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HomeMy WebLinkAbout0145692-HVAC (a/c) 0 CITY OF OSHKOSH No 145692 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 330 338 N EAGLE ST Owner IMMANUEL LUTHERN CHURCH Create Date 05/03/2011 Contractor GARTMAN MECHANICAL SERVICES Category 511 - Ind. & Comm -Air Conditioning Plan T1- 3270 -0411 Inspector Fuel u Gas U Oil ✓ Electric Solar U Solid System Q New I L Replace i n Other U Forced Air u Radiant u Steam u A/C u Vent Electric U Hot Water f Suppl. I Con. Burner Chimney Type 0 Chimney A O Chimney B 0 Direct Vent 0 Not Applicable Heat Loss p As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature Church / Install 5 split Mitsubishi 3 -ton systems. Install one 2.5 ton Trane a/c system on present furnace. of Work Fees: Valuation $45,000.00 Plan Approval $0.00 Permit Fee Paid $410.00 Issued By: Date 05/03/2011 ❑ Permit Voided I Parcel Id # 1608890000 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. — 32 -)a — 11 (C) °d City of Oshkosh Division of Inspection Services P.O. Box 1130 © 14141611r Oshkosh, WI 54903 -1130 Phone(920)236 -5050 Fax (920) 236 -5084 (- } j H ON THE WATER 1 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 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 .artici.atin. in the Permit 'ee Account S stem and have ade.uate unds check here if you want this processed through your account ** 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 4 (9 i 1 JOB ADDRES 5SS \v • NUL. OWNER %AL .Mat 1 . I I � , . i _ A CONTRACTOR !! \i- \IP V g CHECK ® ALL APPLICABLE USE CATEGORY ❑ Single Family ❑Duplex ❑Multi - Family ❑Rental Commercial ❑Industrial FUEL ❑Gas f lectric ❑Solid SYSTEM ew :Replace DOil D Solar DOther TYPE ❑Forced Air :Radiant ❑SteamlA/C ❑Vent ❑Electric Elliot Water ❑Suppl. DCon. 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 DDirect Vent ❑Other HEAT LOSS DAs Approved DExisting :Not Applicable BTU RATE DAs Per Plan ❑Variable ❑Other Value D SCRIPTION / SCOP 0 ALL WORK BEING DO t „. �!\ �_ ► l . "tab 'Ir. . a& Et....miremiramirmitimiztivarimi. b k, • rv) 1 VALUE (Including 1: . • and materials) $ l , W (A ELECTRICAL CONTRACTOR for projects not re ( P J requiring an EIV Form) 07/07