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HomeMy WebLinkAbout2011-HVAC 0 CITY OF OSHKOSH No 144751 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 01/26/2011 Contractor CENTRAL HEATING SERVICE INC Category 512 - Ind. & Comm -Both Plan Q2- 3208 -0111 Fuel ✓ Gas I I Oil ❑ Electric U Solar u Solid System n New ❑ Replace n Other u Forced Air U Radiant a Steam ❑ NC ❑ Vent Li Electric U Hot Water U Suppl. U Con. Burner Chimney Type .) Chimney A ❑ Chimney B 0 Direct Vent • Not Applicable Heat Loss 10 As Approved () Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable O Other Value Use /Nature C -50 (Maurices) / HVAC for remodel per Plan. of Work • Fees: Valuation $26,200.00 Plan Approval $0.00 Permit Fee Paid $316.00 Issued By: ta/ Date 01/26/2011 ❑ Permit Voided Parcel Id # 1329420000 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. City of Oshkosh Division of Inspection Services P.O. Box Oshkosh, WI 54903-1130 WI 54903 -1130 Phone (920) 236 -5050 O � Fax OJIHK ON r,;: :'r ATOP 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 1 128, Oshkosh WI 54903 -1128. Commencing work without permit(s) will result in foes being doubled or $100.00 plus the normal permit fee, which ever is greater. OR ff yam are a contractor participating in the Permit , ' ee Account System and have adequate funds. check here if vmu want this processed through your account l ** Advisory - For applicable le projects, an Electrical Installation Verification on (EIV) form, signed by the Electrical Co or: or Homeowner (for installations` allowed to be performed by the homeowner) must be submitted with the penult srpplicafion. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE / a y Jos mantas Q0 1 5 • W -) i ,1k"5 t1 e�� 5' 14 fry C s -o OWNER , (4 c 1? S CONTRACTOR C- - L- t Tb 5 k U°. e- RECEIVED C H E C K M ALL APPLICABLE d & - 3 ' - O /> l JAN 2 6 2011 USE CATEGORY Mingle Family ()Duplex °Multi- Family °Rental CiiiiC©mmercial olp NT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION FUEL °Gas DElectric °Solid SYSTEM °New ❑Replace DOil °Solar °Other TYPE 45Forced Air ❑Radiant °Steam DA /C ❑Vent ❑Electric °Hot Water DSuppl. °Con. Burner IS CHIMNEY BEING LINED ONo DYes - LINER SIZE & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A °Chimney B ❑Direct Vent DOther HEAT LOSS DAs Approved °Existing ONot Applicable BTU RATE e / ;11/1s. Per Plan DVariable DOther Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE wt- F le 5 -ei E -L VALUE (Including labor and materials) $ / D l7 7/ • ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 07/07