HomeMy WebLinkAbout2011-HVAC C CITY OF OSHKOSH No 146594
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 06/20/2011
Contractor BAY MECHANICAL Category 510 - Ind. & Comm - Heating & Ventilating Plan
Inspector Nicole Krahn
Fuel J Gas U Oil I U Electric Li Solar Li Solid
System ❑ New [] Replace n Other
❑ Forced Air Li Radiant J Steam Li A/C ❑ Vent
Li Electric ❑ Hot Water Suppl. ^ J Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss • As Approved 0 Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable 0 Other Value
Use /Nature COMM/ SKECHERS/ LATE PERMIT/ Replaced the existing 4 ton roof top unit.
of Work Op
V
Fees: Valuation ,n $9,000.00 Plan Approval $0.00 Permit Fee Paid $290.00
Issued By: ,' V - Date 06/29/2011
v ❑ Permit Voided I 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 1931 COFRIN DR GREEN BAY WI 54302 -0 Telephone Number 920 -469 -5445
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 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084 O f HKO f H
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 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 641 z , ) t
JOB ADDRESS 1., etc" S • %AI's"^ r+. ∎^r-^ ser. Sit r- re c -1 a
OWNER C.'V -zc-it e -s k 3 t4 1
CONTRACTOR N 0-C- (-- O•.y S eretAk `T t u 1..1 I 12,.A-.... � ^ *"� I C /vs —
CHECK El' ALL APPLICABLE /
USE CATEGORY
❑Single Family ❑Duplex ❑Multi- Family ❑Rental Commercial ❑Industrial
FUEL 'Gas 15/Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil El Solar ❑Other
TYPE
arced Air DRadiant El Steam RA/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED 'lo ❑Yes - LINER SIZE krk & MANUFACTURER N k
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS XfAs Approved DExisting ❑Not Applicable
BTU RATE As Per Plan ❑Variable DOther Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE g-c.P k...#,- ' `'1 R-v.
VALUE (Including labor and materials) $ 5 0-0-0 . �'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) rs -K-+t h..l e-c.L -c-T 1-' L
07/07