HomeMy WebLinkAbout0095704-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 2415 HAMILTON ST
CITY OF OSHKOSH
No
95704
HVAC PERMIT - APPLICATION AND RECORD
Owner CHRISTOPHERlP BELLIN
Create Date 07/09/2002
Contractor GARTMAN MECHANICAL SERVICES
Fuel 1,11 Gas I I Oil
System o New I
~ Forced Air U Radiant
I I Electric I J Hot Water
Chimney Type Chimney A Chimney B
Heat Loss D As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
1 Solar
I Electric
PJ Replace
U Steam
I J Suppl.
I J Solid
o Other
U Vent
Direct Vent
U AlC
I J Con. Burner
Not Applicable
. Not Applicable
. Other
Value
o
Value
UselNature ISFRI Replace furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation
$2,050.00
Plan Approval
$0.00
Permit Fee Paid
$36.50
Issued By: t. vV\
Date 07/09/2002
o Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Date
Signature
AgenUOwner
Address
520 W SO PARK AVE PO BOX 2264 OSHKOSH
WI 54903 - 2264 Telephone Number (920) 231-5530
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City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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OfHKOfH
ON THE WATER
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 City 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
If VOlt are a contractor participating in the Permit fee. Account Svstem and have adequate funds. check here
if VOIl want this processed through]our account n
DATE Lv \mo l O~
JOB AD D~SS~~YI
OWNER Q 5-~
CONTRACTOR~ .
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family
FUEl. kGas
Obit
ODuplex OMulti-Family
ORental
OCommercial OIndustrial
OElectric DSolid
OSolar
SYSTEM
DNewb-'Replace
DOther r'
l:Z-PE
Lf\orced Air DRadiant OSteam ONC DVent DElectric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's b<::ing vented.
CHIMNEY TYPE DChimney A DChimney B DDirect Vent DOther
HEAT LOSS OAs Approved OExisting DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORJ( BEING DOl'lE~~ ~(\ ( Q ~
VALUE (Including labor and all materials including light fixtures) $ a Oi)O (x)
ELECTRICAL CONTRAcrOR% OR'0 ",,'n' 1.",""'0. V",""ti.. fo,,,, .tt~..d(" '''''''~')
Electrical instal/atiofl ofnewlreplacement equipment shall be done by licensed contractors.
3/02
'05/2€i/2002 19: 37
9202317255
BEEZ ELECTRIC
PAGE 01
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City of0s1lkoBh
DivisiDII of hlspcction SeM=
215 ChInd1 AVOlllue
po Sox 1130
QshkQs\l. WI S4903-1130
oflie.. 9'2o.:23(;.~O
Fax 9'2.Q-:US.SOS4
Electric Installation Verifieation
(1) (We) Beez Electric. Inc.
521 W. 12th Oshkosh ID 54902
have been contracted to perform electric installation work for Gartman Mechanical Senrices,
at the following address: 2415 Hamiltgn Street.
The nature of the work consists of: (Check One or Describe the Nature of Work)
o
o
Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection of new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding I 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 $100.00
I hereby verifY this work will be performed by an employee of this company and further ve~ the
reconnection I installation will be done in compliance with manufacturer and Electric code
requirements.
Gary Biesinger
06/26/02
Cnmna.nv Officer)