HomeMy WebLinkAbout0155174 - HVAC (replace AC) el) CITY OF OSHKOSH No 155174
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2015 HARRISON ST Owner RETROS PUB LLC _ _ Create Date 04/22/2013_
Contractor MARK WEBER HEATING&COOLING IN Category 511 -Ind. &Comm-Air Conditioning Plan
Inspector John Zarate
Fuel j Gas U Oil Electric Solar ❑ Solid
System ❑ New 121 Replace ❑ Other
H Forced Air U Radiant J Steam • j A/C Vent
J Electric Li Hot Water l Suppl. I j Con. Burner
Chimney Type ❑ ChimneyA O Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0—As Approved 0 Existing • Not Applicable Value
BTU Rate
As Per Plan ❑ Variable • Other Value
Use/Nature 1COMM(RETROS PUB)/REPLACE 2 EXISTING NC UNITS, ELECTRICIAN IS JP ELECTRIC **debit acct
of Work
Fees: Valuation $4,400.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: �(>.-i Date 04/22/2013
❑ Permit Voided I Parcel Id#1516860000
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 1075 ISLAND ESTATE CT OSHKOSH WI 54901 -1341 Telephone Number 235-1523
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.
04/22/2013 07:46 FAX E ]001
City of Oshkosh /10°°\- -
V'1 t
Division of Inspection Services coo- d,�I'.O.13ox 1130 O
400,
shkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 QJHKQJH
bN 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 foes being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR •
I '.0 are a contractor ,arti '. - '• . I, the P- , ' ' 'o , em and , sdeg , f - r _ .eck her=
if you want this processed through your account r
**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 E1V when such is required, will not be
processed for Permit Issuance and will be returned for completion. �� �
DATE
JOB ADDRESS a
OWNER S� �T - .e/
CONTRACTOR " )/ � _
CHECK®ALL APPLICABLE
USE CATEGORY
0 Single Family 0 Duplex ❑Multi-Family ❑Rental ,Commercial ❑industrial
FUEL Jas ❑Electric OSolid SYSTEM ❑New /Replace
❑Oil OSolar . ❑Other
TYPE
Orerced Air ORadiant ❑Steam ,/C ❑Vent, DElectric OHot Water ❑Suppl. ❑Con. Burner
IS CIIIIVINEY BEING LINED4No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Cllimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved ❑Existing ONot Applicable
BTU RATE DAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE, le-Wi--A'"J Al c 7 z 577 '7 O
A 6.J gtf r ff4 J Oi;a—
VALUE(Including labor and materials)5 '&0,62'9
ELECTRICAL CONTRACTOR(for projects not requiring an E1V Form) J_P � i
07/07