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HomeMy WebLinkAbout0139357-HVAC #14 CITY OF OSHKOSH No 139357 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3550 MOSER ST Owner MILPRINT INC Create Date 12/30/2009 Contractor GARTMAN MECHANICAL SERVICES Category 510 - Ind. & Comm- Heating & Ventilating Plan L3- 2833 -1009H Fuel 1 I Gas u 011 Electric I I Solar Li Solid I System Q New I 0 Replace 1 n Other L J Forced Air LJ Radiant I u Steam I A/C a Vent I u Electric I I I Hot Water u Suppl. u Con. Bumer Chimney Type ) Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss ( ) As Approved 0 Existing 0 Not Applicable Value BTU Rate I( ) As Per Plan 0 Variable 0 Other Value Use /Nature HVAC system for parts washer room addition per approved plan. of Work Fees: Valuation $23,700.00 Plan Approval $0.00 Permit Fee Paid $297.00 Issued By: Date 12/30/2009 ❑ Permit Voided I Parcel Id # 1519606900 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. City of Oshkosh RECEIVED Division of Inspection Services P.O. Box 1130 DEC 2 9 2009 r 1110 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 DEPARTMENT OF Fax (920) 236 -5084 COMMUNITY DEVELOPMENT QJQJH INSPECTION SERVICES DIVISION ON THE WATER, 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 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 ou are • c.ntract.r .ar ici•atin in the Permit -e A count S em and have ade ua e and check here , .0 an i •races ed hr..•h . count ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (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 /a/209 JOE ADDRESS :355D itn OWNER n 4- (4,4t, _ pt`Ji. CONTRACTOR &' ` I r,.c , L 3 22?'" CHECK Bf ALL APPLICABLE USE CATEGORY ❑Single Family ❑Duplex DMulti- Family °Rental OCommercial ❑Industrial FUEL DGas °Electric ©Solid SYSTEM (Slew ❑Replace °Oil OSolar DO 1N /Or TYPE ❑Forced Air °Radiant °Steam DA/C °Vent °Electric °Hot Water °Suppl. °Con. Burner Nl14 IS CHIMNEY BEING LINED °No °Yes - LINER SIZE & MANUFACTURER ity Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE °ChiTnney A °Chimney B °Direct Vent °Other HEAT LOSS DAs Approved DE)isting DNot Applicable > /4 BTTJ RATE DAs Per Plan ljVariable °Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE Re, 1 n c J t . L c .i e t, h 4 r / A L1�r`` Wa.sLt �r G c�c. 17Gr� C CU VALUE (Including labor and materials) $ 2 3 7 ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) k •- L' a.); 11 6{ 4'04 k t,� -j ri se -/ 7 07/07