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0131626-HVAC (a/c)
CITY OF OSHKOSH No 131626 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1355 W 20TH AVE Owner BEECHWOOD PLAZA HOTEL OF OSHKO: Create Date 07/17/2008 Contractor GARTMAN MECHANICAL SERVICES ', Category 511 -Ind. & Com m-Air Conditioning 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 Existin Not Applicable Value BTU Rate As Per Plan Variable Other Value Use/Nature of Work INN) / KEPLAGE EIV SIGNED BY Fees: Valuation $8,450.00 Plan Approval $0.00 Permit Fee Paid $137.50 Issued By: ~~ ' Date 07/17/2008 ^ Permit Voided ~ Parcel Id # 1323010000 In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement holder(s) and to secure any necessary approvals before starting such activity. Signature Date Address PO BOX 2264 Agent/Owner OSHKOSH WI 54903 -2264 Telephone Number (920) 231-5530 To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may continue if the inspection is not performed within two business days from the time the project is ready. L-17-2008 0108 PM P, O 1 /02 ~~~.~,~ Ci-~~ c;fQshkc~•~~ _~ _ I'~~cne (:120) 2:6-SUSU ~` L ~ ll Fax (y20) "I_,6-503 ', 1~.~~1.._~~~~J~~~ HVAC PERMIT APpLICATIOR~ All infur~nation after bold Caicgc~ries :r,ust he pr~:wided. ]ncamplete applications will rat be hrncessed. ~ Application(s) and fee(s) can lae bro~ac,'~t to City Hall; Room 2U' or mailed Iv Inspection Scrvi~c.>; I'U T~i~x l l2$; C)shkosh VV1 54903-1 J 2$. C.ommenciiig work witho~-t pet mit(s) ~°ill result in fceti hein~ doubled or S1 U0.00 plus the normal permit fee, which Cvr•r is greater, Olt ~_xOi~ ore a,cp»rrncrp~•~,ar•r;ci~arr,~i~ rite. F,ermif,fee_4ecut.nr S'~~sren; nnd.l_n}~c,ucl~nugtc~ sands,. check_h~re il~uir wnr~r rl~is,procc.~sed rhr~tr~,h,_i,±nzr1~ CrCC,~iir,i. ** Advisory -For applicaUle p~'ojeets, an F;ltctrical Installation Verification (j=;).~T) form, signed br~ the Electrical Contractor or Homeowner (for installations allowed to be perfonneJ b;~' the holuenwner),uucY be submitted with the pernnit application. Applications submitted without azt ETV whey such is required, will not be processed for Permit Issuance and will be returned for coxrpletion. ', ' DATE ~ ~ °_ JOB ADDI.tESS f 3,sS L1/, ~D~._..~.._._.~.~._~ CONTRACTOI2~,_ C~1 (~ c. , _...~..__-w.., ~_.._ CHECK Cd ALL ApPLICABLF, USE CATEGURY G]Si]~,gle Fancily CJDuplex ^Mu.lti-Family FUEL ^Gas ©Electric DS~lld ^Oil OSolar ~,,,~,ct-- C~Rental G1CSn~mercial SYSTEM C]New OOther ^Industrial f,~p~sce TYPF. ^Forced Air DRadiant ^Steam 1TA/C ^Vent ^Electric ^I~c~~i ~tJater ^Suppl. ^Con. l3urner IS CHIMNEY BEING LINED ONo DYes -LINER SIZE d: MAIvZJFACTURER~w ___ Note; All chimneys shall be shed pe•r the B7U's being vented. N~~ CHIMNEY TYPE ^Chimney A ', QC himney B DDirect Vea~t C_]Other N~/! HEAT L055 ^As Approved ' l~sting ^Nat Applicable BTU RATE DAs Per 1?Ian ' ^Var-iablc f~7fF,rr Value _ __ _,~ D •-,~s ,% ..._ _. DESCRIPTYON /SCUFF, OF ALL ~'4lUItIs BITING 1)U ~G VALUE (Including labor And mflterials) ~ 'Zj~.~~ ~ __ L:LECTRICAL CONTRACTOR (for projects not requiring en E7V r~orml ~/~ C~-`G ~~~.,:~'~~~ v~~v•, JUL-17-2008 01 08 PM JU1 17 08 01:20p Hullseye Electric Inc. 9202333737 Ciry or Oehlcaah 17ivision oflmpecnon Skrvke! 21 S Clwrch Areoue PoBo~ 110 OEAIro~ Wl Sr9o)-1130 OI'Fico 920~2965n5o ~„~ wnr.r ire 9aaa~F_solw Electric Znstaliation 'Veri~icatiion P, 02/02 p.l I (We) ~~7dsC, _~ (Electrical Contxactor Name) ~ ss~~ ~.~ lam- G:~,~,y, ~. ~'s!~ a (Address) ', (City) (State) (lip Code) have been contracted to perform: electric installation work for _/-,l~t~+ ~E1~G~ (Name of party contracted to) at the following address: MS'S - ~"~' ' ~~' ~~' • _w~_, _,. (Address where work will be performed) The nature ofthe work consists of: (C.'Yleck One or l~esczibe the Nature of Work) )C Reconnection or new circuit for replacement Heating Plant and/or A/C Cond~er. Reconnection or now circuit for replacement Electric Water Hcatez or power vented water heater. Reconnection ofthe Service Entrance Cable, Meter Box, alterations to receptacles and lig2lting fixtures due to sidixtg / soffit installation. Note: New Service Entrance Cables will require a sepazate permit. Rccorrttection or new circuit for the replacement of other permanently wired appliances /fixtures. New circuit for the addition of AJC to an f~idividual dwelling unit (house or the individual systems in a duplex or condominium), including required service electrical outlets. Other The value of this work is $~+~~ ~ ~~ ' _ Y hereby verify this work will be pcrfornied by am etx~,ployee of this cotupany and further verify the reconnection /installation will be done in compliance with manufacturer and Electric code requirements. ~~ o ~oe~rt~ ~Y f ~ cab (Signature of Company Officer) (T'rint Name of Officer) (Date)