HomeMy WebLinkAbout2013-HVAC 9.
� CITY OF OSHKOSH No 155539 ;,
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1171-1179 S WASHBURN ST Owner MICHAEL L STRATZ Create Date 03/28/2013
Contractor G&B PRODUCTS Category 512-Ind.8�Comm-Both Plan Z4-3737-0413
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar Solid
System � New I � Replace � Q Other �
✓ Forced Air Radiant 1 Steam A/C Vent
Electric ; Hot Water Suppl. Con.Burner
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable t
Heat Loss Q As Approved � Existing � Not Applicable Value
BTU Rate �
� As Per Plan 0 Variable � Other Value {
Use/Nature COMM\(1173)Breaking up unit into office suites.All work shall meet current code requirements "check#6020 i
of Work
i
Fees: Valuati n $7,000.00 Plan Approval $0.00 Permit Fee Paid $126.00 �
Issued By: Date 05/09/2013
❑ Permit Voided � Parcel Id#1311940200
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)an secure any ne appr �I�before starting such activity. °
Signature Date �
AgenUOwner
Addres 026 S MAIN ST OSHKOSH WI 54902 -6020 Telephone Number (920)231-5699
To schedule inspections piease 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 of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fa�c (920)236-5084 OlHKOf H
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account System and have adeguate�'unds, check here
� if vou want this processed throu�h vozrr account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications sabmitted without an EIV when such is required, will not be
processed for Permit Issnance and will be returned for completion.
DATE � l
JOB ADDRESS I�� I I�i`�5���� l�
OWNER_,l7/ke ��/����
CONTRACTOR �(�� ��OO�/G�j�
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental kg(Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�'orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED�No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE��� � �/�jODP�i/,li�
�
VALUE(Including labor and materials)$ �Q��
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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