adequate .funds, check here
if you want this processed through._vour account I×1
CONTRACTOR
CHECK [] ALL APPLICABLE - -
· USE CATEGORY
\ ·
FUEL ~5t~ as .-. []Electric ~Solid
nb
il []Solar
DEPARTMENT OF
.Co !MUNITY DEVELOPMENT
FiP~e~iial []Commercial I-'llndustrial
SYSTEM C1New ~t~eplace
rlOther
ced Air FIRadiant FlSteam F1AJC FIVent FIElectric
IS CHIMNEY BEING LINED F1No []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU'S being vented.
[DHot Water FlSuppl.
& ~MANUFACTURER
[2ICon. Burner
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
[]As Approved
[]As Per Plan
[]Chimney B
[]Existing
[]Variable
[]Direct Venl
[]Not Applicable
F1Other Value
[]Other
DESCRIPTION OF ALL WORK BEING DONE
VA.L[~E (in~iudifi'g lab°f'a'hd'/ill matfiriil~ including light fixiU~) $
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Ins~_l~tion Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
12/26/2882 83:47
9282317255
BEE7 ELECTRIC
PAGE
8i
Electric Installation Verification
Beez E.~ctric, Inc.
521 W, 12th Oshk0~h
WI 549q2
have bcen contracted to perform electric installation work for Gartman Mech .a~..cal,
at the following address: 673 Mt. Vemg.~..
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater,
Reconnection or,he Service Entrance Cable, Meter Box, alterations to recepUcles and
fighting fv0:ures due to siding / soffit installation. Note: New Service Entrance Cables
will require a separate permit.
Reconnect/on or new circuit for other permanently wired appliances / fixtures.
Other
Thc value of this work is $150.00
I hereby verify this work will be performed by an employee of this company and further verify the
· reconnect/on / installation will be done in compliance with manufacturer a~d Electric code
requirements,
(Signature of Company Officer)
Gary Bie..s.'~er 12/26/02