HomeMy WebLinkAbout0143793-HVAC ID CITY OF OSHKOSH - No 143793
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 711 S WASHBURN ST Owner CITY OF OSHKOSH Create Date 10/20/2010
Contractor CENTRAL HEATING SERVICE INC Category 512 - Ind. & Comm -Both Plan N8- 3148 -0910
Fuel ✓ Gas 1 1 Oil Li Electric 1 Solar u Solid
System L] New 1 Q Replace I 0 Other j
u Forced Air U Radiant u Steam u NC LJ Vent
U Electric U Hot Water 1 J Suppl. IJ Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss ) As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use /Nature COMM (FIRE STATION #16) / INTERIOR ALTERATIONS
of Work
Fees: Valuation $15,180.00 Plan Approval $0.00 Permit Fee Paid $0.00
Issued By: Date 10/22/2010
Ei Permit Voided Parcel Id #
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 (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.
I
City of Oshkosh
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903 - 1130
Phone {920) 236
Fax (920) 236 -5084
HVAC PERMIT APPLICATION OCT 1 8 2010
All information after bold categories must be ice.
Incomplete applications will not be processed. DEPAR1 hiENT OF
COMMUNI DEVELOPMENT
• A lication(s) and fee(s) can be brought to City Hall, Room 205 or mailed to It pe l .I E mig a Qiy *SION
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 yqu are a contractor participating in the Permitiee Account System and have adequate funds. check here
if vent; want this processed through your account
*" Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Cdr Or Homeowner (for installations allowed to be performed by the homeowner) mast be submitted
with** pw oen* salplication. Applications submitted without an EIV when such is required, will not be
pry Permit bounce and will be returned for completion.
DATE Io / t v
JOe SDI ) 1 J 1,0 S i-1 914 ,QA) s 7 =
OW C 17 6 F 0 SH' Ds /i
CONTRACTOR t",41 T n 1 4 L 5 R ✓, / I c.
Nigr- 31g8 0
CHECK la ALL APPLICABLE
USE CATEGORY
[Mingle Family ❑Duplex ❑Multi - Family ❑Rental jiieommereial ❑Industrial
FUEL 1ias ❑Electric OSolid SYSTEM ❑New 50eplace
OOil ❑Solar ❑Other
TYPE
Air ❑Radiant ❑Steam DA /C ❑Vent ❑Electric ❑Hot Water DSuppl. ❑Con. Burner
IS CHIMNEY BEING LINED DNo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A OChimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ONot Applicable
BTU RATE i{As Per Plan OVariable ❑Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE H V4 C P gte P L Ala
VALUE (Including labor and materials) $
A-, / / 21 0 d .2 12-
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07