HomeMy WebLinkAbout0101563 HOSHKOSH
ON THE WATER
.lob Address 524 E PARKWAYAVE
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 ALL AMERICAN INVESTMENTS LLC
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
101563
05/16/2003
Other J
Vent J
Use/Nature SFR/Replace furnace and install new A/C.
of Work
Fees: Valuation
Issued By:
$3,800.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$62.00
Date 05/16/2003
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
R C Iv£O.. "
City of Oshkosh
Division
of h'ispection
Services
P.O. Box i
Oshkosh, WI 54003-1130
HVAC PERMIT APPLICATI~r
All infomtion after bold categories ~st boprovided.
Incompl~to applications will not bo proeess~.
Application(s) and fee(s} ~an bo brought to CiO Hall, Room 205 or mailed to ~sp~otion $e~io~, EO Bog 1128,
Oshkosh WI 54903-i 128. Commencing work without petit(s) will result in fees being doubled or $100.00 plus tho
normal permit fee, which ever is ~oatcr. ' '
OR
~l'0ft are a contractor ~arll~t~atin~ in t'he Per~n~ fe~ S~,stem and hav~ ad~auat~ fttnd~.
~ want thi.~' ~roce$~ed thr3ugh _~our a~count -~ ~c~o~lnt ............
~:, - :~,= ~: ~ '.'" :,~', · : ~',:: ~.:-~ }r.~ ~'",~::'~i:~;~5 ~':~/~ ~3~;,}'-~;'~*:, i -'~,f :.~2~{;:~ r ;~ '.7
CIIE.K ~ ALL APPLICABLE
.~u.a~"°" CATEGORY . .
'~Si,~gle Family nBuplox.~Muiii2F~iiiy ........ D~;nt~! ........... n~amm0~eiai ...........
FUEl, as ~Elec~io BSolid SYSTEM ow epilog
~Oil ~Solar ~Othor '
~Forced Air VIRadiant VISteam C ViVent V1Electrio
IS CIIIMNEY BEING LINED VINo IDYes - LINER SIZE
Note: All chirm~eys shall be sized per the BTiJ'a being vented.
El. lot Water VISuppl.
& MANUFACTURER
IZIOon. Burner
CIilMNEY TYPE E]Chimney A ElChimney B i-lDirect Vent DO/her
II-EAT LOSS l-lAs Approved EIExisting ViNot Applicablo
iI~TU RATE FIAs Per Plan ViVariable [3Other Value
v ,,,,,o,- .,,,, ,,,.,, .,,,.,--), {:5¢L%'0, (.%%'
I?,I,ECTRICAL CONTRACTOR .. ~ '~~
El For applicable projects, an Electric Installation Vet~'i_~.o~ion form, signed by tho Electrical Contractor, must bo
attached. Ir'not attached or not applicable, a separateX'E~e~tricai Permit is required.
9/02