HomeMy WebLinkAbout0142502-HVAC i CITY OF OSHKOSH No 142502
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2815 OREGON ST Owner PAUUDARRELUSTEVEN THOMA Create Date 08/10/2010
Contractor CONKLIN SHEET METAL INC Category 512 - Ind. & Comm -Both Plan Pr- 3000 - 0510 -H
Fuel l✓f Gas U Oil J Electric U Solar _ Solid
System ❑ New n Replace 1 4 Other
4 Forced Air U Radiant ❑ Steam ❑ NC ❑ Vent
Electric U Hot Water U Suppl. ] Con. Burner
Chimney Type D Chimney A () Chimney B • Direct Vent ❑ Not Applicable
Heat Loss 0 As Approved ❑ Existing O Not Applicable Value
BTU Rate 0 As Per Plan ❑ Variable 0 Other Value
Use /Nature Oshkosh Corp / Relocate existing diffusers and add new diffusers per approved plans.
of Work
Fees: Valuation $4,268.00 Plan Approval $0.00 Permit Fee Paid $74.50
Issued By: 1 Date 08/10/2010
❑ Permit Voided Parcel Id # 1413420000
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 en ce easement restrictions of which it is not a party, if you perform the work
described in this permit appl' ion within cement, the City strongly urges the permit applicant to contact the easement
holder(s) and to�r eces provals before starting such activity.
Signature Date
Agent/Owner
Address N8128 MCHUGH RD HILBERT WI 54129 -9351 Telephone Number 231 -3744
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 vi of
Division o I
on of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050 —"
Fax (920) 236-5084 OfHKOJH
ON THE WATFR
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 20 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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account (1
** 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 D S /Cf
JOB ADDRESS ' /S 0 r e3 0 s 1 _ •
OWNER 0 S h ka-.S 11 Loe -P _ P — 360 0 S !v Ae
CONTRACTOR &n kb' r)
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑ Single Family ❑Duplex DMulti-Family ❑Rental ommercial ❑Industrial
FUEL L61( DElectric ❑Solid SYSTEM ❑Ne ❑Replace
❑Oil ❑Solar her
T .
orced Air ❑Radiant ❑Steam ❑A /C ❑Vent DEleciric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED B ‘ ❑Yes - LINER SIZE & MANUFACTURER •
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE I:chimney A ❑Chimney B irect Vent ❑Other
HEAT LOSS AAl� s Approved DExisting ❑Net Applicable
BTU RATE aAs Per Plan ❑Variable ❑Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE . ' ,
a -.01 ef h ttj C % 4-, sirs Li) i'. phi. i n ote [.
VALUE (Including labor and materials) $ l d l0 u! 0 0
ELECTRICAL CONTRACTOR for projects not requiring an EIV Form)
O >�_� .07/07