HomeMy WebLinkAbout0153215 - HVAC (replace rooftop unit) 10 CITY OF OSHKOSH No 153215
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2100 S KOELLER ST Owner CORP AVIATION RESTAURANT
Create Date 10/26/2012
Contractor GARTMAN MECHANICAL SERVICES Category 512-Ind.&Comm-Both
— -- Plan
Inspector Nicole Krahn
Fuel ✓ Gas I Oil Electric Solar —.
�- ❑ Solid J
System ❑ New J 0 Replace ❑ Other
✓
❑❑Forced Air J Radiant ] ❑ Steam �❑
A/C 7 Vent
❑ Electric J ❑Hot Water i Li Suppl. n.
❑ Con. Burner
Chimney Type Chimney A � Chimney B ---0 Direct Vent
ca —
Vent • Not Applicable
Heat Loss I� - —— -
U As Approved • Existing 0 Not Applicable I Value
BTU Rate 0 As Per Plan O Variable • Other
bl � I Value
Use/Nature COMM(HARDEE'S)/REPLACE SOUTHWEST PACKAGED 6 TON ROOFTOP UNIT, EIV SIGNED BY WITZKE ELECTRIC **debit
of Work cct
Fees: Valuation Plan Approval $0.00 Permit Fee Paid $94.0.0
Issued By:
Date 10/26/2012
❑ Permit Voided I Parcel Id#1323100500
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
— —_ — -- - P (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, 26. 2012. 9: 08AM GMS INC
No, 1191 P. 1
w ..w C.euuA❑
Division of inspection Services
P.0_33 ox 1130 9 j/f�d
Osblcosh,WY 54903-1130 7:teitHit.
Phone (920)236-5050
Fax (920)236-5064
O
I-VAC PERMIT APPLICATION a�zHFy�
All jearmation after bold categories must bepmvidtd
Incomplete cplications will not beprocessed•
• Applicatioa(s)and fee(s)can be brought to(,}
Oshkosh WI 54903-1126. Co City R�,Room 205 or mailed to Inspection Services,pp Box 1128,
noxzaal Commencing work without pezmit{s)will result fees being doubled or$100.00 plus the
Pe�itfee,which ever is'greater.
OR .
P. waerr hint►•.c[est d 'rau ti,loll ac Pe f f; e A col 11 . vale a d rove ade.uo u,n.s thee. here
'`#.:Advisorp-For applicable
Contractor orb projects, an Elec ice1 Installation V
permit m 1 owner(for motions allowed to be ped rmed by the�arm,signed by the heed icgl
with the anon. Applications by the 17omeo
processed er P PP 'cations submitted without an d be submitted
tlssuance and will be r ' when such is required, mill not be
wed for ronPIetiou.
JOE AbI2 ADDRESS .2-100 DATA io zV e
•
CONT-RACTO lhe=.
C CS 171 ALL A P?LICOLE
USE CATEGORY
❑Single Fly ODuplex dMulti-Family DReutal .
I' OE.lectric OSolid
� C72ndus�
00i1 Molar b`YS1TlVi phew a4-Taos
17 Other
�
ad Air :Madisnt °CiS
team [:1A/C °Vent CJEleetrie C JEo
t Water ❑Suppl. ❑Con.Sumer
IS 07aNNEYREDIG LAMED CND EIYes -LIM.SIZE
Note:All chimneys s"ball be Sizedper the B7trs being "- MANUFACTURER
�g Vented N�,e�
DIEM E C/ChimneyA :D�.',..eyg !]DireetV
$A A�oved a( ; C10ther N6�
]As'pr r Plan t _ fti Applicable
D��3�TIOI1'/SCOPE OR ALL WORK g Sher Valne (o�Td IU
. EIl1rGDONE
VA,LIJE(Including labor and materials) (X_•c-o
1cI.F,CTRICAZ.CONTRACTOR(for projects not requiring=EIV Form) IA)a-i
b7/07
Received Time Oct. 26. 2012 9: 05AM No. 1415
Oct. 26. 2012 9: 08ANari GMS INC LLLC:IRIi
' NNo, 1191 N.P. 2
CiwofOtbkosh
Division of inspealm Saucer
215Qs' bAvrnve
PO Box 1 130
Oshkosh W1 54903-1130
011fee 920-2364050
Fax 930-236 40e4
, ,
Electric Installation Verification.
I (we) k , ti- F ( - ,G G-
(Electrical Contractor Name) '
155 E• "Pack r Aver) e, hkosG, w •
(Address) "' Jed
( tY) (1State) (Zip Code) '
have been contracted to perform electric installation work for a�, e e 5
(Name ofparty contracted to)
at the following address: a) ao ' 4% r •
_
VV `
(Address where work will be performed)
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 or power vented
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 the replacement of other permanently wired
appliances/fixtures,
____ New circuit for the addition of A/C to an individual dwelling unit(Time or the
individual systems in a duplex or condominium),including required service
electrical outlets. .
OtherbIBEN
The value of this work is S Q.at
Thereby verify this work will be performed by an employee ofthis company and
the reconnection/installation will be done in compliance with manufacturer and Electric code
y
requirements. ,
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4
4
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"3,..i._.i.,...„ cac)...k. -7-.‘rev(Signature of Company Officer) 1 0 a �a
Received Time Oct. 26. 2012 9: 0 5 A M. No. 1415 ' (Print Name °f Q Officer). (Date)
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