HomeMy WebLinkAbout0146826-HVAC (a/c) 0 CITY OF OSHKOSH No 146826
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 150 WISCONSIN ST Owner SAALSAA BROTHERS REAL ESTATE LLC Create Date 07/11/2011
Contractor BERKOVITZ MECHANICAL LLC Category 511 - Ind. & Comm -Air Conditioning Plan
Inspector John Zarate
Fuel U Gas J Oil J Electric I Solar u Solid
System ❑ New 0 Replace n Other
u Forced Air ❑ Radiant ❑ Steam U NC ❑ Vent
U Electric I ] Hot Water U Suppl. _I Con. Burner
Chimney Type 10 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature Papa John's Pizza / Replace existing Trane a/c unit. Electrical work by Packerland Electric. * *check #1261
of Work
Fees: Valuation $13,030.00 Plan Approval $0.00 Permit Fee Paid $191.00
Issued By: 25 d n Date 07/14/2011
❑ Permit Voided I Parcel Id # 0103530000
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 PO BOX 11035 GREEN BAY WI 54307 - 1035 Telephone Number (920) 884 -7834
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.
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
1 Fax (920) 236 -5084
Phone (920) 236 -5050
i ,51
HVAC PERMIT APPLICATION
All information with * next to it 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.
If you are a contractor participating in the Permit Fee Account System and have adequate funds,
tvne YES if you want this processed through your account
** 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.
*JOB ADDRESS 150 Wisconsin Street
*OWNER Northern Bay Pizza, LLC - DBA (Papa John's Pizza / Oshkosh #1225)
*CONTRACTOR Berkowitz Mechanical, LLC
*USE CATEGORY
Single Family Duplex .` Multi- Family ' „ m' Rental € Commercial Industrial
FUEL
4I Gas 4 1Electric .. Solid H Oil Solar
*SYSTEM
New 0 Replace ;_ Other
TYPE
t*±' i
� Forced Air `_ _. Radiant ET] ��.A /C _���Vent Electric �.
Hot Water i Suppl. Con. Burner
*IS CHIMNEY BEING LINED
Yes 4 0 No
I -Liner Size: Manufacturer
CHIMNEY TYPE
' Chimney A mr€ Chimney B 0 Direct Vent *Other
HEAT LOSS
` ' As Approved ' F° Existing & Not Applicable
BTU RATE
*As Per Plan `W.' Variable
Other:
*DESCRIPTION OF ALL WORK BEING DONE
We propose to remove the existing Trane unit with failed compressor and
(replace it with a new Trane unit.
1
I
*VALUE (Including labor and all materials including light fixtures)
113,030.00
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
Packerland Electric
Submit Reset,
410) City of 051,1:UM
2 1 I3 1 Vpu Muck n Aec p Seill
ss
? > Muck elt rsu;:
PO Box 1130
Oshkosh WI 54903 -1130
om 923.50
Iax ce !720. 236.5 - 26 084 50
c Mt AT
Electric Installation Verification
1 (We) ._.,._Packerland Electric,,LLC
(Electrical Contractor Name or Homeowner's Name)
3684 Packerland Dr De Pere WI 54115
(Address) (City) (State) (Zip Code)
accept the responsibility to perform the electric work as stated below, at the following address:
150 Wisconsin Street
(Address where work will be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
X Reconnection or new circuit for replacement Heating Plant and /or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of A/C to an individual dwelling unit, including
required service electrical outlets. !Vote: Homeowners can only do their • own
electric on a single family owner occupied home. Work on a condominium,
duplex, rental, or multi-use building would require a licensed Electrical
Contractor.
Other
The value of this work is $ :06 .
1 hereby verify this work will be performed in compliance with the License requirements of
`section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code requirements.
.' r` C _� .l� ............._. . Jl ._.._
nt
( ti l' fli . e.imipai . ()Ilion- or F mcuwner) (Print Name) (Date)
f)7in7