HomeMy WebLinkAbout0155761-HVAC (ceiling grilles & exhaust fan) � CITY OF OSHKOSH No 155761
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2415 WESTOWNE AVE Owner OSHKOSH GROCERS LLC Create Date 05/14/2013
Contractor MARED MECHANICAL CONTRACTORS� Category 512-Ind.&Comm-Both Plan
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Inspector Nicole Krahn
Fuel Gas Oil 1 Electric � Solar Solid
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System � New I ❑ Replace ; ✓ Other �
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Forced Air Radiant Steam A/C � ✓ Vent _ _�
Electric Hot Water Suppl. Con. Bumer ,I
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss i� AsApproved � Existing � NotApplicable Value
BTU Rate � As Per Plan � Variable � Other Value
Use/Nature OMM(FESTNAL FOODS)/REPLACE EXISTING CEILING GRILLES AND INSTALLAN EXHAUST FAN IN THE CASH ROOM j
of Work 'check#54977 ,
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Fees: Valuation $4,982.00 Plan Approval $0.00 Permit Fee Paid $94.00
Issued By: �� Date 05/22/2013
❑ Permit Voided I Parcel Id#1621650200
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
AgenUOwner
Address 4230 W DOUGLAS AVE MILWAUKEE WI 53209 -0 Telephone Number 414-536-0411
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. .
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City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050 �,,,,,,,,_„_��
Fa�c (920)236-5084
ptJ FH�WATFR
HVAC PERMIT APPLICATION
All inforrr►ation 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account System and have adequate funds check here
i�you want this Drocessed throu�h vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications submitted without an EIV when snch is reqnired,will not be
processed for Permit Issnance and will be retarned for completion.
DATE 5 - !5 � I�
JOB ADDRESS �`1 )5 V.� �C Uv.��E AV C. �ASSo�-��`�E 5� �r��K � fi����
OWNER A�SSa Ll t��� R�,�Zc
CONTRACTOR m�o�,i� m�.L�+Ati �LAL MAY 2 2 2013
CHECK 0 ALL APPLICABLE DEP,�RT;�1E�T OF
C0�4�fU�iTY DE�"ELOP�tEVT
USE CATEGORY T�ISPECTiO\S�R\'TCES DI\'iS10V
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL ❑Gas OElectric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar �IOther —N'(�`
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Flot Water ❑Suppl. ❑Can.Burner
IS CHIMNEY BEING LINED"�No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE ��4L�ALC ���.�r i t�lr �R�i..LF�$
Y�-L S a�M"L- l.C� �.A�l'U NC . T t�lc`T�L� N E�� ��(�.1�AU c� F A N 1 N «C i� 0.bOr�
VALUE(Including labor and materials)� y� � g � �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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