HomeMy WebLinkAbout0099599-Electric (furnace)OSHKOSH
ON THE WATER
.lob Address 1007 N SAWYER ST
Contractor GARTMAN MECHANICAL SERVICES
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner DAVID P RICHMONDNV EGGEBEEN
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
99599
01/27/2003
Other
Vent J
Use/Nature SFR/Replace furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,850.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$33.50
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 af Oshkosh
Division of Inspection Services
P.O. Box 1130
Os!xkosh, WI 54903-1130
Phrme (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
Al'. information after bold categories must be provided.
Incomplete applications will not be processed.
OJtqKO/H
ON THE WATER
· Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, P.O 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
[fd_'o", are a contractor p.:~.rt~ip__e.t~ng in the Per_m~it._Lfee Account Sv:~'.em and have adettuat¢_funds, check here
i. f you want this processed through .your account x['-ff -
corr CTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
r~gle Fan, ily ..... EiDupls~ ....~fiitJ:F~l'fy ............ I-I'R~nt~l ................ EICommercial ..... FIIndustrial
aas nElectric"n olid SYSTEM rllqew Ceplace
I-IOil U1Solar UIOther
TYPE
,~Forced Air UIRadiant IDSteam UIA/C EIVent FIElectric
IS CIIIMNEY BEING LINED U1No [DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
EIHot Water EISuppl. f-ICon. Burner
& MAlqU-FA~R
CtlIMNEY TYPE I-'lChimney A UIChimney B EIDirect Vent UIOther
HEAT LOSS FIAs Approved UIExisting U1Not Applicable
BTU RATE I-lAs Per Plan ElVariable FIOther Value
DESCRIPTION OF ALL WORK BEING DONE _~ ,¢x.{)~ ~ '
VALI[E (Includihg labor and all materials including light fixtures) $ ·
ELECTRICAL CONTRACTOR ~
[] For applicable projects, an Electric Install t~n Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
.81/.21/2003 84:04 9202317255 BEEZ ELEOTRIC PAGE
Electric Installation Verification
(we)
Beez Electric, Inc.
52! W. 12th Oshkosh
WI 54902
have been contracted to perform electric installation work for Ganman Mechanical,
at the following address: 1007 N. SAW'k'ER.
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.
Reconnectior~ or new circuit for replacement Electric Water Heater,
Re~.,onnecfion of thc Service Bntrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due 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 o£this work is $150.00
I hereby verify this work will be performed by an employee of this oompany and further verify the
reconnection / installaQon will be done in compliance with manufacturer and Electric code
requirements.
(Si~ture ofCompanTOffic~O
Gary. Biesin~er 01/21/03