HomeMy WebLinkAbout0146335-HVAC 0 CITY OF OSHKOSH No 146335
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 555 W WAUKAU AVE Owner JACK W SCHLOESSER Create Date 06/14/2011
Contractor GARTMAN MECHANICAL SERVICES Category 512 - Ind. & Comm -Both Plan U1- 3305 -0611
Inspector Brian Noe
Fuel U Gas U Oil U Electric Li Solar U Solid
System 0 New 0 Replace 1 ❑ Other
l✓f Forced Air u Radiant U Steam U NC L Vent
1 Electric 1 L Hot Water L 1 Suppl. Lf Con. Burner
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved O Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable 0 Other Value
Use /Nature COMM & INDUSTRIAL / INTERIOR ALTERATIONS TO PRINT ROOM * *check #40992
of Work
Fees: Valuatio , Plan Approval $0.00 Permit Fee Paid $435.00
Issued By: �J r ' 1 S-' Date 06/14/2011
❑ Permit Voided Parcel Id # 1413620200
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
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 t.- 11-K0/
ON THE WATER
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 gee Account S stem and have ade,uate unds check here
if you want this processed through your account 71
** 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. p
DATE 6/J !'
JOB ADDRESS ��v 4 ..4 .,./0
OWNER t d.Ze 67
RECEIVED
CONTRACTOR 74 . ,7 JUN v 8 2011
CHECK ® ALL APPLICABLE DEPARTMENT OF
COMMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
❑ Single Family °Duplex ❑Multi - Family °Rental commercial - . 741dustrial
FUEL as DElectric ❑Solid SYSTEM ew Zeplace
DOil °Solar DOther , ' 2"
TyPE
ArForced Air °Radiant °Steam TrA/C °Vent °Electric °Hot Water DSuppl. °Con. Burner
IS CHIMNEY BEING LINE1Js4o °Yes - LINER SIZE & MANUFACTURER -----
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE Dc,himney A °Chimney B °Direct Vent DOther
HEAT LOSS s Approved [Existing °Not Applicable ''
BTU RATE s Per Plan °Variable DOther Value
DESCRIPTION / sap - 1 F ALL • ORK BEING D I NE %/� s �� ^ /
VALUE (In ding labor and materials) $
`�
7d, ELECTRICAL CONTRACTOR (for projec not requir' g an EIV Form 9
/,..2. e 'Z''."e 2 ..1 C)
07/07