HomeMy WebLinkAbout0155158-HVAC (ductwork) � CITY OF OSHKOSH No 155158
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1870 STILLMAN DR Owner CORRIM COMPANY LLC Create Date 04/19/2013
Contrector GARTMAN MECHANICAL SERVICES Category 512-Ind.&Comm-Both Plan file
Inspector John Zarate
Fuel ✓ Gas Oil Electric Solar Solid
System � New I � Replace ;' � Other I ,
✓ Forced Air Radiant Steam A/C I Vent
Electric Hot Water Suppl. Con.Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan 0 Variable � Other Value ;
Use/Nature COMM/File room HVAC* Install duct work to new file room space.
of Work
Fees: Valuation $6,380.00 Plan Approval $50.00 Permit Fee Paid $126.00
Issued By: Date 04/19/2013
� Permit Voided I Parcel Id#1225000100
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
AgenUOwner
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. �
�
City of Oshkosh
' Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 0���(���
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HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services,PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
I ou are a co��tractor artici atin i�a the Permit ee Accou�it S stem and have ade uate unds check here
i ou want this rocessed throu h our account
**Advisory-For applicable projects, an Electrical Installadon Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EN when such is reqnired, will not be
processed for Permit Issuance and will be retarned for completion. �
DATE � �� ��
JOB ADDRESS ,��� ,�<j���jl/'j� �j-�
OWNER �� rr� `
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CONTRACTOR ( -1 i�/� ���
CHECK�ALL APPLICABLE
USE CATEGORY °
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial t
i
FiIEL ❑Gas �lectric ❑Solid SYSTEM ❑ ew ❑Replace/� �
❑Oil ❑Solar J �Qther���pd/�� �
TYPE ��d�/f E���'<-'4�'� `�
❑Forced Air ❑Radiant ❑Steam�/C ❑Vent ❑Electri ❑Hot Water ❑Suppl. ❑Con.Burner `
�j i
IS CHIMNEY BEING LINED �No ❑Yes -LINER S T` &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented. �
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other/�/�!L t
HEAT LOSS ��s Approved ❑Existing �Not Applicable ` �
BTU RATE �s Per Plan ❑Variable ❑Other Value �
DESCRI ION/SCOPE OF ALL WORK B ING DONE��1��,��i,3''/l�i�'�� �
L�f �/I����� ��� ���d/�- , �
3
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VALUE(Including labor and materials)$ ��� `
Sc r
ELECTRICAL CONTRACTO�(for projects not requirina an EN Form) / , ��� ���
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