HomeMy WebLinkAbout0101269-HVAC (furnace)OSHKOSH
ON THE WATER
,Job Address 448 W 8TH AVE
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 KAREN Y HAWKINS
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
101269
05/02/2003
Other
Vent J
Use/Nature SFR/Replace furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,850.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 05/05/2003
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 i 130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
Ail information after bold categories must be provided.
Incomplete applications will not be processed.
O,fft-KO/H
ON THE WATER
· Application(s) and fee(s) can be brought to Ci~ 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
(£ yo, are a contractor particip.~Hng !ti the Pertnit fee Account. Sys. t. em and have adequata funds, check
i~r3'att :patti this processed thro:t~:t~ _pour account
CONTRACTOR
CIIE;?K [] ALL APPLICABLE
x~E CATEGORY ingle Family
FUEL Xl~Gas
E]Oil
I-]Duplex [-_lMulti-Family
I-1Eleetrie [21Solid
I-1Solar
[3Rental
SYSTEM
x~,PE
orced Air VIRadiant [3Steam [3A/C [3Vent UIElectric
IS CIHMNEY BEING LINED [3No UIYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
k--JCommeroial VlIndustrial
i-INew ~Rep!a.,¢O
[3Other t .
Elliot Water [3Suppl. EICon. Burner
& MANUFACTURER
CItlMNEY TYPE [21Chimney A I-IChimney B []Direct Vent . [3Other
HEAT LOSS I-lAs Approved [3Existing I-INot Applic~.ble
BTU IL, kTE [3As Per Plan [3Variable [3Other Value
ELECTRICAL CONTRACTOR ~'~o-~2~q/~,x
~or applicable projects, an E!ectri¢ Install~tio)n Verification form, signed by tho Electrical Contractor, must be
a~ttfi'~hed. It' not attached or not applicable, a'~parate Electrical Permit is required.
~/02
0~/29/2003 21:13 9202317255 BEEZ ELECTRIC PAGE Bi
Os~osb. ~ 5490~1130
~'~ 9~J,0-23~..~0~
Electric Installation Verification
CD (We) Bccz Electric,_Xnc,
52.1 W, 12th Oshkosh WI $4902
have been contracted to perform electric installation work for Gartrnan Mechanic_at,
at the following address: ,4/t8 8th 5tr~.
The nature of the work consists of' (Check One or Describe the Nature of Work)
E]
Keconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Blectric Water Heater.
Rcconne~tion of thc Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fix-rares due to siding / soffit installation. Note; New Service Entrance Cables
w~ll require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures,
The vahe of this work is $150.00
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation ~ be done in compliance w/th manufacturer and Electric code
requirements,
(Signature of Company Officer)
~.e_r 04/30/03