HomeMy WebLinkAbout2008-HVAC (2 unit heaters)OSHKOSH
ON THE WATER
Job Address 639 WITZEL AVE
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner CITY OF OSHKOSH CITY GARAGE
No 133641
Create Date 10/17/2008
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 Chimne A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value 360,000
Use/Nature
of Work
D BY CITY OF OSHKOSH (Dan Kussmann).
SALT 8~ SAND TRUCK PARKING GARAGE,
Fees: Valuation $4,000.00 Plan Approval $0.00 Permit Fee Paid
Issued By:
^ Permit Voided J
$0.00
Date 10!22!2008
Parcel Id # 0603510100
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
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.
CT-15-2008 03 04 PM
City of p€hkosh
Divixion of Inspection Scrvice€
P.O. Box 1130
Oshkosh, Wi 54903-1 ] 30
Phone (920)236-5050
Pax (920)236-SOR4
`~/
P, O1/O1
i
HVAC PERMIT APPLICATION
All informatjon after bold categories mu€t be provided.
Incomplete appljcatjon~ will not be proce€,ced.
• Application(s) and fee(€) can be brought to City Hall, Room 2US or mailed to Inspection Services, PO Dox 1128,
Oshkosh Wl 54903-1128. Commencing work without permit(s) will re<ault in few being dt~ubind or $1 00.00 plus the
normal permit foe, which ever is greater.
OR
I o r , c or rtic' ~ r c Acco
ys~rem ({g(~ hrrvF adeaua[e. funds. check here
lf_';eou want rhrs ~l-nf'!±C_c_alf through your acr~~d~
** Advisory -For applicable pmjects, an Electrical Installation Verification (Elm foam, sipted by the Electrical
Contractor or Homeowner (for installations allowed to be perlbrmed by the homeowner) mast be submitted
with the permit application. Applications submitted without a>y EIV when sack is reyaircd, will not bo
processed for Permit Issaattce and will be returned for completion.
DATE /A /5 v~'
JOB ADDRE55 ~O.~g GVi ><Ze.~~,
OWNER C.~~ O~ QShl~tcn s, '.-
CONTRACTOR G W- S ! (h t ,
CHECK ®ALL APPLICABLE
USE CATEGORY
OSingle Family ^Ihtplex DMulti-Family ORental C~'amtnercial ^Indugtrial
FUEL CriG~aa []Electric OSolid SXST.E.M C7New Replace
OOiI ^Solar ^p~~
TYPE
171Pj'or~ced Air [)Radiant DSteam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED [~IQo L7Y~ - LfNER SIZE & MANUFACTLIRFR
Notc: All chimneys shall be sized pcr thc BTIJ'€ being vented.
CHINII~iEY TYPE ^Chimney A lB~himney B ^Direct Vent IaOther
HEAT LOSS 17As Approved C~}Existing CJNot Applicable
BTU RATE ^As Per Plan ^Variable Other Value 3~a~ OOC~ C~TU
DESCRIPTION /SCOPE OF ALL WORK BEING
VALUE (Including labor and materiel®) aG~ ~ ~'
ELECTRICAL CONTRACTOR (for projocts not requiring an ElV Form) _ ~1/,r-~~hff q 6// ~~ aG~,-- G~~
G4J ~ ~h ~/~C~eIS h~/o~
~r-s. G
10/21/2008 08:31 9202325343
City of (lehimnh
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21 S Cfimeh Avewe
PO Bm~ 1130
O~d~mh 3V1 54903-1130
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OSHKOSH TRANSIT
E~ectrxc Installahion Verification
(E^ectrical Contractor Name o Homeowner's Name)
(State)
PAGE 01/01
% ~ ,(~'v',S ~ Un
~~~D~
(Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
fin. 31 ~ ~ ~ zcc.- ash ~ ~ c.~, ~ 90~-
(Address where work will be performed)
The nature of the work wnsists of: (Check One or Descn~be the Nature of Work)
Reconnection or new circuit for replacecxlent Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacez»ent Electric Water ~ieater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting 5xtures due to sidiiag / soffit installation. Note: New Service
Entrance Cables will recluirc a separate pezmit.
Reconnection or new circuit for the replacement of other permanently wired
appliances /fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
electric on a single family owner occupied home. Work on a condominium;
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
OQ
The value of thus work is $ n
X hereby verify this work will be performed in compliance with the License requirements of
tton 11-22 of the Oshkosh Municipal code end further verify the reconnection /installation
~jne in compliance with boanufacturer and Electric code requi7t~:nents.
of Company Officer or Homeowner)
~~ ~55mAlvdJ io ~i a~8
(PciM Name) (Date)
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