HomeMy WebLinkAbout2003-HVAC (a/c)OSHKOSH
ON THE WATER
.lob Address 250 N SAWYER 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 CITIZENSFIRST CREDIT UNION
Category 502- Residential-Both
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
99974
02/26/2003
Other J
Vent J
Use/Nature COMM/CITIZENS FIRST CREDIT UNION/Install Mitsubishi Split System.
of Work
Fees: Valuation
Issued By:
$3,250.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$54.50
Date 02/27/2003
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. Box ! 130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
FEB 2. 4 20O3
D£PART ENT OF ' "
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 Cit~ 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
~f you are a contractor particit~atin~ in the Permi4 fee Account System and have ad. equate £u'nds, check her~
i~you want this. processed thr.[~ugh ~our accou, nt []
CO T c roR
CHECK [] ALL APPLICABLE
F1Single Family FIDuplex ElMulti-Family ElRental Commercial VIIndustrial
FuE!, [-3Gas" [3Electric ViSoiid ..... SYSTEM ElNew ~Replaee·
[3Oil i-ISolar IZIOther
TYPE
FIForced Air [2]Radiant VISteam [-IA/C VIVent ElElectri¢ [2]Hot Water I-ISuppl. VICon. Burner
IS CIHMNEY BEING LINED I-INo I-lYes - LINER SIZE & MasdqUFACTORER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE I-IChimney A Cl. Chimney B
HEAT LOSS CIAs Approved CIExisting
BTU RATE UIAs Per Plan VIVariable
DESCRIPTION OF ALL WORK BEING DONE~
CIDirect Vent . ClOther
ClNot Applicable
CIOther Value
VALUE (Including labor and all materials including light fixtures) $ '~
[] For applicable projects, an Elecmo Installatto~enficaUon form, stgned by the Electrical Contractor, must b
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/0~