HomeMy WebLinkAbout0102903-HVAC (a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
1241 WHEATFIELD WAY
GARTMAN MECHANICAL SERVICES
No 102903
New
Forced Air
Electric
Radiant J
H°t Water I
Owner SCOTT WNIVA M JOHANKNECHT
Category
I,.,J Electric
[] Replace
L~ steam
~J suppl.
501 - Residential-Air Conditioning
Solar
b~J NC
] I Con. Burner
ChimneyType ~ ChimneyA O Chimneys (,~) DirectVent O Not Applicable I
Heat Loss ~ ~ AS Approved (,~) Existing O Not Applicable [ Value
BTU Rate ~.) As Per Plan (.2 Variable ~ Other I Value
Create Date 07/17/2003
Plan
I [] Solid ]
[] Other
Vent
0
Use/Nature SFPJ Install NC. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,910.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$35.00
Date 07/17/2003
In the performance of thi~ work, I agree to perform ali work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231-5530
35<
City al Oshkosh
Divi~iaa of Inspection Services
P.O. Box 1130
O'.hkosh~ WI 54903-1130
Phone (920) 236-5050
Fax (')20) 22,6-5084
D
ZCENED
JUL (3/.u¢,) .
' DEVELOP EN
HVAC PERMIT
All information after bold categories must be provided.
Incomplete applications w. ill not be processed.
· Application(s) and fee(a) eau be brought to CiO) Hall, Room 205 or mailed to Inspection .qervic~s, P,O Box i 128,
Oshkosh WI 54903-1128. Commencing work without permit(a) will result in fees being doubled or $100.00 plus tho
normal permit fee, which ever is .greater.
OR
If pot, ~t'9 a eo~urc~ctor P(~rllcipatlnft In th~ per~nl, t £ee ,4ccount System and have adeauate_funds, check
i_Li.,o_t3A_van( thi4' processed lt~rougl~ vottr account .~_
'\
coNTRACTOR ~~~
CH~(~K ~ ALL APPLICABLR
~S? CAT~GORY
~ingle Family
E]Duplex rlMulti-Family
FIJEL I2~as ElElectrie Vlgolid
ElOil ElSolar
F1Rental L"lCommomial Ellndustrial
TyPE
EIForced Air ElRadiant EISteam C EIVent VIElectrio
IS CIIIMNEY BEING LINED ~No VIyes - LINER SIZE
}-tote: All chimneys shall be sized per the BTU'a being vented.
Eliot Water VISuppl.
& MAIqUFACTURER
I-ICon. Burner
CIIIMNEY TYPE l"]Chimney A EIChinmey B VIDireet Vent . I21Othor
IIEAT LOSS EIAs Approved I-IExi~ting FINot Applicable
BTU RATE E]As Per Plan VIVariable FIOther Value
DESCRIPTION OF ALL WORK BEING DONE~k
VALUE (Inch.ding labor ami all materials including light fixtures) $
ELECTRICAL CONTRACTOR
[21 For applicable projects, an Electric Installation Verification f~rm~signed by tho Electrical Contractor,
atlacbed. If not attached ornot applicable, a separate Electrical Per/nit is required.
must be
9/02
07/13/2003 22:52 0202317255 BEEZ ELECTRIC PAGE 84
Electric Installation Verification
(I) (We) Beez
521 W. 12th Oshkosh ~_ 54902
have been contra~ted to perform d~c installation work for Co.man Mechanical 5erviee~,
at the following address: 1241 Wheatfidd Way.
The nature of the work consists of: (Check One or Describe the Nature of Work)
[] Keconnection or new drcuit for replacement Heating Plant and/or A/C Condenser.
[] Reconnectlon or new circuit for replacement Eleciric Water Heater.
[] Reconuectlon of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Emrance Cables
will require a separate permit.
[] Keconnection or new circuit for other permanently wired appliances / fixtures.
[] Other
The value of this work is $150.00
I hereby verify this work will be pe, fformed by an employee of this company and forther verify the
rcconuection / instaliation will be done in compliance with manufacturer and Electric code
requirements.
(Signature of Company Otiic~r)