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HomeMy WebLinkAbout0153765 - HVAC (heating wrk) CITY OF OSHKOSH No 153765 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 300-350 N KOELLER ST Owner BROS LLC Create Date 11/29/2012 Contractor CENTRAL HEATING SERVICE INC Category 510-Ind. &Comm-Heating&Ventilating Plan Y5-3657-1012H Inspector Nicole Krahn Fuel Q Gas QOiI ErElectric LJ Solar rjr§61id System Q New Q Q Replace Li Other Li Forced Air ErRadiant Steam E A/C Vent I Electric _II D Hot Water Suppl. 11 Con. Burner Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate Q As Per Plan Q Variable • Other Value Use/Nature COMM/ANYTIME FITNESS/Heating work in association with the remodeling. of Work Fees: Valuation $6,200.00 Plan Approval $0.00 Permit Fee Paid $103.00 Issued By: ' Date 11/29/2012 ❑ Permit Voided Parcel Id#1608701100 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 1565 HARRISON STREET OSHKOSH WI 54901 -3007 Telephone Number (920)235-6670 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 NOV 2 8 2012 Division of Inspection Services P.O.Box 1130 Oshkosh,WI 54903-1130 Phone(920)236-5050 Fax (920)236-5084 Of 11(Of H ON THE WATER 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$100.00 plus the normal permit fee,which ever is greater. OR If you are a contractor participating in the Permit fee Account System and have adequate funds. check here if you want this processed through your account n **Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted with the permit application. Applications submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for conipletion. J DATE // ..Z J JOB ADDRESS 5" /A ft, K © /-- I- 1- i L / OWNER A N 7" T/►`1 6 7 l CONTRACTOR C la a,' TIZ �'`} 4-- }-f- lc SF fr'- / W C CHECK El ALL APPLICABLE USE CATEGORY ❑Single Family DDuplex ❑Multi-Family ORental commercial Olndustrial FUEL bias OElectric ❑Solid SYSTEM DNew ❑Replace DOil OSolar DOther TYPE p_orced Air ❑Radiant ❑Steam DA/C ❑Vent ❑Electric ❑Hat Water OSuppl. DCon.Burner IS CHIMNEY BEING LINED DNo DYes -LINER SIZE &MANUFACTURER Note:All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE OChimney A DChimney B ODirect Vent DOther HEAT LOSS ,As Approved DExisting DNot Applicable BTU RATE DAs Per Plan DVariable DOther Value DESCRIPTION/SCOPE OF ALL WORK BEING DONE 714 V A- C VALUE(Including labor and materials)$ ti,9C C C• wt ■•■ •mT • ••• Ar. .n • . . • • TT</T_ ___•