HomeMy WebLinkAbout0083618-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 816 BAVARIAN CT
CITY OF OSHKOSH
No
83618
HV AC PERMIT - APPLICATION AND RECORD
Owner
ANDREW J. PHilLIPS
Create Date 01/02/2001
Contractor GARTMAN MECHANICAL SERVICES
Fuel 1,(, Gas I 1011
System nf'Jew I
l.vJ ~orced Air I.J Kadlant
1 I ~Iectnc I 1 Hot Water
Chimney Type K) Chimney A ( ) <';hlmney ~
Heat loss K ) As Approved ( ) ~xlstmg
BTU Rate K ) As Per Plan ( ) vanable
Category 500 - Residential-Heating & Ventilating
Plan
I I »olld
U Al<';
I I <.;on. ~urner
I
I : Other
I
I
I J Vent
I I ~Iectnc
1,(1 Keplace
I I »olar
U »team
I 1 »uppl.
( ) [Nect vent
( ) Not Applicable
( ) Not Applicable
( ) other
Value
Value
"'~~. r>" ,",,~ce èC"~Œ
of Work
Fees: Valuation
$2.200.00
Plan Approval
$0.00
Permit Fee Paid
$38.00
Issued By:
~::~ rY) S
Date 01/10/2001
[jPermifVõiaeã1
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
520 W SO PARK AVE PO BOX 2264
Agent/Owner
OSHKOSH
WI 54903 - 2264
Telephone Number
(920) 231-5530
3~OO
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O{H<,QiH
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # 1920) 236-5084
Phone 1920) 236-5048
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CONTRACTOR ~ t:1n.0Jì
CIRCLE ALL APPLICABLE
US!". CATEGORY. ~G~~ DÚPLEX
FUEL ~ OIL ELECTRIC
SYSTEM NEW OEPLA~
TYPE GcE~ RADIANT
ELECTRIC HOT WATER
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE lð \ I \ oCJ
l
MULTI-FAMHN
COMMERCIAL
INDUSTRIAL
SOLAR
SOLID
OTHER
STEAM
AIC
VENT
SUPPL.
CON. BURNER
IS CHIMNEY BEING LINED LINER SIZE
Note, All chimneys shall be sized per the BTU's being vented.
MANUFACTURER
CHIMNEY TYPE
CHIMNEY A
CHIMNEY B
DIRECT VENT
OTHER
HEAT LOSS
AS APPROVED
EXISTING
NOT APPLICABLE
BTU RATE
AS PER PLAN
VARIABLE
OTHER VALUE
NATURE OF WORK:
VALUE (Including lab°Hnd materials) $ é)éJ,où, t.Ù
ELECTRICAL CONTRACTOR ~6Yn.-U\. ci~ \'\..J-...D C')[.A.Yf\.-../
Electrical installation of new/replacement: equip,neu!: shall be' done
contractors.
by licensed
Valuation
Fees
$0 to $1,000.00.......................................................................................................................................$20.00
$1,000.01 to $10,000.00...............................................................................................................$20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000.00............................................................................................................$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000. 00.......................................................................................................................................$305.00 plus $0.50
per $100.00 valuation or part thereof
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fe~, which ever is
greater.
(t)
OJHKOIH
ON THE WATER
City of Oshkosh
Division on",poenoo SeMces
215 Chureh Avenuo
PO Box 1130
Oshkosh WI 54902-1130
Offi" 920-236-5050
Fax 920-236-5084
GtY
(1) (We)
Electric Installation Verification
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<ð / (P ß~ d: OsØ{
(Address) (City)
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(State)
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(Zip Code)
have been contracted to perform electric installation work for ¡Ù / Æ
(Name of party contracted to)
at the following address:
,u/A
(Address where work will be performed)
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 AlC Condenser.
- Reconnection or new circuit for replacement Electric Water Heater.
- Reconnection of the Service Entrance 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
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The value of this work is $ {)A{ K ~ 4to ~
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
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