HomeMy WebLinkAbout0145329-HVAC (roof top units) I CITY OF OSHKOSH No 145329
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1300 S KOELLER ST Owner SHOPKO SPE REAL ESTATE LLC Create Date 03/31/2011
Contractor NORTH AMERICAN MECHANICAL INC Category 511 - Ind. & Comm -Air Conditioning Plan
Fuel 1✓j Gas U Oil i Electric 1 1 Solar I U Solid
System ❑ New n Replace ❑ Other
u Forced Air u Radiant u Steam 1_1 NC u Vent
1 Electric 1 Hot Water U Suppl. U Con. Burner
Chimney Type ( ) Chimney A 0 Chimney B 0 Direct Vent 0 Not Applicable
Heat Loss `) As Approved 0 Existing • Not Applicable Value
BTU Rate ( ) As Per Plan O Variable • Other Value
Use /Nature Shopko / Replace roof top units. Electrical Contractor is Faith Technologies.
of Work
Fees: Valuation $5,065.00 Plan Approval $0.00 Permit Fee Paid $86.50
Issued By: (.//17(..a2 Date 04/04/2011
❑ Permit Voided I Parcel Id # 1308500100
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 6135 NORTH AMERICAN LN DE FOREST WI 53532 -2932 Telephone Number (608) 241 -4328
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 (920) 236 -5050
Fax (920) 236-5084 OJHKDJH
O T 4F WATFR J t
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 3 Z.3° 2.0 t►
JOB ADDRESS 13 0 Koe.11 e,c 'r PIV ED
OWNER In O k. a t-{ Z
CONTRACTOR Nto Anna -c- ∎Ma- Ghn..n:e_cs,ir."C. MAR 31 2011
DEPAP MENT OF
CHECK ® ALL APPLICABLE COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental MCommercial ❑Industrial
FUEL NtGas DElectric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar DOther
TYPE
)$'[F orced Air ❑Radiant ❑Steam giA /C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. 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 DExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE Potr49) rae. P IO.GQ ,end n--+
VALUE (Including labor and materials) $ tS d C, cJ , 00 p,, r . Fe SC • ;c'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) Fa_ %, h "re-Chpo "re-Ch i0 e.3
07/07