HomeMy WebLinkAbout0152798 - HVAC (tenant alteration) 10 CITY OF OSHKOSH No 152798
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 714 OREGON ST Owner ROLANDA GOHEEN
--- - ---- - __ __ _ Create Date 08/29/20.12
Contractor NAU HEATING AND COOLING LLC Category 512-Ind. &Comm-Both
- - Plan Y1-3616-0812-H
Inspector Nicole Krahn -Fuel Gas✓ �Oil
�� ---- - at ato lar -
❑ ❑Solid
System ✓❑ New ❑ Replace
❑Other i
Forced Air
Radiant
Steam ❑ D-A/C --
�!__- -J ❑ Vent 1
Electric I=L
H Water
_-- -- -- -ot--- . Sup
pl.-_- I ❑ Con. Burner 1
Chimney Type 0 Chimney A
fu O Chimney B -❑ Direct Vent • Not Applicable 1
Heat Loss As Approved
- roved------- ❑ Existing 9 � Not Applicable I Value
BTU Rate -
As Per Plan -- --- -
❑ Variable • Other _ I Value _
Use/Nature COMM(ROLANDA'S SALON)/Tenant alteration to create a salon(see approved plans) **check#1843
of Work
I
Fees: Valuation
� (22,5 00.00 Plan A pproval $0.0 0 Permit Fee Fee
Paid $185.00
Issued By:6)/ 1
- -
Date 10/05/2012
❑ Permit Voided Parcel Id#0300680100
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 se a any ecess appr/ s before starting such activity.
Signature V 1l__ �j
Date /015-//02 Agent/Owner
Address 1420 PHEASANT CREEK DR OSHKOSH WI 54904 -7452 Telephone Number
-- ---- --. _ - - -- (920)231-6363
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
(111111—Dr'
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084
OJHKOM
HVAC PERMIT APPLICATION ON THE WATER
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 ee Account System and have adequate funds, check here
if you want this processed through your account rl
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signe
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be by the submitted
cal
with the permit application. Applications submitted without an Ely when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE Jo/S//c)
JOB ADDRESS 7% y Dry
OWNER 1'0
CONTRACTOR I J QU FICe1-1)' a,-c/ /jky l.6
J
CHECK H ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental lcommercial ❑Industrial
FUEL ,Gas DElectric ❑Solid SYSTEM ✓�XTT
❑Oil ❑Solar DOth� ❑Replace
❑Other
TYPE
Forced Air DRadiant DSteam ❑A/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No DYes -LINER SIZE
Note:All chimneys shall be sized per the BTU's being vented. & NUFACTURER
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE !U'W ye 1 a,) Coo I/iv� t'v
O/ r J
VALUE (Including labor and materials) $ Jai S 0 0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
l -3 07/07