HomeMy WebLinkAbout0154318 - HVAC (new roof top unit) 0 CITY OF OSHKOSH No 154318
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 218-252 WISCONSIN ST Owner HIWISCA LLC Create Date 01/31/2013
Contractor CONKLIN SHEET METAL INC Category 510-Ind &Comm-Heating&Ventilating Plan Y2-3641-0912
Inspector John Zarate
Fuel ✓ Gas JOH Electric i Solid ,
---- - -- -- ---� � Solar ----- i-- --
System Q New
[� Replace j n Other
1_,(_; Forced Air JI EL Radiant i bl Steam ,
0 A/C Vent
Electric OHot Water J _Suppl. J Con. Burner 1
Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable I
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate ----
As Per Plan 0 Variable 0 Other I Value
Use/Nature COMM/adding a new roof top unit for A/C unit and heating and all connecting duct work — — —
of Work
Fees: Valuation $21,248.00 Plan Approval $0.00 Permit Fee Paid $294.00
Issued By: .: •• Date 01/31/2013
0 Permit Voided I Parcel Id#0103150000
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 applic,--n within an ement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure • .6----:-.- royals before starting such activity.
Signature /�- Date A 3/0
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 549G3-1130
Phone(920)236-5050 O�� IC/1
(920)236-5084 ON THE u,ATFR
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 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 anc' have adequate funds, check here
if you want this processed through your account I]
** 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. 1
DATE 1 30 -•
JOB ADDRESS a ) w 1 SCO S '�n S1 —
OWNER Sary Tel 1/�s hi') v11:5 —
CONTRACTOR L n 5
CHECK Q ALL APPLICABLE
USE CATEGORY �
❑Single Family ❑Duplex ❑Multi-Family ❑Rental Momrnercial ❑Industrial
FUEL <as DElectric ❑Solid SYSTEM Cte v ❑Replace
DOH ❑Solar DOther
TYPE
rrced Air DRadiant ❑Steeam� ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED �No 47Yes - LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A ❑Chimne.y B ❑Di:-ect Vent DOther
HEAT LOSS DAs Approved ❑Existin;; ❑Net Applicable
BTU RATE DAs Per Plan OVariable DOther Value L
/ in A tie Roof to DESCRIPTION/SCOPE OF ALL WORK BEING-DONE gold ins y io
414. - Ltn � ,r—e � 4 /I C6-1 nt47','-11 pact
VALUE (Including labor and materials) $ a I/24 00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
y -
3V1 (-(- d f 07/0i