HomeMy WebLinkAbout0156293-HVAC � CITY OF OSHKOSH No 156293
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2895 ALGOMA BLVD Owner JOHN SNYDER LLC Create Date 06/17/2013
Contractor CHRISTENSEN HEATING&A/C INC _ Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector John Zarate
Fuel ✓ Gas ; Oil 1 Electric i Solar Solid
System ❑ New J � Replace I Other �
Forced Air i Radiant Steam� ✓ A/C Vent �
Electric� Hot Wate� SuppL Q Con.Burner
Chimney Type Chimney A � 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/replace A/C on main level, rear offices
of Work '
"**ck#63922""' :
""ck#63932""
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Fees: Valuation $2,100.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: �LJ•� Date 06/19/2013
❑ Permit Voided I Parcel Id#1200010700
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 1609 W WISCONSIN AVE APPLETON WI 54914 -3274 Telephone Number (920)731-3002
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 ����0��
Fax (920)236-5084
� G:"a'::-!£l':'AT:�R
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit fee Account Svstem and have adeguate funds check here
i�you want this processed through vour account n
**Advisory-For applicanle projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applications snbmitted without an EIV when snch is reqnired, will not be :
processed for Permit Issnance and will be retamed for completion.
DATE �DI��I��
��
JOB ADDRESS C1� �. �d RECEIVED
OWNER c� I��gn�
CONTRACTOR ' t 4J- f'IS�/� � C ,�j� JUN 17 2013 �� `
DEPARTDIE\7 OF
CHECK C�ALL APPLICABLE �oKaTU:�m'DE�'ELOP�fEVT
1NSPECTIO\SEF1'�CES AIti'IS1pV
USE CATEGORY �
❑Single Family ❑Duplex ❑Multi-Family ❑Rental is'Commercial ❑Industrial
FUEL MGas ❑Electric ❑Solid SYSTEM ❑New 0'Replace
❑Oil ❑Solar ❑Other
TYPE �
❑Forced Air ❑Radiant ❑Steam `(�JA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑�D,3'�ect Vent ❑Other
HEAT LOSS ❑As Approved �xisting CH3Vot Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE n
VALUE(Including labor and materials)$_�I lJl��
ELECTRICAL CONTRACTOR(for projects not requiring an EN Form)_C�1L�1 1 rn � �
o�/o�