HomeMy WebLinkAbout0144126-HVAC (rooftop units) 10 CITY OF OSHKOSH No 144126
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 501 E PARKWAY AVE Owner BOYS AND GIRLS CLUB OSHKOSH INC Create Date 11/17/2010
Contractor GARTMAN MECHANICAL SERVICES Category 512 - Ind. & Comm -Both Plan
Fuel L✓j Gas Li Oil 1 J Electric U Solar Li Solid
System L] New n Replace n Other
J Forced Air L Radiant u Steam u A/C LJ Vent
U Electric LJ Hot Water J Suppl. Con. Burner
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss 3 As Approved O Existing • Not Applicable Value
BTU Rate ?, ) As Per Plan 0) Variable • Other
Value
Use /Nature COMM (BOYS AND GIRLS CLUB) / REPLACE ROOFTOP UNITS FOR GYM AREA (Witzke Electric is doing wiring and will take out a
of Work separate permit) * *check #40229
Fees: Valuation
$27,900.00 Plan Approval $0.00 Permit Fee Paid $324.50
Issued By: SYY1) Da te 11/17/2010
El Permit Voided I Parcel Id # 0404900000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 2264 OSHKOSH WI 54903 -2264 Telephone Number (920) 231 -5530
To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh -
Division of Inspection Services R E C I V E D J O1) V
P.O. Box 1130
Oshkosh, WI 54903 -1130 NOV 1 7 2010 \Alio)
Phone (920) 236 -5050 _
Fax (920) 236 -5084 DEPARTMENT OF (j --CJJH
COM MUNITY DEVELOPMENT ON THE WATER
HVAC PERM{ sh$miVISION
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
I ou are a contractor 'articiiatin. in the Permit ee Account S stem and have ade'uate unds check here
if you want this processed through your account i'1
** 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 l 1 k.p 1,10
JOB ADDRESS `J i
OWNER /! ? W. A lido Ci
i,_ )
CONTRACTOR 1
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental Commercial ❑Industrial
il
FUEL as DElectric ❑Solid < QCt
SYSTEM ❑New Replace
it ❑Solar ❑Other
TYPE
X Forced Air ❑Radiant ❑Steam DA/C [Went DElectric Ell-lot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable '
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESC A
IF
PTION / SCOPE OF ALL WO ' : EING DONE ���
■
1 • ' ff _ I • ' 1o� I l ! . ►570_. Al 1 • Ii
• '!� . A rid -ale .e'1 I , ( -
VALUE (Including labor and materials) $ C9t)) Q( / . —
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ( jj
07/07