HomeMy WebLinkAbout0100172-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 644 CEAPE AVE
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 BRUCE M ANNIS
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
100172
03/12/2003
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 03/12/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address PO BOX2264 OSHKOSH WI 54903 -2264 Telephone Number
(920) 231-5530
RECEIVEI
City of Oshkosh
Division oflnspection Services
P.O. Box 1130
Oshl:osh, WI 54903-1130
Phoee (920) 236-5050
Fax (920) 236-5084
1 12003 ·
. D PARTMENTOF
;O] i UNITY DEVELOPN1ENT
O gZH
HVAC PERMIT APPLICATION
3.11 information after bold categories must be provided.
Incomplete application~ will not be processed.
JOB ADDRESS
OWNER
e Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspcction 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 Fester.
OR
Ir r~,, ar_ e_ _a coo~'actor t~articip.~fin~ In the Per~ ~ ~ccount ~u?tem and hav~ ad,ousts fitnds, ch~c~
CI}E,t'?K [Fl ALL APPLICABLE :~:<:i:::, ::: .:~ :,::.: :::::'.:~ :: ::: :,:~ :~ ~:, ~.,?: .: ' ........................................
USE CATEGORY
i;gle Fh'mily ........ ~Dtip-l~ .......... *~M'~it'i2~ii~ ......... ~e-fiihi ............... ~commer~i~i
FUEL '~as ' nElec~ic ~S01id SYSTEM
~Oil ~Solar ~Other
TYPE
~Forced Air IDRadiant F1Steam F1A/C IDVent FIElectri¢
IS CIHMNEY BEING LINED I-lNo I-lYes - LINER SIZE
I,!~,~e: Al! chimneys shall be sized per.t'[,.~ RTIJ~s being vented.
EIHot Water EISuppl.
& MANUFACTURER
FICon. Burner
CtlIMNEY TYPE EIChimney A [IChimney B ElDirect Vent . EIOther
tlEAT LOSS FIAs Approved F1Existing EINot Applicable
BTU RATE I-lAs Per Plan' ElVariable FIOther Value
DESCRIPTION OF ALL WORK BEING Do1NrE~;~)~,~Q_~L_)
VALUE (Including labor and all me'er~als Including light fixtures) $
EI,F. CTRICAL CONTRACTOR .'
[] Fo; applicable projects, a~ E!ectric lnstallation,~/~fication form, signed by the Electrical Contractor, must be
attached. If not attached or not applioable, a separate Electrical Permit is required.
9/02
03/~0g/2003 23:00 92023i7255 BEEZ ELECTRIC PAGE 01
Division of Im~eation
215 Chu~h Av~
P0Box l]g0
O~hlco~h ~ ~90~-1130
Fax ~20-2!~&.50$4
Electric Installation Verification
(I) (We) Beez Electric_Inc.
5._2_1 W. 12th _O_shkosh
~WI 54902
haw been contracted to perform electric installation work for _Gartman Mechani_~!,
at the following, address.'
The nature of the work consists of'
(CheCk One or De~ribe the Nature of Work)
Reconnection or new drcuit for replacern~t Heating Plant and/or A/C 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.
ReConuection 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 perforrn~ by an employee of this company and further verify the
recormection / installation will be done in compliance with manufacturer and Electric code
requirements.
Gary. Biesin~r 03/10/03