HomeMy WebLinkAbout0151396 - HVAC (roof top unit) CD CITY OF OSHKOSH No 151396
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1863 JACKSON ST Owner FRANCHISE REALTY INT Create Date 07/24/2012
Contractor GARTMAN MECHANICAL SERVICES Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector John Zarate
Fuel Q Gas ] ❑ Oil ❑ Electric p Solar ❑ Solid
System New n Replace ❑ Other
❑TForced Air Radiant ET-Steam IAA/C Vent
Electric Q Hot Water C—Suppl. ❑ Con. Burner
Chimney Type ❑ ChimneyA ❑ Chimney B ❑ Direct Vent • Not Applicable
Heat Loss 0 As Approved O Existing • Not Applicable _ Value
BTU Rate As Per Plan O Variable • Other Value
Use/Nature COMM/LATE PERMIT-Replace rooftop unit.
of Work
Fees: Valuation $4,500.00 Plan Approval $0.00 Permit Fee Paid $177.50
Issued By: Date 07/27/2012
❑ Permit Voided Parcel Id#1219420000
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.
Jul. 26. 2012 11 : 08AM GMS INC No. 9098 P. 2
City of Oshkosh Ci
Division of Inspection Services
P.O_Box 1130
Oshkosh,WI 54903-1 130
Phone(920)236-5050
Fax (920)236-5084 OJHK /H
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-I 128. Commencing work without permits)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
I ou are a ontractor ,artici.atin_ the Permit r-e Account S eu and have ade,uate u ?s check here
if you want this processed through your ace.. t
**Advisory-For applicable projects, an Electrical Installation Verification(ETV)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 ETV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 7,/ `/J2
JOB ADDRESS /P6 3 ems o",
OWNER /1 -bC/►a/d,C
CONTRACTOR ( A S -yh('-
CHECK El ALL APPLICABLE
USE CATEGORY
El Single Family ❑Duplex ❑Multi-Family DRental ,"''commercial ['Industrial
FUEL fi7Gas DElectric ❑Solid SYSTEM ❑New Affteplace
❑Oil
Molar DOther
TYPE
❑Forced Air °Radiant ❑Steam ❑A/C ❑Vent ❑Electric OHot Water ❑Suppl. ❑Con.Burner 1 ' ( V
IS CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER,
Note:All chimneys shall be sized per the BTU's being vented, N
CHIMNEY TYPE ❑Chimney A �❑ itnney B ❑Direct Vent ❑ether II�
HEAT LOSS DAs Approved Cll'Existing ❑Not Applicable
BTU RATE DAs Per Plan OVariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
e e
•
VALUE(Including labor and materials) $ • yj&Q,
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) , , ,0 (,.S' ralleIV
o�
Received Time Jul. 26. 2012 11 : 05AM No. 0210 io7