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HomeMy WebLinkAbout0143214-HVAC / CITY OF OSHKOSH No 143214 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 1820 S KOELLER ST Owner TAKE TIME LLC Create Date 09/20/2010 Contractor CENTRAL HEATING SERVICE INC Category 510 - Ind. & Comm - Heating & Ventilating Plan L9- 3101 - 0810 -H Fuel Gas 00 Electric Er Solar Solid System [] New ❑ Replace 111 Other Forced Air U Radiant J ❑ Steam A/C Vent Electric L Hot Water ❑ Suppl. L Con. Burner Chimney Type 0 Chimney A 0 - Chimney B O Direct Vent ; Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate 0 As Per Plan Variable • Other � Value Use /Nature COMM (Miller Clock Service) / INTERIOR ALTERATIONS * *check #24419 of Work Fees: Valuation $1,525.00 Plan Approval $0.00 Permit Fee Paid $34.00 Issued By: F5" C J Date 09/20/2010 El Permit Voided Parcel Id # 1307440113 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 1565 HARRISON STREET OSHKOSH WI 54901 -3007 Telephone Number (920) 235 -6670 To schedule inspections please call the Inspection Request line at 236 -5128 noting the Address, Permit Number, Type of Inspection (Le. 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 Fax (920) 236 -5084 CJJ ... -KC)JH ON f= +:', 1 HVAC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. • Application(s) and feels) can be brought to City 1 4all, Room 205 or mailed to Inspection Services, PO Box 1 128, 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 Ifyoii area contractor participating in the Permii ee Account Sjstem and have adeauate funds. check here if you want this processed through your account n " 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 Penult Issuance and will be returned for completion. �* k / DATE 9 / 7 JOB ADDRESS 1 b . 0 s .> / �C 17 £ L L 1-r- L q 30)— OWNER /1 (L L F1 (' L0e I S 1L/2P"(C CONTRACTOR G ei0 / R ,} L CHECK 0 ALL APPLICABLE S E P 2 0 2010 CATEGORY DEPAk fiNNEN 6 OF ©Single Family DDuplex DMulti Family ❑Rental Commercial COM A tk6yFLOPMENT INSPECTION SERVICES DIVISION FUEL DGas ❑Electric DSolid SYSTEM DNew ❑Replace DOiI ['Solar DOther TYPE OForced Air ❑Radiant DSteam DA /C, DVent ❑Electric ❑Hot Water DSuppl. ❑Con. Burner IS CHIMNEY BEING LINED DNo DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent Bother HEAT LOSS DAs Approved ❑Existing ❑Not Applicable BTU RATE DAs Per Plan ❑Variable Bother Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE ll'J vA- L 1) i 1- S 7" - h � 1 VALUE (Including labor and materials) $ S. J^ �� ✓''� ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/07