HomeMy WebLinkAbout0101420-HVAC (makeup air)OSHKOSH
ON THE WATER
,Job Address 1850 BOWEN 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 HEALTH CARE PROPERTY PARTNERS
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
101420
05/12/2003
Other
Vent J
Use/Nature COMM/Replace make-up air. *EIV form from Solar Electric.
of Work
Fees: Valuation
Issued By:
$10,500.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$160.00
Date 05/12/2003
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 549011-1130
Phone (920) 236-5050
Fax (020} 236-5084
RECEIVED
.
COMMUN)T¥ DEVELOPMEN( Oy
ON THE WATER
HVAG PERMIT APPUCATION -
All info~tion after bold categories ~uat bOprovid~d.
Incomplete appli~ati'ona will not b~ preC~od.
Applicalion(s) and fee(s) can be brought to Cit~ Hall, Room 205 or mailed Ir} Inspection Si~rvi.oo8, P.O Box 1128,
O~.;hkosh WI 54903-1128. C0mmenoing work without pe~it(a) will result in fees b~ing doub!cd or $100.00 plus tho
normal pe~it fee, which ever is ~eatcr.
OR
~ i, ott~e o contractor participating ~n the Perm~.fee Jeco~nt S.~tem a~d haw adeauat~ fund~. 'chgv~ h~r~
~~a~t this proces,~d throug]t _vottr account ~ - ~ ....
CHEi?K i~ALL APPI~iCA'BLE
{JSE (i~ATEGORY
El.Single Family IDDuplex ElMulti-Family EIRental Commercial Ellnduatrial
FUEl, as VIElcctric ~].qolid SYSTEM EiNow apiece
VIlOil VISolar VIOther
TYPE
ElForced Air VIRadiant VISteam EIA/C vIVent VIElectrio
IS CIilMNEY BEING LINED EINo ElYes - LINER SIZE
Note: All chimneys shall he sized per the BTU's being vented.
Elliot Water VISupp!. EICon. Burner
& MANUFACTURER
CIIIMNEY TYPE VIChimney A VIChinmey B EiDirect Vent. BOther
IIEAT LOSS FIAs Approved EiExisting VINot Applicable
~ITIJ RATE I-lAs Per Plan EiVariabio EIOther Vahm __
DESCRIPTION OF ALL WORK BE...G DO
ILLECTRICAL CONTRACTOR ~
For applicable projects, an Electric Installation Verifieatim~ f0m~, signed by the Elontrieai Contractor, must bo
attached. If not attached or not applicable, a separate Electrical Permitis required.
05/08)03 14:50 FAX 020 236 77251
Solar Electric
(We)
Electri
Installation Verification
(Ele¢~c~ conu'act~Name)
3443 Brooks Rd. 0~hko~b
(Address) (Ci~)
WT .
54904
(State)
(Zip Code)
have b~n contracted to perform electric ~nStallation work £or ~,~. ,~'~' ~L"~'/[,r~
i (Name %f party contracted to)
aithe following address: / ~ ~- ~'t~J'~t*-
(Address where work will be p~rform~)
The nature of the work consists of: (Cl{eck One or De, scribe the Nature of Work)
~Reconnection
or new Circuit for replacement Heating Plant and/or A/C Condenser.
R¢connection or new circuit for replacement Electric Waler Heater.
R.econnection oft.he S~ice Entrance Cable, Meter Box, alterations to receptacles ~m~
lighting fixtures du~e to siding / soffit installation. Note: New ServiCe Entrance
Cables will require, a separate permit.
Keconnection or new Oircuit for other petmaneafly wired appliances / fixtures.
Other
The value of this work is $ '~/tfd' ~
I hereby veri~ this work will be performed by' an employ~ ofthi~ company' and f-rather verif~ ~t~
rec~nn~tion / imtallation will be done in compliance with manufacturer and Elee~c code
requirements.
Gregor~ H. CreamerrPres.
(Print Name of Officer)