HomeMy WebLinkAbout0157147-HVAC /�''� CITY OF OSHKOSH ivo 157147
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 2451 BADGER AVE Owner CURWOOD INC Create Date O6/26/2013
Contractor ADVANTAGE INC Category 510-Ind.&Comm-Heating 8 Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric � Solar __� [� Solid
System �New I ✓ Replace ' � Other :
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✓ Forced Air Radiant Steam A/C p Vent
Electric � Hot Water Suppl. Con._Burner �
Chimney Type ChimneyA � Chimney 6 � Direct Vent � NotApplicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate �As Per Plan � Variable � Other Value
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Use/Nature OMM/O�ce alteration"Bemis Interior remodel per State trans ID 2258872. '*check#18362, 18427
of Work
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Fees: Valuation $55,000.00 Plan Approval $0.00 Permit Fee Paid $479.00
Issued By: �s <,9 Y ' Date 08/09/2013
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❑ Permit Voided � Parcel Id#1325000000 .
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 ssary approvals before starting such activity.
Signature -/j Date �� � ���
AgenUOwner
Address 1815 E WISCONSIN AVE APPLETON WI 54911 -0 Telephone Number 920-832-8225
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 V� �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 O�V�
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
Ir vou are a contractor narticinatinQ in the Permit fee Account Svstem and have adequate funds check here
if vou want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Elecdrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be sabmitted
with the permit application. Applications snbmitted withont an EIV when such is reqnired,will not be
processed for Peimit Issnance and will be retarned for completion.
DATE 7 — � — �..3
JOB ADDRESS �YS� ,��v6�2 �� RECEIVED
OWNER Cv�w��� �8�+-��:5'
CONTRACTOR ��v,e�•-T��d �r�,L JUL 0 5 2013
CHECK Bf ALL APPLICABLE DEPART1tE�T OF
C0�9>tU1iTY AE�'E[.OP�tEVT
USE CATEGORY INSPECTIO�SER1'ICES DI\'ISIOV .
❑Single Family ❑Duplex ❑Multi-Family ORental ❑Commercial c�Industrial
Fi7EL �'ras OElectric ❑Solid SYSTEM ❑New ❑Replace
DOiI ❑Solar �ther E,t�`S T��4
�PE
r,L�orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED�io ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BT'CT's being vented.
CHIMNEY TYPE ❑Chimney A OChimney B ❑Direct Vent �'Other ,�`r�� .
HEAT LOSS ❑As Approved „�Existing ❑Not Applicable
BTU RATE ❑As Per Plan ,�Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE �e Cv��1s��,�,�2�.� o f P�c�'s��S
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VALUE(Including labor and materials)���d c
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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