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HomeMy WebLinkAbout0139858-HVAC (radiant system) 0 CITY OF OSHKOSH No 139858 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 420 DIVISION ST Owner STAPEL PROPERTIES LLC Create Date 02/23/2010 Contractor GARTMAN MECHANICAL SERVICES Category 510 - Ind. & Comm - Heating & Ventilating Plan Fuel LJ Gas Oil Li Electric LJ Solar 1 Solid System n New I n Replace 1 121 Other U Forced Air L I Radiant u Steam u A/C u Vent Li Electric 1 Hot Water U Suppl. L Con. Burner Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss ( ) As Approved () Existing • Not Applicable Value BTU Rate 10 As Per Plan 0 Variable • Other Value Use /Nature COMM / LABOR TO CHANGE LOCATION OF A PORTION OF THE CO -RAY -VAC RADIANT HEATING SYSTEM, MATERIALS TO BE of Work RE -USED ""`debit acct Fees: Valuation $800.00 Plan Approval $0.00 Permit Fee Paid $25.00 Issued By: '.51`1.)S-- Date 02/24/2010 ❑ Permit Voided I Parcel Id # 0701250000 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. FEB -23 -2010 TUE 04:03 PM _ _ _ _ FAX N0, P. 01 /01 ,s' v0 City of Oshkosh i Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 �J �- �� Fax (920) 236 -5084 UN 1 TC wA T^� E�" 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 pennit(s) will result in fees being doubled or $100.00 plus the , normal permit fee, which ever is greater. OR I u are a enntr•ctor ar 'ci• • in in he Per ' -e Accoun S tem an ha e a•e• at : uids ch .ck her. if you want this process d .rot • h ur a cco _ nt Z ** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical Contractor or Homeowner (for installations submitted without�aa EIV when homeowner) �, w i11 not be submitted with the permit application. Applications processed for Permit Issuance and will be returned for completion. - DATE_63.4.1.0--____ JOB ADDRESS / _ - I_ J OWNER il.s CONTRACTOR IO/1 a-- CHECK I ALL APPLICABLE USE CATEGORY 0Single Family °Duplex °Multi- Family ❑Rental Commercial ❑Industrial FUEL OGas °Electric ❑Solid SYSTEM °New n n A °Replace M ❑Oil ❑Solar CkOthert, TYPE ❑Forced Air ❑Radiant °Steam ❑A/C ❑Vent ©Electric DHot Water 0Suppl. ❑Con. Burner IS CHIMNEY BEING LINED MNo ❑Yes - LINER SIZE_-- & MAN[JFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ODirect Vent °Other HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Platt DVariable ❑Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE . O. lam• _ . • 4_ t '"r.1il/n ‘r • 11111 0� iz VALUE (Including labor and materials) $ /' ELECTRICAL CONTRACTOR for projects not requiring an EIV Forin) 07/67 i