HomeMy WebLinkAbout0100362 HOSHKOSH
ON THE WATER
1119 1123 WISCONSIN ST
GARTMAN MECHANICAL SERVICES
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner GRANT/GRETCHEN WITHERS
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
100362
03/24/2003
Other J
Vent J
Use/Nature RENTAL/DUPLEX/#1123/ Replace furnaces. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$2,140.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$38.00
Date 03/24/2003
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
City of Oshkosh
Division of Inspeclion Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax ({)20) 236-5084
D£MRTMF_.I T OF
HVAC PERMIT APPLICAIIO
All info~tion after bold calegorie~ ~st be ~rovided.
lnoo~plot~ a~plioation~ will not
ON THE WATER
· Application(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed to Inspection Services, P.O Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nra'mM permit fee, which ever is greater.
OR
l_~r.¢t~ are a contractor partic~7~_.;_.~g tn the Permit fee Account £},s'~.em and have edco,ate fund,, ch~ck
iff_x'ott want this processed through..your account
JOB aDD'Ss
CllE .K ~ ALL APPLICABLE
USE CATEGORY
nSingle Family DDupiex ..... DMU'ifi'2~iii'9 .... ~Rehtai ........... nC°mm'erciai D~'d'uatfial
FUEL ~Gas DElee~ic ~Solid SYSTEM DNew
~Oil ~Solar ~Olher
\TXPE
orced Air I-IRadiant ElSteam 1-13./12 EVent IDElectric
~S'"C..lllMNEY BEING LINED FINe F1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTLPs being vented.
I51Ilot Water FISuppl.
& MANUFACTURER
f-ICon. Burner
CIIIMNEY TYPE []Chimney A UIChimney B UIDirect Vent . EIOther
HEAT LOSS OAs Approved ElExisting ElNot Applicable
~ITtl RATE f-lAs Per Plan ElVariable l-IOther Value __
YaLUE (,.cmdi~a ,abor and a,, m.ter'al~ i.cludl.g light fi,tures) $~140' ~
EL E CTRICAL CONTRACTORr~..~/--.,
[] For applicable projects, an' E!ectric In~llation Verification fem,. signed by tho Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
~/02
5'3/28/2883 82:18
9282317255
BEEZ ELECTRIC
PAGE
81
Electric Installation Verification
(I) (We) Beez Electric. Inc.
521 ~,__!_2th Oshkosh ~ 54902
have been contracted to perform electric installation work for Gartman.M~hanical,
at the following address: 11,:2,3 Wisconsin St,.
The nature of the work consists of: (Check One or Describe the Nature of Work)
Reconnecfion or new circuit for replacement Heating Plant and/or A/C Condenser,
Reconnecfion or new circuit for replacement Electric Water Heater.
Reconneetion of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / ~offit installation. Note: New Service Entrance Cables
will require a separate permit,
Reeonnection or new circuit for other permanently wired appliances / fixtures.
Other.
The value of this work is $150.0Q
I hereby verify this work will be performed by an employee of this company and fur~er veri~ the
reconnection / installation will be done in compliance with manufacturer aod Elevtric code
requirements.
>~-~-~/_.. ~.zz~~ Gary,.Biesin_eer 03/20/03
(Signature of Comply Officer)