HomeMy WebLinkAbout0101881-HVAC (a/c)OSHKOSH
ON THE WATER
917 919 MINNESOTA ST
GARTMAN MECHANICAL SERVICES
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~ Radiant
Electric I ~J Hot Water
Owner CAROL J JUEDES
Category 501 - Residential-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
101881
06/02/2003
Other J
Vent J
Use/Nature
of Work
SFR/ Install A/C. *EIV form from Beez Electric.
Fees: Valuation
Issued By:
$1,680.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$30.50
Date 06/02/2003
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 1130
Oshkosh, Wi 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
bIAY 3 o 2003
HVAC PERMIT APPLICATION ·
Ali info--riGa aftor bold calogoriCs must boprovidod.
Ia¢ompl~to applications will not bo pro~¢ss~.
· Al,plicalion(s) and fee(s) can be brought 10 Cit~ Itali, Room 205 or mailed lo InsPection 8ervi0es0 P.O Box ! 128,
Oshkosh WI 54903-1128. Commenting work without pe~it(s) will resuR in fees being doubled or $100~00 plus the
normal pe~it fee, which ever is ~eater.
OR
~t.are a c~tractor participating lo th~ P~rml. t fee ~ccount System and bow ad~q~a~a_fitnd~, check her~
OWNER
CIIE ,K [] ALL APPLICABLE
.q.SF~ i')A~I'-E~ C~R¥ ........................................................................................................................................... .
ingle Family CIDuplex ElMulti-Family ~Rental ~Commorciai ~dustfial
FUEL as ~Ele~lric ~Solid SYSTEM
DOll ~Solar her
TYPE ~O,~A/C
[] Forced Air I-IRadiant F'lSteam IZIVent [3Electric
IS CIIIMNEY BEING LINED ~H9 l-lyes - LINER SIZE
Nole: All chimneys shall he sized per {be BTU's being vented.
Elliot Water [3Suppl. EICon. Burner
& MANUFACWURER
CIIIMNEY TYPE []Chimney A l]Chimney B IDDirect Vent . rqOther
IIEAT LOSS [3As Approved ElExisting IDNot Applicable
JITLI IL4.TE [3As Per Plan UIVariablo ElOther Value
VALIJE (lnclndin'~ labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
121 For applicable projects, an E!eotric Installation Verification fem,, signed by the Electrical Contraotor, must be
atlaehed. If not attached or not applicable, a separate Electrical Permitis required.
9/02
' ~5/26/2003 18:35 92023i7255 BEEZ ELECTRIC PAGE
Electric Instsllstion Verification
Beez Blectric; Inc.
WI 54902
have b~,n ~ontra~ed to perform electric installation work for Gartman M~hanical,
at the following.address:' 9191Wmnesota Street.
The nal~-e ofthe work consists of: (Check One or Describe the Nature of Work)
Re~onnevfion or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconneciion or new circuit for replacement Electric Wate~ Heater,
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures duc to siding / soffit installation. Note: New Service Entrance Cables
will require a separate per,air.
Recormecfion or new circuit for other permanently wired appliances / fixtures.
The value of this work is $~
I hereby verify this work will be performed by an employee of this company and tinher veri~
reconnection / installation will be done in complianve with manufacun'er and Eleotric code
requirements.
(Sisnature of Company Oiliccr)