HomeMy WebLinkAbout0096631-HVAC (roof top) CITY OF OSHKOSH No 96631
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 300 S KOELLER ST Owner LANDMARK LIMITED PARTNERSHIP III Create Date 08/12/2002
Contractor GARTMAN MECHANICAL SERVICES Category 510 -Ind. &Comm-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar Solid
System ^ New ~ ^/ Replace ~ ^ Other
/ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value 0
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
rooftop unit.
Fees: Valuation $7,960.00 Plan Approval $0.00 Permit Fee Paid
Issued By: KIND
^ Permit Voided
Date 08/14/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
$125.00
Agent/Owner
Address 520 W SO PARK AVE PO BOX 2264 OSHKOSH WI 54903 - 2264 Telephone Number. (920) 231-5530
City of Oshkosh
Di~~ision of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1 1 30
Phone (920) 236-5050
Fax (920)236-5084
C~1HKC~.IH
ON THE WATER
d~VAC PERMIT APPLIC~:TION
All. information after bold categories must be provided.
'ncomplete applications will not be Processed.
• Application(s) and fee(s) can be broaght to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permits} will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
I oz:_ are a contractor participating in the Permit fee Account System and have adequate funds, check here
i you waT nt this processed through >>our accoztn?~
DATE ~~
12 w
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CIEIECK H ALL APPLICABLE
USE CATEGORY:: ° , ,, • . ,=< <,, _ .. _ I ...._.. __.. _ _ -'`y
^SinDle Family ^Duplex ^~~[ulti Family ^Rental Commercial ^Industrial
_. _. _ _.
FUEL Gas ^Electric ^Solid SYSTEM ~ ' ^New L~Replace
^ it ^Solar ^Other / ~~
E
Air ORadiant ^Steam ^A/C ^Vent ^Electric ^Hot Water OSuI?pl.^Con. Burner
I IIIIMNEY BEING LINED ^No ^Yes -LINER SIZE &i MANUFACTURER
Note: ~ 11 chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A
HEAT LOSS ^As Approved
BTIJ RATE ^As Per Plan
DESCRIPTION OF ALL WORK BEING
I .~ > ;
VALL7E Includ ,.;. , ,_,.. .. ,. ~ ......,~ ~ _ . .
( ~~ing labor and all~materi^ls including lightfixtures) $ >l,...~, ~~~
,.., ,
ELECTRICAL CONTRACTOR _ ~ `~_ OK ~LYElectric Inst~'! >:*ion Verification form attached Ifh~~emenc)
Electrical installation oJneiv/replacement e9uipment ~ t~e a~>~ sed contractors.
fl~~'~R`I•M~~T ~~
~t~M~~l~lT~' ~~9'fll'MT
3/02
^Chimney B ^Diiect Vent ^Other
^Existing ^Not Applicable
^Variable ^Other Valt.z€;
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Electric Installation Yer1i18cat~on
r~r~/r. , ~/~~
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(Eleatticnl Contractor Named --- ;
(Address) (City) {State) (Zip Codre
have bean cahtr~cted to pes~'c~rru elc~tric il~stallation woxlc for ~ie~/~ Q ~ ~-~ .
(Name of party cantrectcd ta) i
y~
at the fol lowinE address: ~ ~ ~ 7'~ 6 -G~,G~ ~ _
(Address where work will be performed)
The nanu~ of the work cor<sists of: (Check One or neser,"'be the Nature of Work) ! '.
V/ j
Reconnection or new circuit for replacerneat l:Yeatiag Plant and/ar A/C Cender~r.
RecoanECtivn or new ci~+Glrit for replacement Blectric Water Heater or power vented
water heater. '
Rewuuection oftho Service Eatranee Cable, M~ T3ox, atteraaenc tD rec~eptea~ ~
and lighting fixtures due to siding 1 Sort ipstailatiaan. Note: ~Trw Service '~
F,mtt~aalce Cables will require a separate parent. '
,~ Reconnection or nevv circuit frn the repla+canetxt of other permaaes~tly wirod ~ ,
appliazecos ! 5xtures. j
New circuit for the addition efAlC to as i~rdividugl dwellie$ unit (house ar the ! ~
individual systeata in a duplex ar condomituift~n}, including rsgtiired selviee ~
eleCtri~caI outlets.
Other
t
The value of this work is $vt~
I ri ereby verify this work will be performed by az) employee of this company and feather viceif!- w
the reconnection / installation wi116e dose in compliance with rri~factur,rr and Electric code ~ -
requir~nents
i f Company officer) a of Offa~~ t¢)
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