HomeMy WebLinkAbout2013-HVAC (9 CITY OF OSHKOSH No 154604
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1900-1928 S WASHBURN ST Owner TODD ARNOLDUSSEN/MARK HARTZHEIA Create Date 02/22/2013
Contractor J F AHERN CO Category 5.10-Ind &Comm-Heating&Ventilating Plan
Inspector Nicole Krahn —
Fuel LT Gas LI --
Oil 1 Li Electric S -
-- -- --- -- �Solar-- — ❑Solid—-
---J
System ❑ New _i ❑ Replace ' n Other
✓ Forced Air—' _--- Li --- ---
LJ Radiant Li Steam 1-1 NC
Vent
Electric Li Hot Water Su I. 1 r—
Pp Con. Burner l
Chimney Type () im
Chne
Y A ❑ Chimney B ❑ Direct Vent • Not Applicable
Heat Loss --- -
As Approved O Existing • Not Applicable I Value
BTU Rate
As Per Plan
❑ Variable 0 Other Value
Use/Nature COMM/LATE PERMIT/SHEA ELECTRIC/Work done in association with the remodeling project — — —1
of Work
----------- — - — ------_.--_------------------
Fees: Valuation $2,615.00 Plan Approval $0.00 Permit Fee Paid $111.68
Issued By: C_, Date 03/04/2013
❑ Permit Voided Parcel Id#1316360000
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 PO BOX 1316 FOND DU LAC WI 54936 -1316 Telephone Number 920-921-9020
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.
•
TRANSMITTAL
J. F.Ahern Co.
855 Morris Street Date: 02/25/2013
P.O. Box 1316 Project#: 882181
HERN Fond du Lac, WI 54936-1316 Shea Electric
Ph (920)921-9020/Fx(920)929-8825
RE: HVAC Permit
Sent Via:
TO: Nicole Krahn
City of Oshkosh RECEIVED
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130 FEB 2 6 2013
Phone: (920) 236-5065 Fax: (920) 236-6084
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECT )N SERVICES DIVISION
Copies Spec Section/DWG No Description Status
1 HVAC Permit, Balance Report and Double Permit Fee For Approval
Notes:
J. F. Ahern Co.
BY: ninsoth,y T. Chap
Timothy T. Chapin
Project Manager
Northeast Region
cc:
Enclosure
TTC/km h
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 Oil lKQf-
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 El
**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 . - (o — I �
JOB ADDRESS 1 g a 2. 'S t.�,//MINI ,rrt ST--
OWNER pet,3
CONTRACTOR F eO
CHECK El ALL APPLICABLE
USE CATEGORY
❑Single Family DDuplex DMulti-Family DRental I' ommercial ❑Industrial
FUEL pGas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
Forced Air DRadiant ❑Steam ❑A/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 ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing CEINot Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
(v'AL.A t�l.a vt.,� I nh��.-�
VALUE (Including labor and materials) $ L J
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
07/07