HomeMy WebLinkAbout0146856-HVAC (add one single room cooling unit) e l) CITY OF OSHKOSH No 146856
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2815 OREGON ST Owner PAUUDARRELUSTEVEN THOMA Create Date 07/18/2011
Contractor CONKLIN SHEET METAL INC Category 511 - Ind. & Comm -Air Conditioning Plan
Inspector Brian Noe
Fuel Gas U Oil J Electric L Solar Solid
System 0 New [] Replace 1 Other 1
Li Forced Air J Radiant J Steam u A/C J Vent
f Electric (_f Hot Water Suppl. U Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature COMM / ADD ONE SINGLE ROOM COOLING UNIT (Located in the new office put in last year — furthest east room in complex)
of Work **check #2746
Fees: Valuation $1,786.00 Plan Approval $0.00 Permit Fee Paid $37.00
Issued By: C5_y Date 07/18/2011
((JJ El Permit Voided I Parcel Id # 1413420000
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 app' n within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secu ; appr s before starting such activity. �7
Signature � Date / - ��-
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130 111111111r
Phone (920) 236 -5050
Fax (920) 236-5084 OIHKOJH
ON THE WATFR
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 [1
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be erformed by the homeowner) must be submitted
p Y
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 7- / /1
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JOB ADDRESS g Ore
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OWNER OS Kcs 1 GC r p0 /'Q�jarl
CONTRACTOR CZ- id,/, S . /h chi, I
CHECK Ei ALL APPLICABLE
USE CATEGORY �/�
❑ Single Family ❑Duplex ❑Multi Family ❑Rental L�Commercial ❑Industrial
FUEL ❑Gas ❑Electric ❑Solid SYSTEM lll< ❑Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam DA/C ❑Vent ❑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 a ❑Variable ❑Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE 4ol or he 5 /e `<ca .y
alet° D ;Le. Piki in 1as-1- Pay- (A►- ► Pear room 1 cnrnPl -e y,\
VALUE (Including labor and materials) $ ` ? S
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07