HomeMy WebLinkAbout0098853 HOSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
1255 N WESTFIELD ST
GARTMAN MECHANICAL SERVICES
L~J Gas I
[] New
J~] For~d Air J
Electric J
Chimney A
As Approved
As Per Plan
Owner KATHERINE A JACKSON
Category 500 - Residential-Heating & Ventilating
Ed Oil I EZ~-~ctric 1 ~lar
[] Replace J
J__J Radiant I l--1 Steam I
~]-Hot Water I ] ] Suppl. I
Chimney B ~ Direct Vent O Not Applicable
~ Existing ~1 Not Applicable I
~ Variable ~ Other i
No 98853
Create Date 12/02/2002
Plan
[] Solid
[] Other
J_J NC J
[~]--~'~n. Burner
Value
Value
LJ Vent i
Use/Nature
of Work
FFR/
Replace furnace. *EIV form from Beez Electric.
Fees: Valuation
Issued By: ,~
$1,590.00 Plan Approval $0.00 Permit Fee Paid
PermitVoidedI
$29.00
Date 12/02/2002
In the pedormanceofthiswork, I agree to pe~ormallwork pursuanttorules governing the descdbedconstruction.
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
D.;vision of Inspection Services
P.O. Box 1130
Oshknsh, WI 54903-1130
PI:one (920) 236-5050
Fax (920) 236-5084
O./HKO/H
ON THE W^TER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
· 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.!fD:ou are a contractor particip.a, ting in the Permit fee Account Syxtem and have adequate funds, check here
i~.yo, want this processed throup,~_ your accouh'r-.~
CONTRACTOR
CHECK [] ALL APPLICABLE
~..t ~. . :,. ,, ~,~ ~?:,, ;:::-' '~'~ ~ "~i',~ ~?:;;) ';5~ ~..r:~ .
.U~;~ CATEGORY
}~siiqgl;i~arnlJ~, ....... I-IDuplek ........ ~'UMultiZF&~ily....... DRental ....... ~C0mmemial D~dustfial '
-- Gas nElec 'C tiS°lid ...... sYSTEM nNew" Replace
~Oil DSolar ~Other
q
PE
orced Air F1Radiant ElSteam EIA/C UIVent ElElectric
IS CHIMNEY BEING LINED FINo l-lYes - LINER SIZE
.q ,
Note: All chimneys shall be sized per the ,~ TU s being vented.
FtHot Water FISuppl. EICon. Burner
& MANUFACTURER
CHIMNEY TYPE FIChimney A FIChimney B EIDirect Vent f-lOther
HEAT LOSS EIAs Approved F1Existing EiNot Applicable
BTU RATE I-lAs Per Plan EiVariable FIOther Value
VALUE (Including,!abor and al! materials including light fixtures) $ ~_~ --'~
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Instal~tmn Venficatmn form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
~/o2
~ "ii/25/2002 07:i4 92023i7255 BEEz ELECTRIC PAGE 01
21 ~i C~ch Av~u~
Electric Installation Verification
521 W. 12th Oshkosh WI 54902
have been contracted to perform electric installation work for Gartman_M_,e_clcani. '__~._,
at the following address: ][255 N. Wcstficld..
The nature of the work consists of: (Check One or Describe the Nature of Work)
Recormection or new circuit for replacement Heating Plant and/or A/C Condenser.
Rccormection or new circuit for replacement Electric Water Heater.
Reconnectiori of the Setwice Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures duc to siding / soffit installation, Note: New Service Entrance Cables
will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value ofthis work is $100 O0
(Signature of~ompany Offlccr)
hereby verify this work will be performed by an employee of this company and further verify the
recormection / installation will be done in compliance with manufacturer and Electric code
}:requiremants.
~ Biesin~et 1.~/25/02