HomeMy WebLinkAbout0157165-HVAC � CITY OF OSHKOSH No 157165
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 375 N EAGLE ST Owner OSH AREA SCHL DIST WEST HIGH Create Date 08/12/2013
Contractor GARTMAN MECHANICAL SERVICES Category 510-Ind.&Comm-Heating&Ventilating Plan AA8-3848-0813H
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric � Solar �
Solid
System � New I � Replace ; �✓ Other �
Forced Air j Radiant Steam A/C--� Vent
Electric i Hot Water Suppl. Con. Bumer
Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature �COMM/Oshkosh West High SchooU Kitchen Rennovations to include new hoods. State approved plans. �
of Work
I
Fees: Valuation $50,049.00 Plan Approval $0.00 Permit Fee Paid $452.50
Issued By: � Date 08/12/2013
❑ Permit Voided �� Parcel Id#1608720100
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
Fa� (920)236-5084 O.IHKO.IH
ON THE WATER �
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I{vou are a contractor narticipatin� in the Permit fee Account Svstem and have adeauate funds check here
if vou want this processed throu�vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications snbmitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion. � �� ��
DATE
JOB ADDRESS � � ��C�� ,
, �
OWNER -� � r3D ,��`�"l •�/S /�
CONTRACTOR G � j,�� C C-Jf 1 U
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CHECK�ALL APPLICABLE � �����
USE CATEGORY _
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑Industrial
FUEL �as ❑Electric ,❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent �Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ONo❑Yes -LINER SIZE &MANLJFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑�',himney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ��s Approved ❑Existing ❑Not Applicable
BTU RATE �As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF A WORK BEING DONE ,�����,� ik� G//�f
���llJ� l�� -
/� �j�� /
VALUE(Including labor and materials)$ �!/q �j" /�
ELECTRICAL CONTRACTOR for r ' �✓��� ��L��P4` '/��
( p o�ects not requ�r�ng an EIV Form)
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