HomeMy WebLinkAbout0099115-HVAC (boiler)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
1347 RAHR AVE
GARTMAN MECHANICAL SERVICES
L~J Gas I
[] New
b-J Forced Air J
[~i'ectric ~
b-J Radiant
[~J Hot Water
Chimney Type ~ ChimneyA ~ Chimney B
Heat Loss ~ As Approved ~.~ Existing
BTU Rate ~ As Per Plan ~ Variable
Owner JAMES/JENNIFER NAVIN
Category 500 - Residential-Heating & Ventilating
[] Electric
[] Replace
~ Steam
[] Suppl.
No 99115
Create Date 12/17/2002
Plan
~- Solar 1 E~-~id
[] Other
b-J NC [ L-d Vent
[] Con. Burner
~..) Direct Vent O Not Applicable J
~i Not Applicable J Value
~1~ Other t Value
Use/Nature
of Work
FFP,/
Replace boiler. *EIV form from Beez Electric.
Fees: Valuation $2,950.00 Plan Approval $0.00 Permit Fee Paid $50.00
Issued By: Date 12/17/2002
[] Permit Voided
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 of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phon.e (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
A;1 information after bold categories must be provided.
Incomplete applications will not be processed.
OJHKO/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
I_f_vou are a contractor partici, pa__t_ing in the Permit fee Account S.~.em and have adequate_funds, check here,
i~f_.3?c,t want this processed throug~ _Four account~
USE-CATEGORY
Single Family IZIDuplex ...QMultirFamily IDRental ~Commercial
FUEL ~Gas IZlElectric. I-JSolid SYSTEM [-1New
il I-ISolar l-lOther
FIIndustrial
Jl~eplace
TYPE
FIForced Air I-IRadiant F1Steam FIA/C IZIVent IZIElectric ot Water I-ISuppl.
IS CIIIMNEY BEING LINED I"lNo IZIYes - LINER SIZE & MANUFACTURER
No~c. All chinmeys shall be sized per the ~TU s being vented.
i-ICon. Burner
CHIMNEY TYPE FIChinmey A I-IChimney B F1Direct Vent U1Other
HEAT LOSS FIAs Approved I-IExisting [3Not Applicable
BTU RATE FIAs Per Plan FIVariable [3Other Value
DESCRIPTION OF ALL WORK BEING DONE~¢'~CYP-~
V)i~I'}JJE (incJhaJ'-fi~
ELECTRICAL CONTRACTO~
[] For applicable projects, an Electric In~Jlafion Verification fom~, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
21:35 9282317255 BEE2 ELECTRIC PAGE Bi
215 Chm~ Avenue
FOB~ 11~0
Oabko~ WI 54903.1130
Oil,. 91~)-~640~0
Electric Installation Verification
(I) (We) Beez Electric, Inc.
~ Oshkosh WI 54902
have been contracted tO peri'om electric installation work for Gai-mian Mechanical,
at the following address: .1.347 ltahr Aveaue..
The nature of the work consists of' (Check One or Describe thc Nature of Work)
Keconnection or new circuit flor replacemct~t Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replact~ent Electric Water Heater.
Kecormection of the Service Bntranc~ Cable, Meter Box, alterations to receptacles and
lighting ,fixtures due to siding / soffit installation, Note: New Service Entrance Cables
will require a separate permit,
Keconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value o£tMs work is $150.0_____q0
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Officer)
Ga~ Bicsin~ 12/,,09/02