HomeMy WebLinkAbout0156625-HVAC /�''+ CITY OF OSHKOSH No 156625
OSHKOSH HVAC PERMIT -APPUCATION AND RECORD
ON THE WATER _S_)�3 �
Job Address 1810-1816 JACKSON ST Owner FAIR ACRES LLC/MAJERS LLC Create Date 07/10/2013
Contractor ENGEBOS HEATING&COOLING, INC Category 512-Ind.&Comm-Both Plan AA2-3749-0513
Inspector John Zarate
Fuel ✓ Gas Oil Electric � Solar ; �Solid
System � New � � Replace __f Other
Forced Air Radiant Steam A/C ' �Vent
Electric Hot Water Suppl. _ Con.B
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable '
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
UselNature OMM(PIZZA HUT-1814)/INSTALL ROOFTOP UNITS AND EXHAUST HOODS WITH FANS, DUCT WORK SYSTEM PER PLANS '
of Work 'check#16803
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Fees: Vaivation $19,700.00 Plan Approval $0.00 Permit Fee Paid $271.00
Issued By: Date 07/10/2013
❑ Permit Voided I Parcel Id#1514970200
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
AgenVOwner
Address 1717 W MATTHEW DR DE PERE WI 54115 -8183 Telephone Number 920-338-1818
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.
I�'� CITY OF OSHKOSH No �5sszs
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1810-1816 JACKSON ST Owner FAIR ACRES LLC/MAJERS LLC Create Date 07/10/2013
Contractor ENGEBOS HEATING&COOLING, INC _ Category 512-Ind.&Comm-Both Plan AA2-3749-0513
. - ----
Inspector John Zarate
Fuel ✓ Gas Oil Electri� Q Solar J Solid
�_ _ -- --
System � New � ❑ Replace � � Other
Forced Air Radiant Steam A/C ; Vent l�
Electric Hot Water Suppl. � Con. Bumer
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss AsApproved � Existing � NotApplicable Value _
BTU Rate As Per Plan � Variable � Other � Value _ _
Use/Nature OMM(PIZZA HUT-1812)/INSTALL ROOFTOP UNITS AND EXHAUST HOODS WITH FANS, DUCT WORK SYSTEM PER PL,4 �NS
of Work 'check#16803 I
I
�
� ��
Fees: Valuation $19,700.00 Plan Approval $0.00 Permit Fee Paid $271.00
Issued By: ��,J Date 07/10/2013
❑ Permit Voided I Parcel Id#1514970200
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
Agent/Owner
Address 1717 W MATTHEW DR DE PERE WI 54115 -8183 Telephone Number 920-338-1818
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 speci�ed 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 �
Oslilcosh,WI 54903-1130
Phone(920)23�5050
Fax (920)236-5084 u
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�N THE WATfR �
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 nartfcinati»p in the Permit fee Account Svstem a»d have adeauate funds check here
�f vor� want this nrocessed throuQh vorir accor�rJt I—I
**Advisory-For applicable pro3ects, an Electrlcal In�sttallation Verlfication(EI�form,signed by the F,lect�cicai
Cornractor or Homeowner(for installadons allowed to be perforimed by the honoeow�r)must be subm�bed
with tl�e permit applicallon. Applications submitoed without an EIV when such is�q�rired,will not be
pmcessed frn Permit Issuance and w�71 be retiuned for completion.
DATE 6-25-2013
JOBADDRESS 1810 .7ackson Street
OWNER Pizza Hut ( Alliance Construction & Design General Cont)
CONTRACTOR Engebos Heating & Cooling, Inc.
CHECK 0 ALL APPLICABLE ��' ���9-OC' l 3 :
USE CATEGURY
C1Single Family ❑Duplex OMulti-Family ❑Rental �Commercial OIndustrial
FUEL �as ❑Electric ❑Solid SYSTEM ONew ❑Replace
❑Oil ❑Solar OOther
TYPE
DForced Air �Radiant ❑Steam ❑A/C ❑Vent �Electric OHot Water OSuppl. OCon.Burner
IS CHIMNEY BEING LINED ONo�Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A �Chimney B ❑Direct Vent ❑Other
HEAT LOSS OAs Approved C]Existing C7Not Applicable
BTU RATE OAs Per Plan �Variable C70ther Value
DESCRIPTION/SCOPEOFALLWORKBEINGDONE Install Rooftop units and Exhaust 1�
hoodG wi th fan� Q �� 9 D f K s���-r1 PC.r p lcc�.i�
VALUE(Including labor and materiAls)� � ( , �p 0 �
ELECTRICAL CONTRACTOR(for projects�t requiring an EIV Form)
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