HomeMy WebLinkAbout2013-HVAC � CITY OF OSHKOSH No 155827
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1302 S MAIN ST Owner ADAPTIVE PROPERTIES LLC Create Date 05/28/2013
Contractor CENTRAL HEATING SERVICE INC Category 512-Ind.8�Comm-Both Plan Z4-3734-0412-H
Inspector Nicole Krahn
Fuel Gas j Oil Electric Solar � Solid
System � New � �eplace _� Other _ �
Forced Air Radiant �Steam � A/C _ � �Vent __ �
Electric Hot Water Suppl. 1 Con._Bumer '�
Chimney Type ChimneyA � Chimney B 0 Direct Vent � NotApplicable �
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature IND/Interior alterations*Davis Painting All work shall comply with applicable codes. Plan details required for restrooms,stairs and �
of Work ramps. '~check#25266
�
I �I
Fees: Valuation $13,400.00 Plan Approval $0.00 Permit Fee Paid $208.00
Issued By: �� Date 05/28/2013
� Permit Voided � Parcel Id#0304270000
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 1565 HARRISON STREET OSHKOSH WI 54901 -3007 Telephone Number (920)235-6670
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.
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920}236-5084 OJ�OfH
ON THF tVATER �
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 vvu are a contractor participating in the Permit fee Account S�tem and have adepuate funds. check here
if'vou want this nrocessed through vour account (�
**Advisory-For applicable projects,an Electrical Installation Verification(EI�form, sigaed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications sabmitted without an EIV when snch is reqnired,will not 1�
processed for Permit Issnance and will be returned for completion.
�
DATE 5 a2.�- � �
JOB ADDRESS � 3 � � .� : �]/9 I/� S� �,�i ������
OWNER � � � I S ��N � � _
CONTRACTOR � �; � ��� � � H- r G. � F��- � ^� c - MAY 2 4 2 013
DEF�.;f2T11�7T OF
CHECK H ALL APPLICABLE co���ru�����E��e�,oPa�E�T
iNSPECTi:'�•::c,..,�r�S pi�'iSiOV
USE CATEGORY
OSingle Family ❑Duplex ❑Multi-Family �Rental �Commercial OIndustrial
FiTEL Q�as , ❑Electric ❑Solid SYSTEM ONew ❑Replace
�Oil ❑Solar �Other
TYPE
�orced Air ❑Radiant OSteam ❑A/C �Vent �Electric ❑Hot Water ❑Suppl. OCon. Burner
IS CHIMNEY BEING LINED ONo ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BT[J's being vented.
CHIMNEY TYPE OChimney A ❑Chimney B ODirect Vent DOther
HEAT LOSS s Approved �Existing C1Not Applicable
BTU RATE ���s Per Plan �Variable �Other Value
DESCRIPTION/SCOPE OF L WORK BEING DO�NE �.(/' � C � � �
'�9 G !��� l� � /� ] �- �4 �
�� - 3� 3� - by��-- �+
VALUE(Including labor snd materials)� � 3 . �--� J � -
_-- ---- - - - - ----- � �� � �