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HomeMy WebLinkAbout0144736-HVAC I CITY OF OSHKOSH No 144736 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 141 HIGH AVE Owner KLRR INC Create Date 01/25/2011 Contractor CUSTOM HEATING & COOLING Category 512 - Ind. & Comm -Both Plan Fuel u Gas u Oil 1✓ Electric LJ Solar LJ Solid System J New ❑ Replace n Other Li Forced Air LJ Radiant j Steam ✓J A/C J Vent Electric U Hot Water 1 Suppl. LJ Con. Burner Chimney Type () Chimney A () Chimney B 0 Direct Vent • Not Applicable Heat Loss 0 As Approved 0 Existing 0 Not Applicable Value BTU Rate 0 As Per Plan () Variable • Other Value Use /Nature COMM / REPLACE DUCTWORK TO NEW 2' X 2' LAY IN CEILING DIFFUSERS FOR AIR CONDITIONING AIR HANDLER of Work Fees: Valuation $2,500.00 Plan Approval $0.00 Permit Fee Paid $47.50 Issued By: ( Date 01/25/2011 ❑ Permit Voided I Parcel Id # 0101040000 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 cur any s provals before starting such activity. Signature Date• Agent/Owner Address 1503 S MAIN ST OSHKOSH WI 54902 - 6911 Telephone Number (920) 235 -7263 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. Oshkosh, WI 549034130 \�/ Phone (920) 236 - 5050 "„�_',�/ Fax (920) 236.5084 O z 1E WAT 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 ff you want this processed through your account f ** Advisory - For applicable projects, an Electrical Installation VeriBeation (EIV) foetus, signed by the El ctriCal Contractor or Homeowner (fur installations allowed to be puforoned by the homeowner) nab be submitted with the permit application. Applications submitted without an ETV when such is , will not be processed for Pew Issuance and will be returned for completion. DATE // 7Ve JOB ADDRESS /V/ OWNER ,C CONTRACTOR £ U S7 e -- /� CHECK ® ALL APPLICABLE USE CATEGORY OSingle Family °Duplex OMulti- Family °Rental ,tommercial []Industrial FUEL DGas klElectric ❑Solid SYSTEM ONew DReplace DOi1 °Solar ClOther TYPE °Forced Air DRadiant °Steam ,J i/C ©Vent DElectric ©Hot Water OSuppl. DCon. Burner IS CHIMNEY BEING LINED DNo °Yes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE DChimney A °Chimney B (Direct Vent °Other HEAT LOSS OAs Approved °Existing DNot Applicable BTU RATE [Us Per Plan °Variable DOther Value DESCRij'ION / OPE OF ALL BE NE VALUE (Including labor and materinis) $ d'a ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) / i' 07/07 J