HomeMy WebLinkAbout2002-HVAC (a/c) I0 CITY OF OSHKOSH No 95263
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 507 REICHOW ST Owner W LAWRENCE ROMANS TRUST Create Date 06/19/2002
Contractor GARTMAN MECHANICAL SERVICES Category 501 - Residential -Air Conditioning Plan
Fuel ✓l Gas I 1 Oil Electric Solar I 1 Solid
System Ell New 1 I✓] Replace J ® Other
Li Forced Air u Radiant J Steam IJ NC u Vent
Electric I Hot Water Suppl. I Con. Bumer I
Chimney Type ;_ ) Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss .) As Approved 0 Existing • Not Applicable Value 0
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature SFR/ Replace a /c. *EIV form from Beez Electric.
of Work
Fees: Valuation $1,280.00 Plan Approval $0.00 Permit Fee Paid $24.50
Issued By: Date 06/19/2002
0 Permit Voided
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 PARK AVE PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number (920) 231 -5530
. , ,c-i 3t
City of Oshkosh
#1
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OJHKOJH
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 you are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed through your accoun
DATE (0 il / 1 O •
JOB ADDRESS t
0 AP
OWNER /A•_.Ak 0 1PL4&# 4
CONTRACTOR 11. ,,
•
CHECK Ed ALL APPLICABLE
USE CATEGORY
jl Single Family ❑Duplex ❑Multi Family ❑Rental ❑Commercial ❑Industrial
FUEL VjGas ❑Electric ❑Solid SYSTEM ❑New Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY B ING LINED ❑No ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys hall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE ?A QCO- a�
1 o.....) . _
VALUE (Including labor and all materials including light fixtures) 1131 . (2 C-i
ELECTRICAL CONTRACTOR OR -E Electric Installation Verification form attached(If Replacement)
Electrical installation of new /replacement equipment shall be done by licensed contractors.
3/02
06/16/2002 19:50 9202317255 BEEZ ELECTRIC PAGE 02
city Dr°.hhmh
Mid= of Urp.ct on s.Miew
215 Chun% Avenue
PO Hon 11 i
•! ' '� Ou cos h 27 " 23R 54903 -1130
: "• : Fax 920,2365014
Electric Installation Verification
(I) (We) Beez Electric.
521 W. 12th Oshkgsh WI 54902
have been contracted to perform electric installation work for Garter Meclagjcal Services,
at the following address: 507 Reow.
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 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.
❑ Reconnection or new circuit for other permanently wired appliances / fixtures.
❑ Other
The value of this work is S100.00
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
requirements.
Gary Biesi ger 06 /06/02
(Signature of Company Officer)