HomeMy WebLinkAbout0154227-HVAC (furnace) 0 CITY OF OSHKOSH No 154227
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 706 S MAIN ST Owner C&J OSHKOSH PROPERTIES LLC Create Date 01/21/2013
Contractor GARTMAN MECHANICAL SERVICES Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector Nicole Krahn -_
Fuel U Gas -1 Jil _Electric j I olar Solid
System J 0 Replace 1 ❑ Other
FjI Forced Air -1 T adiant J Steam [A/C Vent-
Electric J I -iot Water H Suppl. ❑ Con.Burner j
Chimney Type 0 Chimney A • Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss '0 As Approved • Existing 0 Not Applicable 1 Value
J
BTU Rate lAs Per Plan 0 Variable • Other Value 120,000
Use/Nature COMM(LUECK'S)/REPLACE FURNACE FOR MAIN STORE AREA, EIV SIGNED BY VAN ERT ELECTRIC **debit acct
of Work
L
Fees: Valuation $3,750.0.0 Plan Approval $0.00 Permit Fee Paid _ $78.00
Issued By: (It-) Date 01/21/2013
❑ Permit Voided I Parcel Id#0301380000
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.
Jan. 18. 2013 2 : 59PM GMS INC No. 2773 P. 11 00
L1 VLI1 OU Ul.nspeclion Services - l ,
P.O.Box 1130 ti!!!
Oshkosh,WI 54903-1130
Phone (920)236-505D
- Fax (920)236-5084 °:L
HVAC PERMIT APPLICATION Dry!7riELw(fiE7r
All information after bold categories roust be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Oshkosh WI 54903-1128, Commencing Wort without o permit(s)will�result tm fees being doubled or$100.00 00 00 plus the
Jnonnel permit fee,which ever is'greater..
P
.OR .
ou cre • c• lir,ct.r ,• Y' • _. e h ', i the p
' .er ai -s Accov t
',k Oil ,i. ,r, hr. .., , r .c., n -21; -.. ..,.• . vrtem and have ad,•uafe u ds. .eck- :re —
*k..Advkory-For applicable projects, an Electrical Izistallat7ion Verification form,
Cordra-cro�r or Homeowner ns
er(for tallations allowed to be performed by the homeowner)avast be submitted.cal
With tie peemit application. Applications submitted without as Ely wheal such is required,will-not be .
pro ee,ssed for Pei3nitJssuance and will be returned for completion.
•
DATE VIX f r 3
.7078 ADDRESS '7 i)(c, s, {r1 c.,1
OW E R vc.c L 'S
CONTRACTOR .(rte�,..c
CrIlECK liff ALL APPLICAELE
USE CATEGORY
❑Single Family ❑Duplex DMulti Family Mental gebmmercial Olndustzial
FUEL was °Electric °Solid SYSTEM DNew rtKlace
.bOi1 i]Solar L]Otbex
lrorced Air nRadiant ,[]Steam DA%C Went GrEl
ectnc Olio Water QSnppl, DCon,Burner
IS C ) 4NEY BEING LINED LJYes -LII/BR EZE &MANUFAC"T(JRER
Note:AU chimneys shall be d per the BTU's being vented
1:101W%7!i'TYPE pChiey A eyB
ODizect Vent
OOther At 1 bS EAs Approved g :17Not Applicable 11A8'Pee Plan bill ble
ttfC3Ser Value.__' c o U'`►"✓,e.,
DESCRIPTION/SCOPE OF ALL WORK BEING DDNE. &12
6/2. kr--C CI r`C.cti.
VALUE (including labor and materials)$ 3 750 c'L.
ELECTRICAL CONT'R4CTOR(for projects not requiting an MT Form) 4
07/D1
Received Time Jan, 18. 2013 2: 55PM No, 2124
Jan. 18. 2013 2: 59PM GMS INC No. 2773 P. 2
Ciiy of Oshkosh
Division of inspection Services
215 Cht$ch Avenue
PO Box 1130
Oshkosh W1 54903-1130
fH Of6cc 920-2365050
N•H WATER Fax 920-236.5084
Electric Installation Verification
I (We) //ly e' ����r/e.
(Electrical Contractor Name)
ae,1 �v-ie-v I✓ Zgcice-u0e_
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for r/ev'),6 i.7 /4/e'�v41lcF/
L c+'ec%; At.L0 , (Name of party contracted to)
•at the following address: Q� fs/%fy
(Address where work vdill be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X , 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(house or the
individual systems in A duplex or condominium),including required service
electrical outlets. .
Other
The value of this work is $ //
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.
eirg j/A /I?V'
(Signat a of Company Officer) (Print Name of Officer) (Date)
te)
5/02
Received Time Jan. 18. 2013 2 : 55PM No. 2124