HomeMy WebLinkAbout0155781-HVAC � CITY OF OSHKOSH �,ya,. �55�s�
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OSHKOSH HVAC PERMIT -APPLICATION AND RECORD '�"2520�' ;
ON THE WATER
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Job Address 1014 OHIO ST Owner GOLDEN DRAGON PROPERTIES LLC Create Date 05/23/2013
Contractor QUALITY MECHANICAL INC Category 510-Ind.8�Comm-Heating&Ventilating Plan zl -37a�o�o�l�3"�
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar Solid
System �✓ New � � Replace � � Other I
✓ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppi. � Con.Burner i
Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved Q Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature Install kitchen hood and furnace per State approved HVAC plans. All construction shall comply with State and local codes. This is for
of Work phase I of the project only.
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Fees: Valuation $29 9 . Plan Approval $0.00 Permit Fee Paid $349.00
Issued By: ,�� � Date 05/23/2013
❑ Permit Voided I Parcel Id#1300220000
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�, ny necessary approvals bef tarting such activity.
Signature � Date �Z � �
Agent/Owner
Address PO BOX 162 LITTLE CHUTE WI 54140 -162 Telephone Number (920)687-1299
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Pertnit 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 �
Fax (920)236-5084
ON THE WATER
HVAC PERMIT APPLICATION APR 17 2013
All information after bold categories must be provided.
Incomplete applications wil(not be processed.
DEP.�A'fR1E\T OF
CO�I�TU'.VT'�'DEVELOP1fElV'1'
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection S�esr►i�j�'E4��oaekh�siox
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 Svstem and have adequate funds check here
i�vou want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Verificadon(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with tLe permit application. Applications snbmitted withont an EIV when snch is reqnired,will not be
processed for Permit Issaance and will be retarned for completion.
DATE 7 �5—� �
.ros an ss y ' �
OWNER �
CONTRACTOR S� � �I'��`G�Q, I n�
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �,Commercial ❑Industrial
FUEL �'as ❑Electric ❑Solid SYSTEM �ew ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED QNo �Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BT'[J's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS �❑f�s Approved ❑Existing ONot Applicable '
BTU RATE [�As Per Plan �Variable ❑Other Value
DESC P ION/SCOPE OF ALL WORK BEING DONE���Q x f�„1 O�
a� ��,mc� � �
VALUE(Including labor and materials)�_s� .v�
t
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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