HomeMy WebLinkAbout0153457 - HVAC (replace rooftop units) 0 CITY OF OSHKOSH No 153457
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1850 BOWEN ST Owner OSHKOSH HEALTH PROPERTIES LTD PR Create Date 11/08/2012
Contractor CENTRAL TEMP. EQUIP.SERVICE INC Category 512-Ind.&Comm-Both Plan
Inspector John Zarate
Fuel j Gas 1 OOiI Li Electric J u Solar Erlid
System D New J 121 Replace 1 (Li Other
✓j Forced Air 1 ladiant J H Steam I U A/C Vent
H Electric I Erl=lot Water D Suppl. Con. Burner
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved • Existing 0 Not Applicable Value
BTU Rate Q As Per Plan 0 Variable • Other Value
Use/Nature COMM/REPLACING THE REHAB PACKAGE HEATING AND COOLING ROOFTOP UNITS **check#70752
of Work
Fees: Valuation $6,067.00 Plan Approval $0.00 Permit Fee Paid $101.50
Issued By: 0772k) Date 11/08/2012
❑ Permit Voided Parcel Id#1519410000
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 1054 AMERICAN DR NEENAH WI 54956 -1305 Telephone Number (920)731-5071
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
C411111-)
Division of Inspection Services
P.O.Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050 Of HKO.IH
Fax (920)236-5084
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
FEE• $101.50 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 El
**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 11/05/12
JOB ADDRESS 1850 Bowen Street
OWNER Northpoint Medical & Rehab
CONTRACTOR Central Temperature Equipment Sery Inc
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ®Commercial ❑Industrial
FUEL ®Gas ❑Electric DSolid SYSTEM ❑New ®Replace
❑Oil ❑Solar DOther
TYPE
®Forced Air ❑Radiant 0 Steam ❑A/C ❑Vent DElectric DHot 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 DChimney A ❑Chimney B ❑Direct Vent ®Other
HEAT LOSS DAs Approved glExisting ❑Not Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE Replacing the rehab package
heating and cooling _rooftop units
VALUE (Including labor and materials) $ 6,067.00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07
1-16345