HomeMy WebLinkAbout0151506 - HVAC (replace roof top) 0 CITY OF OSHKOSH No 151506
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1863 JACKSON ST Owner FRANCHISE REALTY INT Create Date 07/31/2012
Contractor GARTMAN MECHANICAL SERVICES Category 512-Ind.&Comm-Both Plan
Inspector John Zarate
Fuel U Gas I I Oil J I I Electric Solar (J Solid
System 0 New I 0 Replace 1 n Other
Forced Air Radiant
u l_i Steam _J A/C J Vent
I 1 Electric I U Hot Water J I Suppl. U Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss b As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use/Nature COMM(MC DONALDS)/REPLACE ROOF TOP UNIT **debit acct
of Work
Fees: Valuation l $4,500.00 Plan Approval $0.00 Permit Fee Paid $77.50
Issued By: F5-in J Date 08/03/2012
❑ 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.
City of Oshkosh
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
HVAC PERMIT APPLICATION ON THE WATER
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 pennit(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
i ou want this 'rocessed throu.h our account P2
**Advisory
ry-For applicable projects, an Electrical Installation Verification(EIV)form,Contractor or Homeowner(for installations allowed to be performed by the homeowner)musstbe submitted cat
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 7A25//L
JOB ADDRESS L nh
OWNER ✓VI C
CONTRACTOR 1 nC
CHECK®ALL APPLICABLE
USE CATEGORY
❑Single Family ODuplex OMulti-Family ❑Rental
-commercial ❑Industrial
FUEL %Gas DSlleccttlic ❑Solid SYSTEM ONew ,?(Replace
lace ol
❑Other
TYPE
OForced Air ORadiant ❑Steam DA/C ❑Vent DElectric ❑Hot Water DSuppl. OCon.Burner Jlst k
IS CHIMNEY BEING LINED DNo ❑Yes -LINER SIZE
Note:All chimneys shall be sized per the BTU's being vented. /U�fl• &MANUFACTURER
CHIMNEY TYPE ❑Chimney A ❑Chimney B ODirect Vent ❑Other Ai1/2f
HEAT LOSS DAs Approved DExistin
BTU RATE DAs Per Plan ❑Variablg ❑Not Applicble
e DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE q p in r t FY -Ti IA
VALUE(Including labor and materials) yS2j "�J
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07