HomeMy WebLinkAbout2003-HVAC (furnace)OSHKOSH
ON THE WATER
,Job Address 1328 WALNUT ST
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 GLEN/GEORGIA R BLACKBURN
Category 500- Residential-Heating & Ventilating
Electric
Replace
Steam
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
100695
04/08/2003
Other J
Vent J
Use/Nature SFR/REPLACE FURNACE. *EIV FORM FROM BEEZ ELECTRIC.
of Work
Fees: Valuation
Issued By:
$1,990.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$35.00
Date 04/08/2003
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 Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLI
~[~ ~[o~tio~ ~[ter bold cat~od~ must be provided.
]~ompl~to applications w~ll not bo procos~od.
OffH QfH
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
normal permit fee, which ever is greater.
OR
!f ¥o~ are a contractor participating In the Pertnit.tee ,4ccount System and have adequate_£1tnds, check here
~f you want this pro...c, essed through _vottr account ~
CON'rR CXOR V \¢ OUq
CIIECK ~I ALL APPLICABLE
xU~SE CATEGORY
~qingle Family IDDuplex FlMulti-Family VIRental
[']Commercial
EIIndustrial
FUEL ~tf3as VIElectric [3Solid SYSTEM VINew
IDOil VISolar [3Other
,T'ifPE
[~*orced Air VIRadiant [3Steam VIA/C VIVent nElectric
IS C!IIMNEY BEING LINED UlNa [3Yes - LINER SIZE
Note: All chinmeys shall be sized per the BTU's being vented.
fflItot Water nSuppl.
& MANUFACTURER
FICon. Burner
CtlIMNEY TYPE ElChimney A ElChimney B VIDirect Vent . VIOther
HEAT LOSS [21As Approved VIExisting VINot Applicvble
.~ITU RATE [21As Per Plan EIVariable VIOther Value __
DESCRIPTIONOFALLWORKBEINGDONE~,~(~'I~Q.9.~~("IQ.~.--.
ELECTRICAL CONTRACTOR ~
[] For applicable projects, an E.zctric lnstaildii~ Verification fem,, signed by tho Electrical Contractor, must bo
attached. If not attached or not applicable, a separate Electrical Permit is required.
~/o2
04/06/2003
9282317255
BEEZ ELECTRIC
PAGE
0i
Electric Installation Verification
(I) (We) B~z F,i~trip, inc.
.$21W. 12th. ~ 2/! 549_O_2
have been contracted to perform el~o'ic installation work for Gartman lviechanic_~
at the following address: 13__28 Walnut Avenue.,
The nature oft~e wgrk~consists of: (Check One or Describe the Nature of Work)
:. .... ~-': ",: '. :!, ',' ~'i~ '-..t:: ~ ~ !.?, ~!~:(!/~::~:; ~.
[~ Reconnecli°n ornew ~ircuit for replacement Heating Plant and/or A/C Condenser.
[] . Reconnection or 'n~v circuit for replacement Ele~tic Ware}/Heater.
[~] Re~,onneoti0B 6f~* S~ce Entrance Cable, Meter Box, alte, rauons to r~,~ptades and
lightin~ fixtures due to siding / soffit installation. Note: Now $~-~ice Entrance Cables
will require a separate permit.
[~] Reconnect, ion or new circuit for other permanmtly wired appliances / fixtures.
D Other ~
The value of this work is $150 O0
I hereby verifY this work will be performed by an employee oft. his company and further verify the
reconnection / installation will be done ~ compliance with manufacturer and Electric code
rluirem~nts'
Signature 0 c