HomeMy WebLinkAbout2003-HVAC (furnace)CITY OF OSHKOSH
OSHKOSH HVAC PERMIT . APPLICATION AND RECORD
ON THE WATER
Job Address 1423 1425 WITZEL AVE Owner OSHKOSH HOUSING AUTHORITY
Contractor GARTMAN MECHANICAL SERVICES Category 500 - Residential-Heating & VenUlating
Fuel L~ Gas j ~J Oil I ~i~-cthc 1 L._J solar
System [] New ] [] Replace
~j Forced Air I ~J Radiant I LJ steam I L~ NC
LJ Electric I [.~ Hot Water I U Suppl.
Chimney Type ~ Chimney A ~,,~ Chimney B ~ ~ Direct Vent · Not Appliceble
Heat Loss ~,~ As Approved ~..~ Existing · Not Applicable J
BTU Rate ~ As Per Plan ~.,~ Variable · Other
USeo/fN~l~oUrr~( I FPJ #1423/ Replace furnace. *EIV form from Beez Electric.
No 104611
Create Date 10/07/2003
Plan
E~Other
I ~J Vent J
Con. Sumer I
Value 0
Value
Fees: Valuation $1,920.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By:
Date 10/07/2003
[] Permit Voided
In the performance of this work, I agree to perform al] work pumuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
AgenFOwner
Address PO BOX 2264 OSHKOSH W~I 54903 - 2264 Telephone Number (920) 231-5530
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
P.O. Box 1130
Osl~ko~lt. Wi 54003-1130
Phone (920J 236-5050
· Al~pli
O~hkod~ W! 54903-1
n~,nual permit £eC. wM.oh
OR
JO.II A BDRE$,~
C-ONTR~
CII[EI.~K l~l ALL APPLICABLE
kU~E ~')ATEGOIIY
I~%rced Air. ~R~diani ~l~a~ '~
I~AT LO~ ~As AppFoy¢~ -
DESCRIPTION OF ALL WOrK !
EI,ECTRICAL CONTRA~OR
For appli~bl~
.... 0~/2g/2003 i :].8:52
9282317255
BEEZ ELECTRIC
Electric Installation Verification
Beez Electric. Inc.
5:21 W. 12th Oshkosh
WI 54902
have ?? eontracted to perform electric installation work for
at the ~ollowing address: 1423 Witz~l
The n~ture of the work consists of: (Check One or Describe the Nature of Work)
[] R~connection or new circuit for replaoement Hea~ing Plant and/or A/C Condenser.
Reconnection or ~ cimiit for replacement Eleetric Water Heater.
Re~onnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lily, ting fixtures due to sidin~ / soffit installation. Note: New Sa'vice Enirance Cables
will reqlnre a separate perlnit,
F, econnection or new circuit for other permanently wired appliances / fixtures.
0thor
! .
The v~lue of this work is $150.00
I herei~y verify this work ~ be performed by an employee of this compeny and further wxify the
reenrmection / installation will be done in compliance with manufucture~ and Electric code
requtr~ments.
~ ~.,~k///f22~_f{.__ Gary Biesir~er ~
~(~ignature of Company O~cer)
PA6E