HomeMy WebLinkAbout2013-HVAC �
, � CITY OF OSHKOSH No 157160 :
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD '
ON THE WATER
Job Address 250 N SAWYER ST Owner UNIFIED CATHOLIC SCHOOLS OF OSHK( Create Date 07/24/2013
Contractor GARTMAN MECHANICAL SERVICES Category 510-Ind. &Comm-Heating&Ventilating Plan AA2-3830-0713H
Inspector Nicole Krahn
Fuel Gas Oil � Electric Solar Solid
System � New � � Replace ' �✓ Other !
✓ Forced Air Radiant Steam � A/C j Vent
Electric Hot Water Suppl. Con.Burner j
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable � Value
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BTU Rate As Per Plan � Variable � Other � Value
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Use/Nature COMM/Lourdes Business Center/Hvac alterations per plans. State approved plans Trans ID#2272551. -�
of Work I
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Fees: Valuation $20,640.00 Plan Approval $0.00 Permit Fee Paid $284.00
Issued By: i� �� Date 08/12/2013
❑ Permit Voided ; Parcel Id#0609630100
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.
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. City of Oshkosh
Division ofInspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OfHKO.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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor DarticinatinQ in ihe Permit fee Account Svstem and have adeauate funds check here
lf vou want this nrocessed throu�vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contiractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications sabmitted withont an EIV when such is reqnired, will not be
processed for Permit Issnance and will be retarned for completion.
DATE ! � ��
JOB ADDRESS �3 D /''• ���y� � �l J +
owrrER��'>!�r�—� f ��-c���/n�
CONTRACTOR ���� ��� �
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑ ew h 1�epla�c�
❑Oil ❑Solaz �ther/7`�!�'�.I`�%�'1���
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rced Air �Radiant ❑Steam �A/C �Vent �lectric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED�To❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B �Direct Verit ❑Other
HEAT LOSS �s Approved ❑Existing �Not Applicable
BTU RATE �s Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WO BE G DONE � /�� �!/ /'p/7�
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VALUE(Including labor and materials)$ 7'!/'
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ELECTRICAL CONTRACTOR(for projects not requiring an EIV For � ✓v
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