HomeMy WebLinkAbout0127006-HVAC (fans)
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OSHKOSH
ON THE WATER
Job Address 1401 W 5TH AVE
Contractor GARTMAN MECHANICAL SERVICES
CITY OF OSHKOSH
No
127()06
HV AC PERMIT - APPLICATION AND RECORD
Owner OSH AREA SCHL DIST FRANKLIN
Create Date 09/28/2007
Category ?OO :B~~d_Eli'Ji~~l::Ieatin_~~~tilati~\L Plan _________________
U_~I~c!~i~==:-:J D~6IaC===J o:~oTir:==:-]
O__B~p~_~~_____ ____ _J OQt~_~~_________~__j
U__~!~~Il1~:-_:::=J D=~~_-=:===_=] D:y~_ril==:=_-_:--=)
ITsuppT.-----J ~-:-sur:ner--l
C) Direct Vent--.l'JOtAPpTicable I
Fuel Ug~~=___..J U_9il____~J
System ~ew ________~
IT~~~~_<!~~=== D_=~==]
U ~~~~=--] D_ Hot Water i
Chimney Type D-=~~~imney B
Heat Loss D_~~ Approved Q Existing
BTU Rate Os Per Plan () Variable
. Not Applicable
. Other
Value
Value
Use/Nature pOMM /Install transfer and exhaust fans. Electrical work will be done by school system electrician. **DEBIT Accf..----
of Work I
-~"._---U---l
__________________________'____J
Fees: Valuation _________~5.00
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid _____.1~~.00
Date 09/28/2007
o Permit Voided I
Parcelld # 0608530000
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 _ - 226~_ Telephone Num ber (92_Q) 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.
~EP-28-2007 11:53 AM
City of Oshkosh
. Division oflnspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
. Phone (920) 236-5050
Fax (920) 236.5084
P.01/03
~a.S00,
OJHKOfH
ON THF WATell
HVAC PERMIT APPLICATION
All information after hold categluies 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. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee. which ever is greater.
OR
If YOU are a contractQr J2. r ici a/in .. in the Per ~.Q.Y!Jt Svstem and have. adequate funds, check /uLf{
if YOU wanT this 12rocf#.Hed thrauffh your acc.aUl1..
** Advisory. For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or ffomeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE q~J67
JOB ADDRESS~Y.~t:h
OWNER ~~_-_1-^~
CONTRACTOR ~ ~
I
CHECK l2J ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex OMulti-Family
DGas
DOil
SYSTEM
~commerCial
DNew
D Other
o Industrial
o Rental
FUEL
DElectric DSolid
DSolar
DReplace
TYPE
DFol'ced Air DRadiant OSteam DA/C OVent OEJectric DHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
ilEA'f LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DEl'isting
DVariable
DDirect Vent DOther
DNat Applicable
DOther Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $
ELECTRICAL CONTRACTOR (tor projects not requiring an EI~ For~h""Y_~ ~ ..bollY' ... ~('t Ju c..1-OJ'"
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