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Home My WebLink About0153763 - HVAC (furnace)---- VOID 'I CITY OF OSHKOSH No 153763 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD VOID ON THE WATER Job Address 440 W SOUTH PARK AVE Owner LORENZ L RANGELOFF Create Date 09/17/2012 Contractor CONKLIN SHEET METAL INC Category 510-Ind.&Comm-Heating&Ventilating Plan Y6-3671-1112H Inspector Nicole Krahn Fuel H Gas ❑ oil � ❑ Electric 1 ❑ Solar 1 ❑ Solid System Q New ❑ Replace 1 ❑ Other ] Forced Air ❑ Radiant ❑ Steam ] ❑ A/C 1 Ill Vent Electric I ElHot Water ❑ Suppl. i ❑ Con. Burner ] Chimney Type • ChimneyA 0 Chimney B O Direct Vent • Not Applicable 1 Heat Loss • As Approved O Existing • Not Applicable Value BTU Rate 10 As Per Plan 0 Variable • Other Value Use/Nature OMM/Installing a 10 ton roof top unit and a residential type furnace for the lower level per the state approved plans. The ductwork is of Work required to meet minimum code requirements and may need to be modified. A hvac balancing report is required to be submitted in ddition to the hvac compliance statement prior to occupancy. 1 Fees: Valuation $4,320.00 Plan Approval $0.00 Permit Fee Paid $76.00 Issued By: Date 11/29/2012 0 Permit Voided CNTR CANCEL JOB Parcel Id#0906930000 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 N8128 MCHUGH RD HILBERT WI 54129 -9351 Telephone Number 231-3744 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. 0 CITY OF OSHKOSH No 153763 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 440 W SOUTH PARK AVE Owner LORENZ L RANGELOFF - Create Date 09/17/2012 Contractor CONKLIN SHEET METAL INC Category 510-Ind.&Comm-Heating&Ventilating Plan Y6-3671-1112H Inspector Nicole Krahn Fuel Q Gas -1 f Oil j ❑—Electric 0 Solar 1 ❑–Solid_ System 0 New ❑ Replace J ❑ Other Forced Air ErRadiant ❑ Steam j ❑A/C f Vent lEllectric LLHot Water ❑Suppl. 0 Con. Burner Chimney Type Chimney A O Chimney B 0 Direct Vent • Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable I Value BTU Rate ❑ As Per Plan 0 Variable • Other Value Use/Nature COMM/Installing a 10 ton roof top unit and a residential type furnace for the lower level per the state approved plans. The ductwork is of Work required to meet minimum code requirements and may need to be modified. A hvac balancing report is required to be submitted in addition to the hvac compliance statement prior to occupancy. Fees: Valuation $4,320.00 Plan Approval $0.00 Permit Fee Paid $76.00 Issued By: 01A-"-----' Date 11/29/2012 ❑ Permit Voided Parcel Id#0906930000 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 easement,the City strongly urges the permit applicant to contact the easement holder(s)and to secure any necessa lyals e starting such activity. Signature / D // 7�R Agent/Owner Address N8128 MCHUGH RD HILBERT WI 54129 -9351 Telephone Number 231-3744 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 Oft IOOI I ON THE WATFR HVAC PERMIT APPLICATION All information after hold categories must be provided. Incomplete applications will not be processed. • Application(s)and fee(s)can be brought to City Hail, 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 fl **Advisory-For applicable projects, an Electrical Installation Verification(EN)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 ETV when such is required, will not be processed for Permit Issuance and will be returned for completion. DATE it 19 JOB ADDRESS 4'41 C.) (A , Clu l-t OWNER__cr-e h gti •1 c e){ CONTRACTOR_ CGrvt/.:// S/i --e The1,/ — CHECK El ALL APPLICABLE USE CATEGORY ❑Single Family ❑Duplex DMulti-Family ❑Rental I 'Co zr.mercial ❑Industrial FUEL L�Gas DElectric ❑Solid SYSTEM ❑Ne,v Eigafil ace ❑Oil ❑Solar ❑Otl;.er TYP 11.0.5orced Air ❑Radiant ❑Steam ❑A/C ❑Vent DEleciric Eliot Water JSuppl. ❑Con. Burner IS CHIMNEY BEING LINED 2 DYes -LINER SIZE & MANJFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent DOther • HEAT LOSS 12 proved ❑Existin;I DNct Applicable BTU RATE s Per Plan ❑Variable ❑Ober Value DESCRIPTION/SCOPE OF ALL WORK BEING DONE 2 ep 14 G u 1s;c. ,7 a c4y c VALUE (Including labor and materials) $ � ..2 0.. CJ 0 ELECTRICAL CONTRACTOR(for projects not requiring an ElY Form) _ 07/07