HomeMy WebLinkAbout0154726-HVAC � CITY OF OSHKOSH No �sa�2s
OSHKOSH HVAC PERMIT -APPUCATION AND RECORD
ON THE WATER
Job Address 440 SULLIVAN ST Owner SULLIVAN STREET GARDEN APARTMEN� Create Date 02/18/2013
Contractor A 8 BE HEATING AND COOLING Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel Q Gas Oil J Electric �I Solar Solid ��,
System � New I � Replace � Other I
Forced Air _ Q Radiant _Steam A/C Vent �'
Electric � Hot Water Suppl. �, Con. Burner
Chimney Type '� Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss � As Approved 0 Existing � Not Applicable--�! Value
BTU Rate � As Per Plan � Variable � Other �I Value
Use/Nature COMM/Gutting walls to studs. Installing 37'of register and installing 2 shutoff valves
of Work I, �
�
Fees: Valuation $1,500.00 Plan Approval _ $0.00 Permit Fee Paid $46.00
Issued By: 1��� Date 03/18/2013
❑ Permit Voided Parcel Id#1611230400
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 s r ny necessary approval�before starting such activity.
Signature � Date ��/�'�
Agent/Owner
,�
Address �' 1637 CENTRAL ST _OSHKOSH _ WI 54901 -0 Telephone Number (920)410-1670
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 othervvise,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
Fas (920)236-5084 OJI--IKO f I--I
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If you are a contractor participating in the Permit fee Account Svstem and have adeguate funds, check here
if vou want this�rocessed throu�vour account n �
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications snbmitted without an EIV when such is required, will not be
processed for Permit Issnance and will be returned for completion.
DATE.� -�����
JOB ADDRESS 7 yd , y��!/�1� 7� •
OWNER �C✓l �iP�r ��'°�l�/�c°f
CONTRACTOR /�, � �( (�
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CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex �IVlulti-Family ❑Rental ❑Commercial ❑Industrial
FUEL f�Cas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar C�Other
TYPE
❑Forced Air [�adiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
�
IS CHIMNEY BEING LINED�FnINo ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE JJk�CChimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS t7As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE �!' N� � �
� D� �t� a/�� l' � H A" O
�
VALUE(Including labor and materials)$ ���a� �
.
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�