HomeMy WebLinkAbout2012-HVAC (ductwork and top unti) (19 CITY OF OSHKOSH No 151379
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 07/23/2012
Contractor SINKLER HEATING&COOLING INC Category 512-Ind.&Comm-Both Plan X6-3581-0612-H
Inspector Nicole Krahn
Fuel I(✓ Gas I Oil 1 Li Electric Li Solar I I I Solid
System n New I n Replace I n Other I
Forced Air 1 Radiant —I _J Steam II A/C __J Vent
n Electric f U Hot Water Suppl. Li Con. Burner
Chimney Type O Chimney A O Chimney B 0 Direct Vent • Not Applicable
Heat Loss p As Approved_ • Existing O Not Applicable Value
BTU Rate 0 As Per Plan O Variable O Other Value
Use/Nature COMM/LATE PERMIT/KAY JEWELERS/Installation of hvac ductwork and rooftop unit for new tenant. **check#49852
of Work
Fees: Valuation $18,800.00 Plan Approval $0.00 Permit Fee Paid $248.00
Issued By: 7 ( ) Date 07/25/2012
❑ 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 1816 ALLOUEZ AVE GREEN BAY WI 54311 -6236 Telephone Number 920-465-6863
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.
07/17/2012 09: 10 9204657568
City of Oshkosh SINKLER HEATING PAGE 01/02
Division of Inspection Services
P.O. Box 1 130
Oshkosh,WI 54903-1 130
Phone(920)236-5050
Pa.x (920)236-5084 Ofl-K. 01 ,
'CM 11 Wnr:R
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not he processed.
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1 128. Commencing work without:permit(s) will result in fees being doubled or$100.00 plus the
normal permit fee, which ever is greater.
OR
Ifyoa{ are a contractor participating in the .Permit fee Account System and have adeq_srcrle f_?tnds,_e_heelc here;
If voy want this rg
ncecsect 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
JOB ADDRESS_43 O I �io UIIV� ,�
OWNER .. ► s��ueler_s \,0-0°
0 CONTRACTOR t e Ir I 1 / is .'OdllY)Q :the . 1 „ '
CHECK m ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ,Iommercial ❑industrial
FUEL , Gas DElectric ❑Solid SYSTEM ❑New Wepla.ce
DOH ❑Solar DOther
TYPE
Arorced Air DRadiant ❑Steam .1)(A-/C ❑Vent DElectric ❑/•lot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ONo❑Yes - LINER SIZE & MANUFACTURER
Note; All chimneys shall be sized per the BTUs being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent DOther
HEAT LOSS DAs Approved .Zxisting ❑Not Applicable
BTU RATE As Per Plan ❑Varia.ble DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE -e C,tA 1� ,
v\11 ciudJ oIr)
VALUE (including Inbor and materials)L , 60
ELECTRICAL CONTRACTOR (for projects not requiring an [EIV Form)
07/07
Received Time Jul. 23. 2012 4: 18PM No. 0178