HomeMy WebLinkAbout0091776-HVAC (RTU)'10
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No 91776
Job Address
606 E MURDOCK AVE
Owner MUZA METAL PRODUCTS CORP Create Date 12/11/2001
Contractor
GARTMAN MECHANICAL SERVICES
Category 500 - Residential- Heating & Ventilating Plan
Fuel
jvl Gas ]
Oil
L Electric
Solar Solid
System
New
Replace
[� Other
✓ Force
Lj Steam
A/C Vent
Electric
Hot Water
L Suppl.
Con. Burner
Chimney Type
0 Chimney B
Direct Vent
Not Applicable
Heat Loss
As Approved
Existing
Not Applicable
Value
BTU Rate
As Per Plan
Variable
Other
Value
Use /Nature COMM/ Replace front office heat/cool rooftop unit. *EIV form from Beez Electric
of Work
Fees: Valuation $4,900.00 Plan Approval $0.00 Permit Fee Paid $78.50
Issued By: Kry% Date 12/11/2001
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231 -5530
Division of Inspection aerv$c*4
C 215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax N (920) 236 -5064
Olt Phone (920) 336 -5046
All fields /informptian 6or bola 0000A1" CON ; h �►'�1► �A r .:
Incomplete applications Will pot b4'
JOB ADDRESS L�'�P •' t :
OWNER
CONTR
•
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MU14TI- FAM114Y INDU I"
FUEL ►' GAS OIL EJ, RIC SOLAR X330
_
SYSTEM W REPLAC OTHER
�
TYPE FORCED AIR RADIANT STEAM. A/C .
ELECTRIC HOT WATER SUPPh, CON, Aw!"It .
IS CHIMNEY BEING LINED LINER SIZE -.;
MA}�i1J�1:d '}'[iRfiR
Note: All chimneys shall be sized per the BTU#a being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B KjtIM vow OCHER
HEAT LOSS AS APPROVED RXISTING NOT A['KIC"hR
BTU RATE AS PER PLAN VARIABLE OTHER 1j1041M
("�TUR,E OF WORK:
�L.:,� �CC)Z��' , f l%`��.. =�: ��-�. . •'
(W,��c�
VALUE (including labor and materials) $ `'t -I 0o• x
ELECTRICAL CONTRACTOR "-
Electrical installation of new /re a emsnt equipment phall be done by 1 #Re=i4ed
contractor's.
Valuation Fees
$ 0 Lo $1,000-00 .............. ............................... »....».«.»..„«.«...:.... .......... ».« .... «.... ».... » .......... «.......... »..$ 0.00
$1,000.01 Lo $104000.00 .................... ».« ...»»»..«.;..«...».......«.».«.».« ............ »._. ». «. «..««. «:.$; 0, 00 for, f #4 t
$1,000.06 plus $1.50 per $100,00 valjgbion or p4 t.thereof
$10 , 0 0 0. 0 1 to $25,000.00 .......................... ... «.». ».......... ».......... ». . ». »........ ».... ». ». «..» «. »..$156 0 0 for 'f i rs t
$10,000.00 plus Q1.00 per $100.00 vglugtiop or Par,�E~herpC+t
a'
Over $25,000.00 . $3051.00 plus
per $100.00 Valuation or part therepf.-
Sul-jinit Payinent with application. Failure to pay within 30 days will result is
f.een being doubled or $100.00 plus the.normal permit tee, Which ever,is -
n'
12/09/2001 19:31
;�M71��rTIw
9202317255
City of oshkosh
Division of Inspection Services
215 Church Meese
PO Box 1130
Oshkosh tF/- 54903-1130
Office 920 - 236 -5050
Fn); 920 - 236 -50114
BEEZ ELECTRIC
Electric Installation Verification
(I) (We) Beez.Electric, Inc.
521 W. 12th Oshkosh WI 54902
have been contracted to perform electric installation work for Gartman_Mochanical. Services,
at the following address: 606 E. Murdock.
The nature of the work consists of : (Check One or Describe the Nature of Work)
PAGE 01
® Reconnection or new circuit for replacement Heating Plant and /or A/C Condenser-
0 Reconnection or new circuit for replacement Electric Water Heater.
❑ Reconmection 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 Install GFI receptacle for roof top units
The value of this work is $300.00
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
` Gary Biesinger 12/07/01
(Signature f ompany Officer)