HomeMy WebLinkAbout0156177-HVAC (RTU) �
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� CITY OF OSHKOSH No 156177 `
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OSHKOSH HVAC PERMIT -APPUCATION AND RECORD �
ON THE WATER
Job Address 103 ALGOMA BLVD Owner ONE SIX EIGHT ENTERPRISE LLC Create Date 06/13/2013
Contractor ANTIGO REFRIGERATION&HEATING Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric j Solar Solid
System ❑ New � ✓ Replace __ I � Other
✓ Forced Air Radiant Steam A/C Vent
Electric Hot Water Suppl. � Con. Burner I
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Chimney Type � Chimney A � Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other � Value
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Use/Nature COMM/replacing existing roof top unit with same size uniU all work will meet state and local codes
of Work
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Fees: Valuation $21,677.00 Plan Approval $0.00 PermitFee Paid $294.00
Issued By: �� Date 06/13/2013
❑ Permit Voided I Parcel Id#0100950000
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 n sary approv efore starting such activity. '
Signature �-- Date � �
AgenUOwner
Address W 8976 CTY RD D ANTIGO WI 54409 -0 Telephone Number 715-627-7160
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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,WI54903-1 1 3 0
Phone(920)236-5050
Fax (920)236-5084 (,r K 1H
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' ON THF 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 54903-1 1 28. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the `
normal permit fee,which ever is greater. �
OR }
If vou are a contractor participating in the Permit j'ee Account Svstem and have ade,guate funds check here =
if vou want this nrocessed through vour account n E
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical �
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted �
with the permit application. Applications submitted withont an EIV when sach is reqnired,will not be �
processed for Permit Issnance and will be retarned for completion. `
DATE � ! � J
JOB ADDRESS 0 / / Uul�
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OWNER Y'1 � � � S
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CONTRACTOR � V' Yl
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental f�Commercial ❑Industrial
FUEL ,�Gas ❑Electric ❑Solid SYSTEM ❑New �Replace
�Oil ❑Solaz ❑Other
[�PE ;
Forced Air ❑Radiant ❑Steam �A/C ❑Vent �Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED,�]No DYes -LINER SIZE &MANLJFACTURER ;
Note:All chimneys shall be sized p�r the BTU's being vented. ;
CHIMNEY TYPE ❑Chimney A Chimney B �Direct Vent �Other ���1.
HEAT LOSS ❑As Approved ,�Existing ❑Not Applicable
BTU RATE �As Per Plan ❑Variable OOther Value
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DESCRIPTION/SCOPE OF ALL WORK BEING DONE�lIGI.C'�. L'11�b�e�n Y'UV� L1 llA)�
VALUE(Including labor and materials)$ �//b �i��
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ELECTRICAL CONTRACTOR for ro'ects not uirin an EIV Form 1�',
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o�/o� £