HomeMy WebLinkAbout0144378-HVAC 0 CITY OF OSHKOSH No 144378
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2830 ATLAS AVE Owner DOWLING INVESTMENTS ATLAS LLC Create Date 12/14/2010
Contractor COMMERCIAL AIR INC Category 512 - Ind. & Comm -Both Plan 09- 3162 - 1010 -H
Fuel u Gas u Oil U Electric Li Solar U Solid
System 0 New I ❑ Replace n Other
V!' Forced Air ❑ Radiant U Steam U A/C a Vent
Electric U Hot Water U Suppl. u Con. Burner
Chimney Type ( ) Chimney A () Chimney B O Direct Vent 0 Not Applicable
Heat Loss As Approved ❑ Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature Fastenal / Ductwork modification and install cooling unit in lab.
of Work
Fees: Valuation $3,600.00 Plan Approval $0.00 Permit Fee Paid $128.00
Issued By: Q Date 12/14/2010
❑ Permit Voided I Parcel Id # 1329200200
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 PO BOX 8367 MADISON WI 53708 - 0 Telephone Number (608) 221 -8886 EXT
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
Oshkosh, WI WI 54903-1130
Phone (20 236-5050 OJHK01H
Fax x (920)) 236-5084
ON THE' WATER
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 205 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 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.
2,S5) Al 1 J — DATE lif //10
JOB ADDRESS 35 STe^a-e s ! r D
OWNER / ' a s�2�
RECEIVE
CONTRACTOR C-7, -n.�r e,— ( 4'/. _ NOV 03 2010
DEPARTMENT OF
CHECK 0 ALL APPLICABLE 09- .3 /4 a - f 0 10 / COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
USE CATEGORY
El Single Family ❑Duplex ❑Multi - Family ❑Rental ❑Commercial Ihndustrial
FUEL as DElectric ❑Solid SYSTEM DNew ❑Replace
❑Oil ❑Solar DOther
T E
orced Air DRadiant ❑Steam DA/C ❑Vent DElectric DHot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED ❑No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B DDirect Vent DOther
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value .
DESCRIPTION / SCOPJ OF L WORK BE G DONE
4 r
VALUE (Including labor and materials) $ 3
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07