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HomeMy WebLinkAbout0099666-HVAC (boiler & furnace)OSHKOSH ON THE WATER .lob Address 725 HAZEL 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 CONNIE S FELIX 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 99666 02/03/2003 Other Vent J Use/Nature DUPLEX/Replace a boiler @ 725A Hazel and a furnace @ 725 Hazel. *EIV form from Beez Electric. of Work Fees: Valuation Issued By: $4,440.00 Plan Approval $0.00 Permit Fee Paid Permit Voided J $72.50 Date 02/03/2003 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 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 w. ill not be processed. O,/'HKO. A-! ON THE WATER · Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, EO 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[ ¥ou are a contractor t~articit~atine in the Permit fee Account System and hav~a~ouate £unds, check here iff__!,.£~.ltwantthisproceffsedthroug_h_.¥ouraccount ~]- - -'~ - ~ ~tE<~~ ,C~ USE CAtEGORy~, ......... , ~X" ~Single Family ~uplex ~Multi-F~ily ~Rental .... ~Commercial - D~dusffial F~L ~Gas ~Elec~ic ~Solid SYSTEM DNew ~Replaee ~Oil ~Solar ~Other .T E rced Air EIRadiant FISteam [3A/C UIVent UIElectric IS CHIMNEY BEING LINED UINo DYes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. ~Hot Water I-ISuppl. [3Con. Burner & MANUFACTURER CHIMNEY TYPE FIChimney A FIChimney B [3Direct Vent HEAT LOSS F1As Approved [3Existing [3Not Applicable BTU RATE UIAs Per Plan [3Variable [3Other Value DESCRIPTION OF ALL WORK BEING DO ~ © '"~. :-'-":.~:: '-"" ~._.-,'4' ~: i,' :;" , ...... [3Other VALUE (Including labor and all materials including light fixtures) $ ELECTRICAL CONTRACTOR 13 For applicable projects, an Elect~ lnstal'la~i~n Qerification form, signed by the Electrical Contractor, must be attached. If not attached or not applicable, a separate Electrical Permit is required° 9/02 . 0i/30/2003 03:12 9282317255 BEEZ ELECTRIC PAGE 81 DM~on &Inep~ion 8=vi~ 215 C:ln~rch Aveimc POBox 1130 Oshkosh ~ 54903-1130 Electric Installation Verification (We) B_eez.Electri¢, Inc. $21 W. 12th Oshko WI 54902 have been contracted to perform electric installation work for Gartman Mechanical, at thc following address: 725A Hazel. The nature of the work consists of: (Check One or Describe the Nature of Work) Rec, onne~tion or new dr~uit for replacement Heating Plant and/or A/C Condenser. Recormection or new circuit for replacement Electric Water Heater. Reconne~tion of the Service Entrance Cable, Mcte~ Box, alterations to receptacles and lighti~ fixtures due to siding / soffit installation. Note: New Service Entrance Cables will require a separate peru-fit. Reconnection or new circuit for other permanently wired appliances / fixtures. Other The value of this work is $150.00 I hereby verif)' this work will be performexl by an employee of this company and fisrther verify the recormection / installation will be done in compliance with manufaoturer and Eh~-tric code requirements. (Signature of Compmy Officer) Gal'yBiesinerr 01/30/0~,