HomeMy WebLinkAbout0139879-HVAC (popcorn hood) I0 CITY OF OSHKOSH No 139879
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 340 S KOELLER ST Owner OSHKOSH THEATRES CORP Create Date 02/25/2010
Contractor JUST SERVICE INC Category 520 - Ind. & Comm -Other Plan 01- 2921 -0210
Fuel U Gas 1 1 Oil ❑✓ Electric Solar Solid
-
System ❑ New Q Replace I ❑ Other
Li Forced Air J Radiant LJ Steam LJ A/C U Vent
1 Electric LJ Hot Water U Suppl. 1 1 Con. Burner
Chimney Type ( ) Chimney A O Chimney B () Direct Vent • Not Applicable
Heat Loss ( ) As Approved • Existing 0 Not Applicable Value
BTU Rate p As Per Plan O Variable • Other
Value
Use /Nature Replace popcorn hood, duct, and fan as per plans
of Work
Fees: Valuation $12,000.00 Plan Approval $0.00 Permit Fee Paid $180.00
Issued By: Date 02/25/2010
❑ Permit Voided Parcel Id # 0608760300
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 P.0 BOX 363 FRANKLIN WI 53126; -0 Telephone Number Phone: (262) 886 -231
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.
C4 of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084 fl /F
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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) be brought to City Hall, Room 205 or mailed to Inspection Services, PC) 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 you are a contractor _participating in the Permit fee Account System and have adequate funds. check here
iL you want this processed through your account fl
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) 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 EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE
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OWNER thr,\ i t i v- ) 'k. k" N I '',• IS.
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CONTRACTOR ...J v„c --) C pi k.'
CHECK 2! ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family DRental )(Commercial Dlndustrial
. ,
FUEL 0Gas 1;i(Electric OSolid SYSTEM °New Replace
DOil DSolar DOther
TV ' E
. A Forced Air ORadiant OSteam DA/C DVent DElectric OHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE I\.)k, & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B k Pirect Vent p
HEAT LOSS DAs Approved DExisting till ot Applicable
BTU RATE DAs Per Plan OVariable lOther Value FFR 1 7 2010
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
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VALUE (Including labor and materia(s) $ IV OD
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