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Home My WebLink About0125425-HVAC (replace a/c) e OSHKOSH ON THE WATER Job Address 175 W FERNAU AVE CITY OF OSHKOSH No 125425 HVAC PERMIT -APPLICATION AND RECORD Owner B & P ORDER OF ELKS INC Create Date 06/21/2007 Contractor GARTMAN MECHANICAL SERVICES Fuel ~ Gas I UOil System D New ~ Forced Air U Radiant U Electric U Hot Water Chimney Type () Chimney A () Chimney B Heat Loss () As Approved . Existing BTU Rate KJ As Per Plan C) Variable Category 511 - Ind. & Comm-Air Conditioning Plan U Solar U Solid D Other ~ AlC U Vent U Con. Burner . Not Applicable U Electric ~ Replace U Steam U Suppl. () Direct Vent () Not Applicable . Other Value Value Use/Nature COMM / Replace 10-ton ground level packaged unit for the banquet area. EIV provided by Witzke Electric. of Work $8,000.00 Plan Approval $0.00 Permit Fee Paid Fees: Valuation $130.00 Issued By: ~ Date 06/21/2007 D Permit Voided I Parcelld # 1519602400 In the performance of this work, I agree to perform all work pursuant 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 Agent/Owner Address PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number (920) 231-5530 :~ .:r '(t 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. UC~ Uti ~~ U~:bca Ushkosh Inspections 920-236-5084 p. 1 City of Oshkosh Division ofInspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. · Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128, Oshkosh WI 54903-1128. Connnencing work without pennit(s) will result in fees being doub~ed or $100.00 plus the nonnal permit fee, which ever is greater. OR I OU are a contractor artiei atin in the Permibt ee Account S stem and have ad. e uate unds check here if vou want this processed throuf!h vour account _ '.. . . . 1\. .. . DATE L,\~d(J7 JOB ADDRESS \l~ l.lJ'--5tQAV'\OlJ .. . I ~=~O~~~~f) . CHECK ~ ALL APPLICABLE USE CATEGORY OSingle Family FUEL ~s OElectric DSofid 0301& DSteam d o Vent SYSTEM ~mmercial Dlndustrial ONew rli eplace : OOther i\~ DDup~e.x [JMulti-Family DRental ~ed Air ORadiant OEleCtrlc OHot Water OSuppL Oeon. Burner IS CH!M:NEY BEING LINED ONo DYes - LINER SIZE Note: All chimneys shall be sized per the BTU's being vented. & MANUFACTURER VIP'r CHlMNEY TYPE BEAT LOSS BTU RATE OChimney A DAs Approved DAs Per Plan OCj;lifnney B mExisting OVariable ODirect Vent oOther ~4 ONet Applicable t rnOtherValue /tJ-77fliV DESCRIPTION OF ALL WORK BEING DONE R~AGu/ jir-h/ 4 vel rGL~~LC/ 1.1I./-1- ~ -r4- ~-yvc-I- A,,"=~ " VALUE $ 9l))O,{ 1) ~ ~~.- (~ ELECTRICAL CONTRACTOR o For applicable projects, an Electric s llation Verification form, signed by the Eleclrical Contractor, must be attached. If not attached or not applicao e, a separate Electrical Permit is required. 9/02 ! , , i .) \ ; I J \ I .j i 1 JUN. 21. 2007 8:46AM WITZKE ELECTRI~. NO. 194 P.l i. j { ,~ ~ ~ Cityol'Osbkosh . DivlJioll OnllSllcClion Services 21 S ChllfCh Avenue PO Do," 1130 Oslllulllh WI 54903.1l30 om~e 9.ao.2~c;.5050 F&ll. 920.236.5084 Electric Installation Verification I(We)~~ EJeorr\u The. (Electrical Contractor Name) l55 E. t>acUr Avenue., Os0~k.osh \NI. ~440{ (Address) (City) (State) (Zip Code) have been contracted to perfonn electric installation work fo:&tmtl./1 ~;Ao.J'wt3JL1 J (Name of party contracted to) at the fOll?oMng addres (~'S CWt3), /75 w: ferf1LU ~ , . ~J (Addre s where work will be performed) The nature of the work consists of: (qheck One or Describe the Nature of Work) ~ Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented , water heater. Reconnection of the Service Entrance Cablet Meter Box, a.lterations to receptacles and lighting fixtures due to siding I soffit installation. Note: New Service Entrance Cables will require a separate permit. Reconneotion or new circuit for the replacement of other pennanently wired appliances I fixtures. New circuit forthe addition of Ale to an individual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other Tbe value of this work is $ ~.OO 1 o. ;'1, I hereby verify this work will be performed by ~ employee of this company and further v'erify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. '::S~~ &~ (Signature of CODlpany Officer) -r;'~ a\~ (Print Name of Officer) 0-(#-07 (Date) SI02