HomeMy WebLinkAbout0152988 -HVAC (rear covered patio) jED CITY OF OSHKOSH No 152988
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2015 HARRISON ST Owner RETROS PUB LLC Create Date 10/08/2012
Contractor E C MERRILL INC Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel Er Gas ❑ Oil _ 1 Q Electric ❑ Solar Solid
System 0 New J Replace ❑ Other
LI—Forced Air j Q Radiant ❑ Steam ❑ A/C 1 ❑ent
U Electric –I ❑Hot Water ❑ Suppl. I3Con. Burner
Chimney Type 0 ChimneyA O Chimney B O Direct Vent • Not Applicable
------ -- --- --- --
Heat Loss • As Approved 0 Existing 0 Not Applicable Value
BTU Rate • As Per Plan O Variable O Other Value
Use/Nature Comm/HVAC for rear covered patio*per State Trans ID#2157420 **check#11674
of Work
Fees: Valuation, $6,,975.00 Plan Approval $0.00 Permit Fee Paid $115.00
Issued By: � r^�� ( 11,..J Date 10/16/2012
❑ Permit Voided Parcel Id#1516860000
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 809 WISCONSIN AVE FOND DU LAC WI 54937 -2702 Telephone Number (920)235-3600
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
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
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 n
DATE /O/9//_-
JOB ADDRESS v?O/� /5/4-Roe 6.0,t) l
OWNER gE740 's 4u5
CONTRACTOR ..if/O -
CHECK Fi3 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental EICommercial ❑Industrial
FUEL IZGas ❑Electric ❑Solid SYSTEM jg1Clew ❑Replace
DOi1 ❑Solar ❑Other
TYPE
iKorced Air ❑Radiant ❑Steam DAIC OVent ❑Electric :Mot Water DSuppl. ❑Con. Burner
IS CHIMNEY BEING LINEDIo DYes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A . Chimney B ODirect Vent ❑Other
HEAT LOSS As Approved ❑Existing ❑Not Applicable
BTU RATE 126s Per Plan ❑Variable ❑Other Value
DESCRIPTION OF ALL WORK BEING DONE / l:Vfz ivIA-4 '2 F oft. fru"t 1'10 0.1 •d
vs-n- 471kor/it. k--Pp 04.
*v
A-- ere VALUE (Including labor and all materials including light fixtures) $ �� .7 � irlll 7-- /7e.
ELECTRICAL CONTRACTOR •
❑For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor,must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02