HomeMy WebLinkAbout0100822-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
.lob Address 917 BROOKWOOD CT
Contractor GARTMAN MECHANICAL SERVICES
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 JAMES S/PHILLIS ALECOS R TRUST
Category 502- Residential-Both
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
100822
04/15/2003
Other J
Vent J
Use/Nature SFR/Replace furnace & A/C. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$3,720.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 04/15/2003
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 al'Oshkosh
Division oflnspectiou Services
P.O. Box 1130
esl&ash, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O - O/H
ON THE WATER
e Application(s) and fee(s) can be brought to Ci~ 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
nt,rmal permit fee, which ever Js ~eater.
OR
l_J~r_o.&~ are a _contractor partici, p~ting in tho permi'~ee Account Systet.n. ond' have adequate funds, check here
i.[_l?_t_t. ~_zgant this procesfed th.ro~t.g..h your account I
CIIECK [] ALL APPLICABLE
CATEGORY
ingle Family ' f-IDUplex i~'MUiti2FmilY ......... IDRentai ........ [3CommerCiai [3Industrial
FIJEI~ ~l,Gas F1Eieetric [']Solid SYSTEM F1New ~Replaee
Flail EISolar l"iOther
TYPE
'~orced Air F1Radiant F1Steam I-iA/C I--IVent IDElectric
IS CIIIMNEY BEING LINED I-1No [2lYes - LINER SIZE
Ncte: All chimneys shall be sized per the BTIJ's being vented.
[3tlot Water I"iSuppl.
& MAlqlJFA.Cq"URER
i-lCon. Burner
CIIIMNEY TYPE 121Chimney A I-IChimney B ElDirect Vent l-lather
tlEAT LOSS [21As Approved i-iExisting I-INet Applicable
BTU RATE I-lAs Per Plan glVariable UIOther Value
DESCRIPTION OF ALL WORK BEING DoNE~,~9~.~~C ~) ~'k,~LY~,O,~Q.,9-~ ~.~',~d _ /~.~0,_~
VAI.IJE (Including labor and all materials Including light fixtures) ·
ELECTRICAL CONTRACTOR
13 For applicable projects, an F!ectric ln~a'l,~ation Verification form, signed by tho Electrical Contractor, must be
attached. If not attached or not applicabi'ev', a separate Electrical Permit is required.
9/02
04t09/2003
83:52
9202317255
BEEZ ELECTRIC
PAGE
01
CRy of
Divisi~
215 Chu~h Av~ue
O~k~h wi ,~0~-1130
Electric Installation Verification
521 W. 12th Oshkosh WI 54902
have been contracted to perform dectric instalhtion work for ~ Mechanical,
at the following address: 917 Brookwood Ct..
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,
R~onnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lightin~ fixtures due to siding /soi~t installatior~. Note: New Service Bntrance Cables
will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this w°rk is $150 O0
I hereby verify this work will be performed bY an employee of this company and further verify the
w. onnection / installation will be donc itt compliance with manufacturer and Electric code
~luirements.
(Signature of CoU, y Officer)
Gary Bie,~inger p_4/09/03