HomeMy WebLinkAbout0154608 - HVAC (tenant alteration) 0 CITY OF OSHKOSH No 154608
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 290-300 OHIO ST Owner BRIDGEVIEW HOLDINGS LLC Create Date 02/06/2013
Contractor CURT'S SERVICE INC Category 512-Ind.&Comm-Both Plan Y8-3703-0213H
Inspector Nicole Krahn
Fuel H Gas J ❑ Oil ❑ Electric Li. Solar J Solid
System 0 New ❑ Replace 0 Other
11 Forced Air 1 ] Radiant ❑ Steam 1 Q A/C ] Vent
L-Electric ❑ Hot Water ❑ Suppl. Li ❑ Con. Burner
Chimney Type • Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other I Value
Use/Nature COMM/290 OHIO ST/Midwest dental/Hvac work in association with the tenant alteration per State approved plans. "check#17266
of Work
Fees: Valuation $10,985.00 Plan Approval $0.00 Permit Fee Paid $184.00
Issued By: _ . . Date 03/04/2013
❑ Permit Voided Parcel Id#0600021200
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 W4467 HWY S HORICON WI 53032 -0 Telephone Number 920-458-3151
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
Division isi o In
on of Inspection Services
P.O. Box 1 130
Oshkosh, WI 54903-1 130 C� SAS p
Phone(920)236-5050 f
Fax (920)236-5084 !
HVAC PERMIT APPLICATION MAR 0 4 2013
All information after bold categories must be provided.
Incomplete applications will not be processed.
DEPARTMENT OF
• Application(s)and fee(s)can be brought to City Hall, Room 205 or mailed to Ins ectio ��ts����iow
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 completion.
DATE ,51 , i3
JOB ADDRESS Ao,
OWNER WO 4L(Ack._■
CONTRACTOR C.A.PY 5 fit- \(A.
CHECK 121 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex DMulti-Family DRental Commercial ❑Industrial
FUEL as ❑Electric ❑Solid SYSTEM ❑New ❑Replace
DOH ❑Solar Mother
TYPE
Forced Air DRadiant ❑Steam DA/C ❑Vent DElectric DHot Water ❑Suppl. DCon. Burner
IS CHIMNEY BEING LINED ❑No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B DDirect Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan ❑Variable DOther Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE--Y\S'CJJ 2 WLt. `5(is-Ve,w‘S OYl
VALUE(Including labor and materials)$ )O� I g5 .Ob
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07