HomeMy WebLinkAbout0101802-HVAC (a/c condenser)OSHKOSH
ON THE WATER
,Job Address 43 E 10TH 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 EVERETT INDUST BLDG CORP
Category 511 - Ind. & Comm-Air Conditioning
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
101802
05/28/2003
Other J
Vent J
Use/Nature COMM/Replace a/c condensor. *EIV form from Witzke Electric.
of Work
Fees: Valuation
Issued By:
$1,600.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$29.00
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 al' Osi~kosh
Division of laspection Re,vices
P.O Box 1130
Oshkosh. WI 54903~1130
Phone (920) 236-5050
Fa~. (920) 236-5084
HVAC PERMIT APPLICATION ·
All information after bold categories must be provided.
Incomplete applications w. ill not be processed.
· Application(s) and fee(s) can be brought to Cit~ ltall, Room 205 or mailed to lnspeotion S~rvi0es, P.O Box 1128,
O:;hkosh WI 54903-1128. Commencing work., without permit(s) will i'esult in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
l_j~yot~._are a.~ontractor particip, a. ting tn th~ Pertni~,,fee ~c¢ount ~vstem and haw adequaf~ fu__n_ds, clt~ ~gr_e
i.f_j!ota ~uant this processed throlt.~h_vottr accottnt ~
CItE .K [] ALL APPLICABLE
U~E CATEGORY \. ......
[-3~ingle Family F-IDuplex T-IMulti-Family ~Rentai ~ommerciai ~duat~al
FUEL as ~Elec~'ic ~8olid SYSTEM ~New ~pl~co
il ~Solar DOther
TYPE N,~C:
ElFarced Air f-IRadiant I-ISteam I--IVent UIElectria
IS CIIIMNEY BEING LINED E'~No f-lYes - LIV/ER SIZE
Hole: Ali chimneys shall he Sized per the BTLI'a being.vented.
Eli-lot Water r'lSupp!,
& MANOFA Cq"LrRER
EICon. Burner
CIIIMNEY TYPE UIChimney A ElChimney B EIDirect Vent. ElOther
IlEAT LOSS EIAs Approved ElExisting EINot Applicable
BTU RATE I-lAs Per Plan I-IVariable ElOlher Valp. e __
-
DESCRIPTION OF ALL WORK EEING DONE'
VA LUE (Inch, ding labor and all materials incl.ding light fixtures) $
ELECTRICAL CONTRACTOR
[] For applicabl~ projeota, an E!,ctri~ ln~tal, lation Verification form, signed by the Electriaal Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02
M~Y. lg.200B ?:48~M NITZKE ELECTRIC NO.SB6 P.l?2
FaA
Electric Installation Verification
(~lectrical Contractor Name)
(Acldres6) (City)
(Sta~e) (Zip Code)
have been contracted to p~'t'orrn electric installation work for ~,/~
(Name of party contracted
atthe following address: ' 1~__..../tg-y~ ~F.E~_~
(Address wh~'~ work will be performed)
The nature of the work consists of:
(Check One or Dcscn'be the Nature of Work)
Reconnection or new circuit for r~placement Heafin§ Plant and/or A/C Condense',
Reconnection or new ci.rcuii for replacement Elecric Water H~ater or pow~- vented
water heater.
Recormection of the Service ]~n~ra~ee Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
t~,~trance Cables will require a separate perrait,
Reconnection or new circuit for the replacc-rnent of other p~rnanently wired
appliance~ / fixtures.
N~',v circuit'for the addition of A/C to an i~di'~du,! dwdltn~ ,mit (house or the
individual systems in a duplex or eondomi~um), including recluir~l service
elee~eal outlets.
The valu~ of this work is $__~,d O_ _.
I hereby verify ~his work will be pedormed by ~n employee of t.h/s company ~d ltu'ther verify
· ¢ reconnect/on //natallation will be done in compliance with manufacturer and ilec~c code
requirements.
(Signature of Cornl~any 6ricer)
(Print N~rn¢ of Officer)