HomeMy WebLinkAbout0152093 - HVAC (remodel room) 10 CITY OF OSHKOSH No 152093
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 400 C CITY CENTER Owner --__ — Create Date 04/19/2012
Contractor SURE-FIRE INC Category 512-Ind.&Comm-Both Plan W5-3460-1211H
Inspector Tom Spierowski
Li Oil Electric Solar - Solid '
Fuel Gas � Electric I
System New ' U Replace J ❑ Other I
Forced Air I Q Radiant Li Steam C QVent
[ 1 Electric 1 Li Hot Water Li Suppl. LCon. Burner
Chimney Type 0 Chimney A O Chimney B 0 Direct Vent • Not Applicable 1
Heat Loss 0 As Approved O Existing • Not Applicable Value— ------- ------
BTU Rate 0 As Per Plan O Variable • Other Value
Use/Nature DEMOLITION OF EXISTING WALLS IN EXISTING SPACE/BUILD NEW PARTITIONS TO CREATE SPACE FOR NEW 1
of Work 1TENANT/SPACE WILL INCLUDE NEW BATHROOMS AND OFFICE SPACE WITH ASSOCIATED ELECTRICAL,HVAC AND FIRE
SPRINKLER/BUILDER MUST COMPLY WITH ALL COMMERCIAL BUILDING CODES AND PLAN APPROVAL LETTER WITH
CORRECTIONS AS NEEDED
Fees: Valuation $24,615.00 Plan Approval $0.00 Permit Fee Paid - $307.00
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Issued By: / Date 09/04/2012
I'V 0 Permit Voided 1 Parcel Id#0100600000
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 P O BOX 191 HORICON WI 53032 -191 Telephone Number 920-485-4883
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.
3-l b3�;
City of Oshkosh 30 7
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OO/-
0N -r_ ,..NAT=R
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$100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account ri
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE 5-- 3i -1
JOB ADDRESS t4 G C' C (� r fc
OWNER D C 1�� -t(' 11--Li CD AR
CONTRACTOR ,j1 r\
CHECK E1 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family [Mental Commercial ❑Industrial
FUEL , Gas ,Electric OSolid SYSTEM ❑New ❑Replace
❑Oil ❑Solar 00ther f Y1" Pte)
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ,Electric ClHot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED❑No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE(Including labor and materials)$ I , 'I
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
C 34( () —17/1