HomeMy WebLinkAbout0154292 - HVAC (replace furnace) 10 CITY OF OSHKOSH No 154292
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1860 WISCONSIN ST Owner OUR SAVIOR EV LUTH CHURCH Create Date 01/28/2013
Contractor GARTMAN MECHANICAL SERVICES Category 510-Ind. &Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel IL✓I Gas Q Oil ] L Electric ] QSolar 1
1 ET Solid J
System LI New Q Replace 1 Q Other
L Forced Air 1 I J Radiant Q-Steam A/C Vent
Li Electric -1 QHot Water Li Suppl. QCon. Burner
Chimney Type LI Chimney A Q Chimney B • Direct Vent Q Not Applicable
Heat Loss 0 As Approved Q Existing • Not Applicable Value
BTU Rate As Per Plan Q Variable • Other Value
Use/Nature COMM/Church/Replace furnace*in thecenter area hallway and restroom area.
of Work 1
I
Fees: Valuation $2,470.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: 4`77 Date 01/28/2013
1 Q Permit Voided Parcel Id#1218910000
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. 28. 2013' 3: 11PM GMS INC No, 2910 P. 1
Ansptction Smvicrs
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
HVAC PERMIT APPLICATION rAR
All inforination aiterbold categories must beprovided.
Incomplete applications win not beprocrssed.
• APpTicafio�(s)and fee(s)
Oshkosh ou 54903-112g.an be brought to City Ball,Room 205 or mailed to Inspection'Services,PO Box 1128,
normal °QIlCmg�'D without Pe1�it(a)will result in fees being doubled or$100.00 plus the
permit fec,which ever is'greater.
OR
ou a eau cent oc or .a rah e i i t i a '.e:, it -e c civil v. em a d rove •de,.ina_.unds _ ,.eck- ere-
'c=wo t ?hi. • •• .s .d
*'`-Advieory-For applicable projects, an ffiectzieal
Contractor or Homeowner for' �st�iatton Yetification�fonoz,signed by the Fied�ical
Cott the ( instsllatioas allowed to be pearformed by the homeowner)rmtst be submitted
Pmt gpplication, Applications submitted without as El T when arch is required,will-not be
processed for Pei a Issuance and will be returned for.completion.
DATE V-28 f 13
JOE ADDRESS I`S Ca O W,s
OWNER 0%-,r SG v�cv L�. .
CONTRACTOR
calm(Er ALL AP.PLIC XE
USE CATEGORY
❑Single Family ODuplex Okrulti-Fad
Y ❑Rental BGroromercisl Dlndus[rial
FUEL Mks DElectac OSolid
-flail Molar b'YSTBM ONew ]ace
�E POt er
arcedAii m.Bnt '135tepm pA/C
Went O ectric D.Hot Water CJSuppI. OCon,Burner
IS Y EKING LINED! Dyes -LINRREZE
Note:All c eys Shall be iized per the BTU's being v-entod & ACTURBR
TYPE
� �-�Q�S ��r�ov� ���'B 6ctvcnt Other 12 41 ? ',PAS Per Plan 17N�. Applicab]e
CV ble o i,ET Value t g GUC�
DES 'JTON/SCOPE OF ALL WO s
Rxi�nv�norrE 4
he`( we ^-C/
VALUE(Including labor and materials)
ELECTRICAL CONTRACTOR(for projects not requiring= EIV Form) _f ii,
D7/°7
Received Time Jan. 28. 2013 3 : 07PM No. 2181