HomeMy WebLinkAbout0101780-HVAC (furnace; a/c)OSHKOSH
ON THE WATER
,Job Address 1331 GROVE 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 KAYE L WOOD
Category 502- Residential-Both
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
101780
05/28/2003
Other J
Vent J
Use/Nature RENTAL/Replace furnace and install new A/C. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$2,950.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$50.00
Date 05/28/2003
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 a f Oshkosh
Division of Inspection Services
P.O. Box i 130
OsLkosh, W! 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
Ali information after bold categories must be'provided.
Incomplete applications will not be processed.
QfH<_ OffH
ON THE WATER
· Application(s) and fee(a) can be brought to Cit~ Hall, Room 205 or mailed to InsPcc;ion Servi0cs, p.o Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will i'esult in fees being doubled or $!00.00 plus tho
normal permit fee, which ever is greater.
OR
]f_y_o.!: fire a contractor participating in th~ Permtl_fee Account S.vstem and haw adeauate funds, check her~
i ,ou~wattl this processed throt!gh your account r~ *- ....
·
'CONTRACTOR
CilE~?K ~ ALL APPLICABLE
USE CATEGORY
~-Single Family ~DuP'lex ..... DMUiti2Famliy'
FUEl, [3Gas [3Electric nSolid
IZlOil [3Solar
X~Rental ..... ElC0mmerciai ..... Ellndustdal
SYSTEM ow ,~ pl~
th'or
TYPE ~A/
X~?orced Air nRadiant ElSteam C [3Vent EIElectri¢
IS CIIIMNEY BEING LINED ElNo I-lYes - LINER SIZE
Hole: Ail chimneys shall be sized per the BTI[J's being vented.
CIIIMNEY TYPE
ii-EAT LOSS
BTU IEATE
IZIChimney A
FIAs Approved
IDAs Per Plan
[3Chimney B
[3Existing
ElVariable
Eliot Water [3Suppl. EICon. Burner
_ & MAlqlIFA~R
[3Direct Vent
[3Not Applicable
[3Other Value
[3Other
VA LHE (lnch, dini[ labor ami all materials including light fixtures) $ ¢~q ,__~O~Q~-.-)'
17,1 ,'ECTRICAL'CONTRACTOR
El For applicable projecls, an E!ectrio Installation Verification form, signed by tho Electrical Contractor, must be
atlached. If not attached or not applicable, a separate Electrical Permit is required.
05/20/2003 18:56 9202317255 BEEZ ELECTRIC PAGE Bi
Electric Installation Verification
(We) Beez Ele.ctric. Inc.. ....
521 W. 12th Oshkosh
54902
have been contracted to perform electric installation work for Crartman MechaniC.
at the following address: 1331 Grove St,.
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.
Recommclion or new circuit for replacement Electric Water Heater.
Reconnect. ion of the Service Er~rance Cable, Meter Box, alterations to ~cles and
lighting fixtures due to siding / so~t installation. Note: New Service Entrance Cables
will require a separate permit.
Reconuection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $150.00
I hereby verify this work will be performed bY an employee of'this company and fi~tther verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements,
' ~ Bies' _roger 05/21
(Signature of Company