HomeMy WebLinkAbout0156065-HVAC /�"� CITY OF OSHKOSH No 156065
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3420 JACKSON ST Owner REILLY REAL ESTATE LLC Create Date 03/25/2013
Contractor ALANNE CLIMATE CONTROL LLC Category 512-Ind.&Comm-Both Plan
Inspector
Fuel Gas Oil Electric � Solar Solid
System � New _� � Replace I � Other
Forced Air Radiant Steam A/C I VeM
Electric ; Hot Water Suppl. � Con. Bumer
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature COMM/HVAC*Interior alterations per State approved plans. All construction shall comply with State and local codes.
of Work ,
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Fees: Valuation $9,321.00 Plan Approval $0.00 Permit Fee Paid $174.00
Issued By: ��� Date 06/07/2013
� Permit Voided ; Parcel Id#1519603901
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 2971 SUNSET POINT LN OSHKOSH WI 54904 -1008 Telephone Number (920)312-1228
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. X
City of Oshkosh
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1 1 30
Phone(920)236-5050
Fa�c (920)236-5084 O f I--IKOSI--I
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem and have adeauate funds check here
if vou want this processed through vozrr account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications snbmitted without an EIV when such is required, will not be
processed for Permit Issnance and will be returned for completion.
DATE G ' � `�3
JOB ADDRESS 3�2� J�cacdo6v � ����IV��
OWNER___ �`fCt''2 '��iC��(
CONTRACTO�A��vN� CL�r►•,n'tx C�wt�c- l�c.c,. JUN 0 6 2013
CHECK�ALL APPLICABLE DEPAR"G�'�E�?nF
C0�1�tU�ITY�E!'E6,OP�IEVT
INSPECTIOY SER�'1C��1>,��'�510�1
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL [�.Gas ❑Electric ❑Solid SYSTEM �1ew ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑SuppL ❑Con. Burner
IS CHIMNEY BEING LINED �No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE�'`a aPk ��►K�us � ✓�1�C�-,D�cT wm�e.K
�xYlO C�� �'I'1P1.1� �U��-rYl
VALUE(Including labor and materials)$ /
, 32 � '°`
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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