HomeMy WebLinkAbout2011-HVAC (11) CITY OF OSHKOSH No 144865
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 425 N WASHBURN ST Owner SHORELAND DEVELOPMENT CORP Create Date 02/09/2011
Contractor CONKLIN SHEET METAL INC Category 510 - Ind. & Comm - Heating & Ventilating Plan R1- 3214 - 0111 -H
Fuel L✓j Gas LJ Oil J LJ Electric _ Li Solar L Solid
System Q New 1 ❑ Replace 1 ❑ Other
Li] Forced Air LJ Radiant LJ Steam LJ NC J Vent
L I Electric 1 LJ Hot Water Su 1.
❑ PP U Con. Burner
Chimney Type 0 Chimney A 0 Chimney B () Direct Vent 0 Not Applicable
Heat Loss J As Approved 0 Existing 0 Not Applicable Value
BTU Rate ( ) As Per Plan O Variable • Other Value
Use /Nature Oshkosh Truck / Supply and install new HVAC equipment for proposed new offices and rest room per approved plan.
of Work
Fees: Valuation $16,828.00 Plan Approval $0.00 Permit Fee Paid $229.00
Issued By:
Date 02/10/2011
❑ Permit Voided I Parcel Id # 1615060000
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 easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secur ecessa pprovals before starting such activity.
Signature
Date ?--/6 '/f
Agent/Owner
Address N8128 MCHUGH RD HILBERT WI 54129 -9351 Telephone Number 231 -3744
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.
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City of.pshkosh
I EStiti ' °N Wd8E :01 I LOZ 'll 'uPr atoll P!° a 21
Livisio of Inspection S ervices
, : P.O.B 1130 j •
Oshkos 4 WI 54903 -1130 - •
Phone (p20) 236 -5050 •
Fax (920) 236 -5084 I—+KD f �---I
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HVAC PERMIT AP!
I Alllinformation after bold categories must be provided.
I Incomplete applications will spot be processed.
• Application(s) and fee(s) can be brpught to City Hail, Room L(p or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903 - 1128. CommIncing work without permit ) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
• OR • j
If you are a contractor participating g in the Permit fee Acc •ant System and have adequate funds, check here
if you want this processed through Ivour account I .•1
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** Ad sory - For applicable project, an Electrical Installati Verification (EIV) form, signed by the Electrical
Contra.ctor or Homeowner (for instsfllations allowed to be per formed by the homeowner)znnst be submitted
with t1 permit application. Applic submitted without an EN' when such is required, will not be
processed for Permit Issuance and wju be returned for conipl on.
DATE ' / — ,)-I'l
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JOB A 1 1)..5 N. (..4) c& b b L r n S� _ .
O R .S 4 ore_ IGv�ri D lV�n Ccr \ "" '3-214 "�111'
CONT ACTOR c.n k is .. 6 rb e /Cc/
1 i
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CHEC ' RI ALL APPLICABLE
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USE C. TEGORY
❑Sin e Family ❑Duplex ❑Multi- Family ❑Rental csfCommercial ❑Industrial : .
FUEL j Pas . °Electric DSoli'd SYSTEM 1X■•ew DReplace •
•
Oil [Molar ❑Other - '
TYPE I i
Forced Air [Radiant ❑Steam . ❑A/C ❑Vent ❑Elec 'c ❑Hot Water fSuppl. ❑Con. Burner
IS CH EY BEING L)<NED o7Yes -LINER SIZE & MANUFACTURER '
Nnte• 1 chimneys shall be sized per the BfiU's being vented.
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CHIMRTEY TYPE ❑Chimney A ; ❑Chimney B QDt I ect Vent ❑Other
HEAT LOSS ❑As Approvc4 ❑Existing DN t Applicable •
BTU .RTE DAs Per Plan 1 ❑Variable 00t er Value
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DES n ON SCOPE OF ALL BEING BEIN DONE f c4, p er, v e„. IA v 7 1/ /1 n2c •
v-C F- u r � P rc �s Q� n a n 4 Pew`` J2c
VAL (Including l abor and materials $ 1 dO ) i �-qS , / 4 `,/a5, c� �
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ELEC ICAL CONTRACTOR (for pr not requiring an EIV f orm) _
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1 1 07/07