HomeMy WebLinkAbout0102480-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 2125 JEFFERSON ST
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 RANDY A/DEBORAH KARNS
Category 500- Residential-Heating & Ventilating
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
102480
06/27/2003
Other J
Vent J
Use/Nature SFR/Replace furnace. *EIV form from Beez Electric.
of Work
Fees: Valuation
Issued By:
$1,850.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 06/27/2003
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. Baa 1130
Oshko:ih. W! 54903-1130
Phone (920) 236-5050
2ax (020) 236-5084
HV.AC PERMIT APpLICATi'i~OP,~Z,-
All infonnatlo~ aflc~ bold categories must bc'pr0vldcd.
Incomplete applications ~ill ae~ bc proccsscd.
JUN 2 5 200.~ ~ ,
QfI-KQfH
Applicalion(s) and fcc(s) can be brougM to Cil~ Hall0 Room 205 or mailed t0 InsP~cllon ~e~l~, ~O Box 1128;
O~h~osh WI S4O03-Ii~S. e0mmenoing work with°ut pe~i,(s) w~li ~Csuit i~ foes ~e!ng d°Ublcd 0~ $100.00
normal pc~ii fcc, which cwr ~s ~catcr.
OR
IL sf,, ~'~ n ~tr~toc ~rit?~atlne~: in th~ ~rmlt f~ ~P~t'Jt~V.v~t~m and haw ad~auat~ funds. ~h~
OWNER
CONTRACTOR
CATEGORY
'1~)~ in glo Fanfily
FUEL
EIDuplex. IZIMulti-Family
) as DElectric nSolid.
il ElSolar. -
i"lRenlai
SYSTEM
~orced. Air DRadiant DS*e~n QA/C ElVcnt IZIEle¢tc/o
CIIIMNEY BEING LINED r'q'.!o [ql¥cs - LIIq-HR tglZE Ali chinmeys shall be sized pc" 'he BTLI% being venled.
EIComm0wial ~d~s!d~!
.DHow ~Ropl~oo "
~O!hcr. "': ..
Elliot Wa.lot .IZ!Suppl. ~on, Burner
CilIMNEY TYPE IZlChimney A DChinmey B EIDircct Vent . E]Othcr
II, AT LOSS nAs Approved IZIExisling IZIHot Applicable
BTU RATE IZIAs Per man DVariablo IZIOthcr Vahm __
t,:I.EC)rRICAL CONTRACTOR ,. ~ '
El For applicable projcclso an E!..o~rio hs!a. ilaflo~cation form. signed blt ~h* ~l,o~l'CPplr~lor,
attached. If not attached or not applioabloo a scparalo Electrical Permit jS required,
~/23/2803 23:18
9282317255
BEEZ ELECTRIC
PAGE
02
O~hkmh WI ,.~490~1- l l ~0
Electric Installation Verification
(I) (We), Beez l~lect~c. Inc,
521 W. 12~ Oshkosh
54902
have been contracted to perform dectric installation work for C~-tm,~ Mechanical
at the following address: 212flefferson
The nature of the work consists of: (Check One or DeScribe the Nature of Work)
RecormeCtion or new circuit for replacement Heating Plant and/or A/C Condenser,
Reconnection or new circuit for replacement Electric Water Heater,
Reconnection o£the Service Entrauce Cable, Meter Box, slterations to rece~acles and
lighting fixtures due to siding / soffit instaihtion. Note: Hew Service Entranco Cables
will require a separate permit.
Reconne~tion or new circuit for other permanantly wired appliances / fixtures.
Other
The value of this work is $~
I hereby', verify this work will be performed by ~ employee of this company and further verify the
reconnection / installation will be done in compi/anee with manufacturer aud Electric code
requirements.
(Signature of Company Officer)