HomeMy WebLinkAbout0099597-HVAC (unit heaters)OSHKOSH
ON THE WATER
.lob Address 465 N MAIN ST
Contractor
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
GARTMAN MECHANICAL SERVICES
Oil
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner CARL A STAPEL
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
99597
01/27/2003
Other
Vent J
Use/Nature COMM/MARSHA'S CAFE @ 9 Church Ave/Replace unit heaters. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,050.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$21.50
Date 01/27/2003
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 PARKAVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
City of Osi~kosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (926) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O,./IHKO,/'H
ON THE WATER
· Appllcation(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
nom',,,l permit fee, which ever is greater.
OR
lf y. ou a~e .a contra, ctor participating i.n the Permi~ee Accou.nt. System and have adeauate £unds. check h'.er~
~!_o!~_;.'}nt- thix_T_processed through_your account [~ - -
CIIEC/. [] ALL A~PPLICABLE
USE CATEGORY
l-lSingk. Family ElDupleX' FIMulti-Family
FUEL J~Gas EIElectric EISolid
EIOil EISolar
' nRental
SYSTEM
)~i/conUnereial
[3New
ElOther
FlIndUstrial
Replace
TYPE
EIForced Air [3Radiant l-lSteam F1A/C EVent [3Electric [3ttot Water FISuppl. ECon. Burner
IS CHII~.~NEY BEING LINED EINo [3Yes - LINER SIZE
Note: All .hinmeys shall be sized per the BTU's being vented.
& MANUFAC~R
CHIMN ;gY TYPE I-IChimney A EIChimney B EIDirect Vent [3Other
HEAT ~. DSS I-lAs Approved FIExisting EINot Applicable
BTU RA £E rlAs Per Plan [3Variable [3Other Value
VALUE (~ncludi"g labor and all materi~ls including light fixtures) $ ~(.~. ~l(_~Y
['~ For applicable projects, an Elecm'~ In ts all t~n ~Verifieation form, signed by the Electrical Contractor, must be
aimched. If not attached or not applicable, a separate Electrical Permit is required.
9/02
01/i9/2003 ~22:21 9202317255 BEEZ ELECTRIC PAGE Bi
~:~iGo~ of ~e~tion Servi~
215 ~'qturnh Avemae
POBox11~0
Paa
Electric Installation Verification
(1') (We) Beez Electric. Inc.
521 W. 12th. Oshkosh
54902
have been contracted to perform electric installation work for Ganman M~hanical,
at the following address:
The nature of the work consists of: (Cheek One or Describe the Nature of Work)
Reeonnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reoonnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entxance Cables
will require a $epaxate permit.
Reconneetion or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $150.00
I hereby vefi~ this work will be performed by an employee of this company and further wrify the
reeonnection / installation will be done in compliance with manufacturer and Electric code
requirements.
Gary BiesinRer, 01/17/03.
(Signature of Company Officer)