HomeMy WebLinkAbout0141011-HVAC I CITY OF OSHKOSH No 141011
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1180 S KOELLER ST Owner SONIC OF OSHKOSH LLC Create Date 05/17/2010
Contractor SERVICE SPECIALISTS OF DANE COUP Category 512 - Ind. & Comm -Both Plan 05- 2979 -0410
Fuel Lf Gas I U Oil I U Electric u Solar 1 u Solid
System Q New I [] Replace 1 a Other
H Forced Air ❑ Radiant ❑ Steam ❑ A/C ❑ Vent
U Electric U Hot Water Li Suppl. U Con. Burner
Chimney Type K) Chimney A 0 Chimney B • Direct Vent 0 Not Applicable
Heat Loss 0 As Approved 0 Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable Other Value
Use /Nature Install new HVAC and kitchen hood systems for new restaurant per State Approved Plan.
of Work
Fees: Valuation $29,515.00 Plan Approval $0.00 Permit Fee Paid $333.00
Issued By: �v i ,ii Date 05/17/2010
❑ Permit Voided I Parcel Id # 1308480401
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 645 S BIRD ST SUN PRAIRIE WI 53590 - 0 Telephone Number 608 - 255 -6667
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 54'
Phone (920) 236 -5050
Fax (920) 236-c084
ON 11-IF W t R
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application ) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshl ooh t,v ''4903 -1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal pert tee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you wart tilt y processed through your account n
** Adv;s - ' ' ;1 ;cable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contra : , t • n wn er (for installations allowed to be performed by the homeowner) must be submitted
with the e. • , ! i c :, t; o n. Applications submitted without an EIV when such is required, will not be
processed for i tit Issuance and will be returned for completion.
DATE S / /d
JOB AD I , c /6 S /6 e /44
OWNI . Tw/ /i 0 T ' .,wrgz'rs atz:
CONT1. ;,a )2i v�C tO� yZ/1r—/
CHECK 1 1 't - ,[ CABLE P , - 4 1 / r /, a/I 375
USE C_. ' � - 666 a5 -a97q -o o
❑Sine' du plex ❑Multi- Family ❑Rental MCornmercial ❑Industrial
FUEL Y l Electric ❑Solid SYSTEM Liew ❑Replace
LIL. LISolar TyPE
Forced '? iant ❑Steam ❑A /C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS Cl ' ;, ; ED ljNo ❑Yes - LINER SIZE & MANUFACTURER
Note: A zed per the BTU's being vented. /
imney A ❑Chimney B ®Direct Vent ❑Other
HEAT LOSS E j1s Approved ❑Existing ❑Not Applicable
BTU R. '.s Per Plan ❑Variable ❑Other Value
DIZ , t 1'E FALL WORK BEING DO E
E u %
t it
VALTT, 1 materials) $ L 9 t S
f / c
MAY 142010
ELECT 1Y)R (for projects not requiring an EIV Form)
DEf'EiiZI ML)'ti`} 00
COMMUNITY UEVEt O 'r'MENT
INSPECTION SERVICESDr'L'ISIO8' /07