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Home My WebLink About0142008-HVAC (roof top unit) 0 CITY OF OSHKOSH No 142008 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1020 -1142 S KOELLER ST Owner KOELLER ONE LLC Create Date 07/13/2010 Contractor GARTMAN MECHANICAL SERVICES Category 511 - Ind. & Comm -Air Conditioning Plan Fuel ✓j Gas Oil 1 j Electric L Solar LJ Solid System n New 0 Replace ❑ Other Lij Forced Air Li Radiant J Steam LJ A/C Lf Vent Electric LJ Hot Water L] Suppl. 1 J Con. Burner Chimney Type D Chimney A () Chimney B 0 Direct Vent • Not Applicable Heat Loss 0 As Approved () Existing • Not Applicable Value BTU Rate J As Per Plan () Variable • Other Value Use /Nature Little Ceasar's (1022) / Replace 7 1/2 ton roof top unit. EIV signed by Slim's Electric. **debit acct of Work Fees: Valuation $5,980.00 Plan Approval $0.00 Permit Fee Paid $100.00 Issued By: Qj•y/,n Date 07/13/2010 ❑ Permit Voided Parcel Id # 1308490000 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. Jul. 13. 2010 9:59AM GMS INC No. 2571 P. 1 City of Oshkosh WOO Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903 -] 130 Phone (920) 236 -5050 -...'.. ' : Fax (920) 236 -5084 arHom I-IVAC PERMIT APPLICATION ®N TME wAra .41 information after bold categories must beprovided. Incomplete applications will not be processed. • Application(s) and fee(s) can be brought to Ci Oshkosh WI 54903-1128, Co �' Hall, Room 205 or Mailed to Inspection Services, PO Box 1128, a omaal mme°t �' without permit(s) will result in fees being doubled or $100.00 plus the Permit fee, which ever is greater. :OR I ou a a onttactor 'or 10E i at•)i : in r 'ou an t .e , oc J.: -d tiro. . h a - r c Pe mi . A co nt vst m a d have ad irate ands heck h cc.0 r *IPisry - For applicable projects, an Electrical t#.A o dvis .- Homeowner plc (for ation Verification form, ( installations allowed to be homeowner) signed by the Electrical Y1 perfumed by the homeowner) must be submitted with the permit application, A processed for P Applications submitted without an ETV when such is required, will not be ernikIssuance and wfil be retttased for completion. JOB ADDRESS 16 DATE AV es) OTER CONTRACTOR CHOCK P! ALL APPLICABLE USE CATEGORY D Single Family °Duplex DMu1ti- Family DRental EleGmercial OInd ustrial FUEL 123M--s ❑Electric ❑Solid boil CIS olar SYS ❑New lace TYKE 1;l Other _ • ed Air •Radiant In Steam bAic C DHot Water OSuppl. DCorl. Burner TS CHIMNEY BZJNG LINED No i lYes - LINER S]ZB Note: All chimneys shall be sized per the BTU's being vented. w /''� & MANUFACTURER MANUFACTURER TYPE LOSS tlAss Approved ng B :No A Ver pOtf 41/A RATE ' �7As Per Plan g �LTNot Applicable OT17 A b l e tether V a l u e 9 / � 77=51-2 . DESCRIPTION /SCOPE OF ALL WORK OMVG DONE A le.. CL r • i vh L T • • VALUE (Including labor and materials) $ - ° o 2,L CT ICAL, CONTRACTOR (for projects not requirin an EIV Form) iM k o�io7 Received Time Jul. 13. 2010 9:59AM No. 1890 Jul. 13. 2010 9:59AM GMS INC No. 2571 P. 2 cayoraaesh POBox I fao 0301xpela WI 34901-1130 DTI; : W I 74 t:23r Electric Installation Verification I (We) SLIM'S ELECTRIC INC. _ • (Electrical Contractor Name) 2608 Oakwood Circle Oshkosh WI 54904 (Address) . • • (City) • (State) (Zip Code) • have been contracted to perform electric installation work for l .(Name of party contracted to) • at the £o3lowing address: �,K7C 7� S S t 1� • 9 . . . , (Address where work will be performed) • The.natute of the rink consists of:. (Check One or Descnle the Nature of Work) •Reconnectionor new circuit for replacement Heating Plant and/or A/C Condenser, Reconnection or new circuit for replacement Electric Water Heater or power vented water beater. ... • • Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles • and lighting fixtures due to aiding / soffit installation. Note: New Service Entrance Cables will require a separate permit.. Reconnection or new circuit for the replacement of other pertnaanendy wired appliances) fixtures. New circuit for the addition of A!C to an individual dwelling unit (house or the • individual systems in a duple?ror condominium), including required service electrical outlets. • Other The value of this work is $ MOO OO 1 hereby verify this work will. be performed by an empleyce of this company and farther verify the reconnection / installation will be done in compliance with manufacturer and Electric code regairements.• • • • list. 10 (Signature of Comp j `' ' cer) (Priam Name of Offic r ) (Date) sox Received Time Jul. 13. 2010 9:59AM No.1890