HomeMy WebLinkAbout0154551 - HVAC (replace roof top unit) 0 CITY OF OSHKOSH No 154551
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 302-304 OHIO ST Owner OSH INC Create Date 02/25/2013
Contractor GARTMAN MECHANICAL SERVICES Category 512-Ind.&Comm-Both Plan
Inspector Nicole Krahn
Fuel U Gas ❑ Oil - ❑ Electric ❑ Solar ❑ Solid
System ❑ New Q Replace _ JI ❑ Other
'LI Forced Air Radiant lam UNC 1 I /ent -'1
Electric U Hot Water u Suppl. I ] Con. Burner
Chimney Type O Chimney O Chimney B O Direct Vent • Not Applicable 7
Heat Loss I0 As Approved • Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable 0 Other Value _
Use/Nature pOMM(304-IMPROMED)/REPLACE PACKAGED 5 TON ROOF TOP UNIT(NORTHEAST UNIT), EIV SIGNED BY BEEZ
of Work (ELECTRIC **debit acct
Fees: Valuation $4,800.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: -)1,,i Date 02/25/2013
❑ Permit Voided Parcel Id#0600020000
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.
Feb. 25. 2013a9 , 01r honservccs INC No, 3468 P. OLD
p.O.Box 1130 q(-1
Oshkosh,WI 54903=1130
Plhonc (920)236-505D
Fax (920)236-5081 4kr"
ji
)VAC PERMIT APPLICATION Ek
.All in/cm:nation after bold categories must bcprovided.
Incomplete applications will not be processed,
• Application(s)and fee(s)can be brow to
Oshkosh WI 54903-112), n be brought
Commencing work City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
normal without Permits)will result in fees being doubled or$100.00 plus the
Permit foe,which ever is greater.
OR
ou •. e c.n rector ••r c',a n' it h- •
i �o wort ht. d Ira .. er it a cco » Sate and hove ;d uate rrnds..ch_ h're.._..-
.we, t
.Ad�lBOry-For applicable projects,sn$1ect�eal
Contractor o- or p QVna(for' Installation Verification(ETV)form,signed by the Electxieal
witb tae ( Mons allowed to be pmcfanned by the homeowner)must be submitted
permit!vocation. Applications .witted without an
pricessed for Pei trssuanee and will be re E1V wberi such is required, will aot be
mimed for corapletion-
JOB ADDRUS 30 O /ha DATE Z r /
CONTRACTOR Erh-s
C1EECX ALL APPIXABLE
USE CATEGORY
❑Single Family LIDnplex L';)Multi-Family ❑Rental
ercal Dind❑stnal
FUEL
DElectric DSolid
'[7011 ElSolar SYSTEM ONow ace
DOther
ed Air Madiant C7Steam DAIC
QVent OElectric glint Water DSuppL DCon.B uzaer
TS CHIMNEY IMING LINED LDNo Oyes 1,1;/AIR SIZE
Notz:An chimneys ebaI1 be dimd pvr the BTU'e being vented &MANUFACTURER
C y TYPE OC6 �ed LI«�• •ay b ODirect Vent DOther
E RA,'!'� !:•• ling :Pilot ,pliable f
- Per Man Mitiable
bES•L�ttPTlCO T
" 'n�Value
S�PE OF
ALL WDRI{
VALVE(Inclndfng labor ead materiels) 0 e.`o
BI.ECIRICAL CONTIACTOA(for projects not requiring,an ErY
07/01
Received Time Feb. 25. 2013 8: 56AM No. 2423
rtri,Feb. 25. 2013 L 9: 01AM, GMS INC FAX No, 9202317255 No 3468 IP'uu?/001
Cif OfOShkpBh
.111),..,) Dlvisioa of impaction Services
21$church Aveeue
PO Box 1130
Oshkosh W1 54903-1130
Office 920-236.5050
wnrea Fax 920-236-5034
Electric Installation Verification
(1)(We) Beez Electric. Inc.
1901 Osborn.Ave Oshkosh Wi 54902
have been contracted to perform electric installation work for Impromed,
at the following address:
Impromed
304 Ohio St
Oshkosh,Wi 54902.
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 MC Condenser.
❑ Reconnection or new circuit for replacement Electric 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 other permanently wired appliances/fixtures.
❑ Other Bonding of gas line,
The value of this work is $250.00
I hereby verify this work will be performed by en employee of this company and further verify
the reconnection/installation will be done in compliance with manufacturer and Electric code
requirements.
.-1►. W■ . ' i, A• • Gary B iesinger 02/21/13
�(Signi e of Compan,Officer)
Received Time Feb. 25. 2013 8 : 56AM No. 2423