HomeMy WebLinkAbout0157443-HVAC (new deep fryer & hood) � CITY OF OSHKOSH No �5��3
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2240 WESTOWNE AVE Owner PROPERTIES ON THE LAKE LLC Create Date 07/29/2013
Contractor HVAC SYSTEMS PLUS LLC Category 510-Ind.8�Comm-Heating 8�Ventilating Plan 6613859-0813
Inspector
Fuel Gas Oil Electric Solar Solid
System � New � QReplace _J � Other �
Forced Air � Radiant Steam -� A/C I Vent
Electric Hot Water Suppl. 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 I Value :
Use/Nature COMM/McDonalds/Hood'Install new deep fryer and hood.
of Work
I
I
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Fees: Valuation $10,000.00 Plan Approval $50.00 Permit Fee Paid $174.00
Issued By:
Date 08/27/2013
❑ Permit Voided j Parcel Id#1621510200
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 5369 MALY RD STE 43 SUN PRAIRIE WI 53590 -0 Telephone Number
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 O��(1 (I-._J
�..JJ I 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 54903-1 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
�f vou are a contractor narticipatinQ in the Permit fee Account System and have adeguate funds check here
if vou want this processed throuQh vour account n
**Advisory-For applicable projects, an Electrical Installation Verificadon(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE �- � t - ��
JOB ADDRESS ��1� ���(�J�� �'U�
OWNER�I C ��(�I b�� � �NV� h-E �T�S���
CONTRACTOR_�-I'U�"C S Y S��ti�S' I�U� , L-C-C-
l,a�r2�c,rc� � ta3 9 r6y
CHECK 0 ALL APPLICABLE �'i�C� �` q ss a R 7
USE CATEGORY
OSingle Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL ❑Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam ❑A/C �Vent ❑Electric ❑Hot Water ❑Suppl. OCon. 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
.�i�l s�+c� ni�w �r��E2 4 r�t-r-.rra a (�� ��2�E iJ�c r a— Fi�r,1 . :
I�AS (�1`PE d- �.�2E�.uf�' �7U ui�Q-tL-� 'l�U�e1'�
- - s�-� /�r�'�-c t�t�� T��r�
VALUE(Including labor and materials) $ �Q, �}Q4,
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ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) �—
o�/o�