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Home My WebLink About0143486-HVAC (a/c) 0 CITY OF OSHKOSH No 143486 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 302 -304 OHIO ST Owner OSH INC Create Date 10/07/2010 Contractor GARTMAN MECHANICAL SERVICES Category 511 - Ind. & Comm -Air Conditioning Plan Fuel Ill Gas 1 Oil LJ Electric J Solar LJ Solid System ❑ New 1 121 Replace I ❑ Other u Forced Air LJ Radiant u Steam u A/C u Vent 1_1 Electric Li Hot Water LJ Suppl. j Con. Burner Chimney Type ( ) Chimney A O Chimney y 0 Direct Vent • Not Applicable Heat Loss J As Approved • Existing 0 Not Applicable Value BTU Rate J As Per Plan ( ) Variable • Other Value Use /Nature Impromed (304) / Replace a /c. EIV signed by Beez Electric. * *debit acct of Work Fees: Valuation $4,900.00 Plan Approval $0.00 Permit Fee Paid $83.50 /� Issued By: (4J Date 10/07/2010 ❑ Permit Voided Parcel Id # 0600020000 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. Oct. 6. 2010 8:03AM GMS INC No. 4740 P.1 %.i or u Division of Di Inspection vi oflnbpection Services P.O_ Box 1130 Oshkosh, WI 54903 -1130 Phone (920) 236 -5050 5 Fax (920) 236 -5084 i" HVAC PERMIT APPLICATION Dtat THE WATER All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and f s ee() can be brought to City Hall, Room 205 or wailed to Inspection Services, PO Box 1128, Oshkosh WI 5 4903 -1128. Commencing work without permit(s) will rat in fees being doubled o $100.00 plus the normal permit fee, which ever is greater. p OR � 'u ' e • cent •c .r ,art C1.�At11� .n tie ' rt • t ehf • . 'ac = s • a 'o :h o a c, n 21.! Aeon t S stem and have ade• ate , trds. clre here ** Advisory - For applicable projects, an Electrical Contractor orHomeowner (for ' Installation Verification (EIV) form, signed by the Electrical w the permit ( rations allowed to be performed by the homeowner) must be submitted application, Applications submitted without an ETV when such is re processed for Peixuit Issuance and will be returned for completion, gnaed r will not be JOB ADDRESS 3 p `i C. *{ . 0 4- , DATE la / /� CONTRACTOR CHECK FE ALL APPLICAI3LE USE CATEGORY °Single Family DDuplex OMulti -Fatly DRental greimmercial Q7ndusirial )E UEL Q OBlectrlc OSolid °Oil QSolsr QNew ace TYE L70ther iBF'orcedAir =I7Radiant ❑Steam 1742t/C OVent ❑Elecfric C]Hot Water L]Suppl. DCon. Burner IS CIIIHNEY BEING LINED CINe ❑Yes - LINER SIZE Note: MI chimneys shell be sized per the BTU's being vented. i'/ ~ & MANUFACTURER C�(1VIlVEY TYPE C EA E ZOOS UChtmney A PChimney B pDirect Vent . IT. RAPE :0 P Pov p s b g . / Applicable DOtber / � e tilgther Value - n/ D E S C R I P T I O N / SCOPE O F ALLWORIC BEING DONE r ~- VALUE (Including labor and materials) S /01. ` c) ELECTRICAL CONTRACTOR (for projects not requiring as EIV Form) — 07/07 Received Time Oct. 6. 2010 8:02AM No. 3130 iOc t. 6. 20100 8 : 03AM92e2 :GMS INC BEEZ ELECTRIC No. 4140 P. 2 e1 City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkeah WI 54903.1130 Ogee 920.296-S0SO w 1111, wM \11 raft 920-236-3084 Electric Installation Verification (I) (We) Beet Electric. Inc. 1901 Osborn Ave Oshkosh Wi 54902 have been contracted to perform electric installation work for Gartman Mechanical at the following address: ImoroMed, Inc. 304 Ohio Street Oshkosh, W1_54902 • The nature of the work consists of : (Check One or Describe the Nature of Work) 0 Reconnection or new circuit for replacement Heating Plant and/or AJC Condenser. ❑ Reconnection or new circuit for replacement Electric Water Heater. ❑ Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service Entranced Cables will require a separate permit. ❑ Reconnection or new circuit for other permanently wired appliances / fixtures. ❑ Other The value of this work is $350.00 1 hereby verify this work will be performed by an employee of this company and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. 7 ) ..e.--,c -- 15 �°� Gary Biesinger 1 Q/05L1 12 (Signs e of l ompany Ot er) Received Time Oct. 6. 2010 8:02AM No.3130