HomeMy WebLinkAbout0154450 - HVAC (rehang ducktwork) j CITY OF OSHKOSH No 154450
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 325 BROAD ST Owner KOOPMAN PROPERTIES LLC Create Date 02/13/2013
Contractor WESLEY HEATING&COOLING INC Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel H Gas H Oil Electric 7 Ej Solar Solid
System ❑ New I ❑ Replace IN Other
u Forced Air H Radiant fam 1 ❑ A/C I Fil Vent
H Electric ❑ Hot Water H Suppl. Ociri. Burner 1
Chimney Type • Chimney A O Chimney B O Direct Vent • Not Applicable
Heat Loss • As Approved O Existing 0 Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value
Use/Nature DUPLEX(UPPER)/REHANG DUCTWORK ONLY **debit acct
of Work
III
Fees: Valuation $500.00 Plan Approval $0.00 Permit Fee Paid $30.00
Issued By: l f "� Date 02/13/2013
❑ Permit Voided Parcel Id#0200970000
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 3220 WALTER ST.,STE A OSHKOSH WI 54901 -0 Telephone Number 920-235-6951
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 oOhkosh
Division o
on 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit ffe Account System and have adequate funds, check here
if you want this processed through your account X
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
�i-- (� DATE �-��—t
JOB ADDRESS ñ ( X7 ! ao
OWNER IC) '2n
CONTRACTOR &4i es LC f-.t°C4 L C
CHECK®ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental ❑Commercial ❑Industrial
FUEL ❑Gas DElectric ❑Solid SYSTEM ❑New DReplace
❑Oil ❑Solar .tgther - _ , a �.
TYPE
❑Forced Air DRadiant ❑Steam ❑A/C ❑Vent DElectric ❑Hot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED ONo ❑Yes -LINER SIZE &MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A OChimney B DDirect Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials)$ L
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07