HomeMy WebLinkAbout0146859-HVAC (kitchen hood & fire system) CD CITY OF OSHKOSH No 146859
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2407 JACKSON ST Owner BOBS RAIL REAL ESTATE LLC Create Date 07/18/2011
Contractor FOX VALLEY CLEAN AIR Category 520 - Ind. & Comm -Other Plan
Inspector Brian Noe
Fuel IJ Gas u Oil Li Electric J Solar U Solid
System 0 New I ❑ Replace 1 0 Other
J Forced Air u Radiant u Steam u A/C u Vent
Li Electric j Hot Water Li Suppl. Li 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 COMM (GLASS NICKEL PIZZA) / MOVE AND REINSTALL KITCHEN HOOD AND FIRE SYSTEM * *check #7082
of Work
Fees: Valuation
� /�� $20,000.00 Plan Approval $0.00 Permit Fee Paid $260.00
Issued By: F � �� Date 07/18/2011
❑ Permit Voided I Parcel Id # 1219790000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkos has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit = , plication ' • . - - - , • - City strongly urges the permit applicant to contact the easement
holder(s) and to secu - ny - - cessary approvals before starting s • - ctivity.
Signature '� Date 7—lie —,p l7
/ •wner
Address 1020 AMERICAN DR NEENAH WI 54956 - 0 Telephone Number 886 -9797
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.
�uga
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236 -5050
Fax (920) 236 -5084 OfHKOJH
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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
i you want this processed through your account fl
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE -' n
-per //
JOB ADDRESS 4 7/e44 t yt ,$rL-
OWNER 6 /'C!, r i-t, 7� ,
CONTRACTOR - a r , � e � c j �
CHECK ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental c lato ercial ❑Industrial
FUEL ❑Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Otherk� -cde . j14,.v
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C DVent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE /32o t1 c5 l/ ,, 'o 44- , 4e,crta
p 1' re sy3-144
VALUE (Including labor and materials) $ v`,0 C �
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07