HomeMy WebLinkAbout0146333-HVAC (rooftop unit) / " CITY OF OSHKOSH No 146333
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2605 JACKSON ST Owner BROWNE LLC Create Date 06/14/2011
Contractor GARTMAN MECHANICAL SERVICES Category 512 - Ind. & Comm -Both Plan
Inspector Brian Noe
Fuel ✓ Gas Li Oil 1 Electric U Solar ❑ Solid
System n New 1 ❑✓ Replace ❑ Other
Llj Forced Air U Radiant u Steam u A/C u Vent
U Electric U Hot Water 1 Suppl. U Con. Burner
Chimney Type p Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value 5
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature Primo / Replacement packaged rooftop unit for the banquet area. EIV signed by Beez Electric. **debit acct
of Work
Fees: Valuation $5,400.00 Plan Approval $0.00 Permit Fee Paid $91.00
Issued By: ar7Lg/ Date 06/14/2011
❑ Permit Voided I Parcel Id # 1219800000
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.
Jun. 14. 2011 7:40AM GMS INC No. 0286 P. 1
w. v,. vnhGUDf
Division of Inspection Services
P.O.Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
• - Fax (920) 236 -5064
41
HVAC PERMIT APPLICATION E wina
All inforination after bold categories must be provided.
Incomplete applications will net be processed
• Application(s) and fee(s) can be broug,ht to City Hall, Oshkosh WI 54903 -1128. Commencing work without Room
t() w result °� Services d , or 1126,
ilonnal permit fee, which ever is *greater. 07 S1 1 D00.. 00 plus the .
.OR .
i y ou a ' a of ro tor ,a i n• in he P: j, i • e ; ec. Int Sv len Ind .• ora uo , an t, .s ,� n_ the her
- .r �.cc.unl �.�
** , Advisbrp - For applicable projects, an Electrical
Contractor or Homeowner (for :
Instillation Verification (Elm form, signed by the Electrical
vvith tie ( installation a to be performed by the homeowner) nmst be submitted
permit .application. Applications submitted without an EIY when such is required, will not be .
processed for Pert Issuance and wia be returned for completion,
3033 ADDRESS / d S' DATE O
V E. LKSG
CONTRACTO sift S ;Q G,
CJHECK Bi ALL APPLICAB
USE CATEGORY
❑Single Family EJDuplex DMu1ti- Family °Rental
- L''momercial ClIndustrial
FUEL pets nmectrio ❑Solid
'0011 IDSolar SYSTEM DNew lace
TYKE POther
•
ed Air 17Raciiant G7Stoem PA7C PVent
Q$lectric CJHot Water C1Supp1, ❑C,on Burner .
IS CHIMNEY BEING stall a sized per the BTU's bean LINER SIZE
,V,' & MANUFACTURER g vented .✓�
canvmY TYPE °�eY A .p
�A�' DOSS � approved ��eY J3 Direct Vent pQ�� '''./* °As P liable
.:l��l R.�1fiE et Plan g G7Not A
C]VaiiAble er value S- 73 w
DESCRIPTION? / SCOPE OF ALL WORK BEING DONE, --G /A„
r•
= •‘-c
VALUE (Includin tabor end materials) $ p -`'p
ELECTRICAL CONTRACTOR (for projects not requiri g gp ilY Form) _ C2.. E% e_
07/07
Received Time Jun.14. 2011 7:38AM No.6017
N /14 /2011 /TUE 08:18 AM FAX No, 9202317255 P. 001/001
City of Oshkosh
Division of Inspection Services
215 Church Avenue
?O Box 1130
Oshkos9 54903 -1]30
��` Office 920- 0- 236 -5050
• tP WATca Fax 920- 236 -5084
Electric Installation Verification
•
(I) (We) Beez Electric, Inc.
1901 Osborn Ave Oshkosh Wi 54902
have been contracted to perform electric installation work for Gartman Mechanical Inc,
at the following address:
Primo's Restaurant
2605 Jackson St
Oshkosh, WI 54901
The nature of the work consists of : (Check One or Describe the Nature of Work)
® Reconnection or new circuit for replacement Heating Plant and/or A/C 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 Entrance
Cables will require a separate permit.
❑ Reconnection or new circuit for other permanently wired appliances / fixtures.
❑ Other
The value of this work is $250.00
I 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.
L• , = • ' -•- � ., �. Gary Biesinger 6/09/11
(Si a. ure of Compan t) fficer)
Received Time Jun. 14. 2011 8:11AM No. 6021