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HomeMy WebLinkAbout0152692 - HVAC (replace AC) 0 CITY OF OSHKOSH No 152692 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1206 1226 ONTARIO ST Owner BETHLEHEM LUTH CHURCH Create Date 10/02/2012 Contractor GARTMAN MECHANICAL SERVICES Category 512-Ind. &Comm-Both Plan Inspector John Zarate Fuel Gas � Oil � Li Slar ' Solid System D New 0 Replace J 0 Other Forced Air 1 Q Radiant j FFS 'am i ✓ A/C I D Vent Electric J OHot Water Juppl. OCon. Burner Chimney Type C Chimney A 0 Chimney B 0 Direct Vent • Not Applicable l Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use/Nature [COMM/REPLACE(2)A/C FOR OFFICE AND RECEPTION AREA **debit acct of Work Fees: Valuation $f,000.00 Plan Approval $0.00 Permit Fee Paid $100.00 Issued By: Date 10/02/2012 0 Permit Voided Parcel Id#1208170000 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. Oct. 1. 2012 10: 15AM GMS INC No. 0602 P. 2 City of Oshkosh 11\\Of/Division of Inspection Services ; t0V P.O.Box 1130 .® Oshkosh,WI 5490j-1130 Phone(920)236-5050 Fax (920)236-5084 CUI:C=213 HVAC PERMIT APPLICATION whrER All information after bold categories must be provided_ Incomplete applications will not be processed, • Application(s)and fee(s Oshkosh Application(s) ( )can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128, 54903-1128_ Commencing work without pennit(s)will result in fees being doubled or$1 00,00 plus the normal permit fee,which ever is greater. OR •u 're a con 'actor .cirri 1•plin- in the Permit 'ee AccnuJi ou want . is .roc.s •rl throu- h o r s/e-n; and have ade.uate unds or�nt j1 ear h-r•- **Advisory-For applicable projects, an Electrical ■ **Advisory or Homeowner(for installations Installation Verification(ETV)form,signed by the Electrical with Con the Contractor application.ner installations allowed to be performed by the homeowner)must be submitted Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. JOB ADDRESS DATE D i�� OWNER - L • � r v/ ' .i Lam- ( /"e-/ CONTRACTOR _- J CHECK 0 ALL APPLICABLE USE CATEGORY ❑Single Family °Duplex OMu1ti-Family °Rental '� �Con�i�ial Industrial FUEL ❑Gas ['Electric ❑Solid D0i1 °Soler SYSTEM New eplace ��,CP TYPE DOther © /G OForced Air ['Radiant OSteam %A/C °Vent °Electric ❑Hot Water DSuppl. ['Con.$ IS CHIMNEY BEING LINED Burner Note;All chimneys shall be sized per e BTU's LINER SIZE &MANUFACTURER CHIMNEY TYPE DChtmney A OChimney B ['Direct Vent DOt,e BTU HEAT S D`s Approved DExisting ['Not Applicable DAs Per Plan ❑Variable DOther Value • DESCRIPTION/SCOPE •F ALL WORK BEING DON VALUE(Including labor and materials) ) ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) '� -T Received Time Oct. 1. 2012 10: 11AM No. 1032 07/07