HomeMy WebLinkAbout0144630-HVAC (multi-split system) 0 CITY OF OSHKOSH No 144630
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3465 MOSER ST Owner GNC OSHKOSH LLC Create Date 01/12/2011
Contractor GARTMAN MECHANICAL SERVICES Category 510 - Ind. & Comm - Heating & Ventilating Plan N7- 3113 -0810
Fuel I Gas Li Oil 1 f Electric Li Solar L J Solid
System - 1 New 1 ❑ Replace r] Other 1
Li Forced Air U Radiant U Steam u A/C J Vent
Electric Hot Water U Suppl. U 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 ) As Per Plan () Variable • Other Value
Use /Nature GNC / Install Sanyo Multi -split system per approved plan.
of Work
Fees: Valuation $16,750.00 Plan Approval $0.00 Permit Fee Paid $228.00
Issued By: Date 01/12/2011
❑ Permit Voided I Parcel Id # 1519606300
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 v b W
P.O. Box 1130
Oshkosh, WI 54903 -1130 re
Phone (920) 236 -5050
Fax (920) 236 -5084 ] ''.-
OTC KO
HVAC PERMIT APPLICATION Dig THE WATER
AB 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 $100.00 plus the
normal permit fee, which ever is greater. P
OR
ou are a contractor , artici.atin. in the Permit. -e Account System and have adesuate funds check here
?ou want this •r.cessed throu.h our account
*'* Advis�idvisory - For applicable projects, an Electrical
Contractor Homeowner for ' Installation Verification (EIV) form, signed by the Electrical
with the permit ei ( installations allowed to be performed by the homeowner) must be submitted •
app cation. Applications submitted without an EIV when such is required, will not be
processed for Peiniit Issuance and will be returned for completion.
■
JO13 ADDRESS 3liG$ afa- DATE /07/0/e0
WO, RECi
OWNER 6r tJo-- L — S rt.
CONTRACTOR 6 , DEC 3 0 2010
At CHECK � ALL APPLICABLE �•o.� T1`7 -\-c' p E ' I l � l d �,
USE CATEGOR INSPEr riON v �F ; r ��"
Y oe.!
❑Single Family ❑Duplex ❑Multi- Family lJRental ❑Commercial
❑Industrial
FUEL ❑Gas ❑Electric ❑Solid
. ❑Oil °Solar STEM ❑New ❑Replace
E
L70ther
DForced Air •❑Ra.diant ❑Steam ❑A/C DVent ❑Electric DHot Water ❑Su 1. ❑
IS CHIMNEY BEING PP Con. Burner
LINED ❑No DYes - LEVIER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented •
gillViisTEY 'TYPE ❑Chimney A D
lit 4t. 'ASS C�eY ./3 aDirect vent ❑other
w. ; ❑As Approved DExistin A
BT(T RAVE g C7Not Applicable
'OAS Per Plan bVariable bother Value pp
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) $ /G 75`0 °
RT•PCTRICAL CONTRACTOR (for projects not requiring an EIY Form
S / ate E / te, �' r , c . Ca -+/26, 4in9
a. pith 24 *In t.v , - 4c. . �
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