HomeMy WebLinkAbout0157183-HVAC � CITY OF OSHKOSH No 157183
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1736 W 9TH AVE Owner NC CONSTRUCTION Create Date 04/15/2013
Contractor VALENTINE HEATING&COOLING Category 512-Ind.&Comm-Both Plan
Inspector Nicole Krahn
Fuel Gas (� Oil Electric Solar j Solid J
�—_—
System � New J �Replace � � Other
_—----
Forced Air i Radiant Steam _ � _ A/C �] Vent
Electric Hot Water Suppl. _ Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss AsApproved � Existing � NotApplicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature jCOMM(LATE PERMIT)/CVS PHARMACY/Construction of a new store. *'check#1104 '
of Work ;
I'
�
— --- - - _ _.
Fees: Valuation __ $61,148.00 Plan Approval $0.00 Permit Fee Paid $1,018.00
Issued By: �(�.� Date 08/12/2013
❑ Permit Voided I Parcel Id#0613170000
in the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure any necessary approvals before starting such activity.
Signature Date
AgenUOwner
Address W2027 INDUSTRIAL DR KAUKAUNA WI 54130 -7517 Telephone Number (920)788-5369
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone
Number. Unless speci�ed otherwise,we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
City of Oshkosh
Division oflnspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050 '
Fax (920)236-5084 O.IHKOf H
ON THF INATFR
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
• Application(s)and fee(s)can be brought to City Hall,Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or$]00.00 plus the
normal permit fee,which ever is greater.
OR
Ir vou are a contractor oarticipating in the Permit fee Account Svstem and have adegarate funds check here
i}'vou want this processed through your accoarnt n
**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 snbmitted withont an EIV when snch is reqnired, will not be
processed for Permit Issnance and will be retamed for completion. �
DATE � � �� � iv�ut✓
JOB ADDRESS «��(� l,l) �� �U� R EIV�D
owrrEa 1�C, C j^���,���y1 �-�.-� AUG 12 2013
CONTRACTOR �`��-� ���e��� , �� • (�1C_.
DEPART�IE\7 OF
CHECK 0 ALL APPLICABLE C0�1�tU�ITY 9E�'ELOP�tEVT
iNSPEC'fiOti SER�'IC£S DR'ISiQ'V
USE CATEGORY :
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �ommercial ❑lndustrial
FUEL ��'ras ❑Electric ❑Solid SYSTEM �1Vew ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�`orced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes -LtNER SIZE�A�&MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
\4c,CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
�� HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIP ION/SCOPE OFt ALL WORK BEING DONE
o rn �n .�c_� �.\ 1-� 1 A �r���C. �{ �- rr��/k-.
.
VALUE(Including labor and materials)$ �� �`C(�,��v
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
L����� �«-�� �37�,3 ��.� ��,� [�.� 07,0� :
�:�1,�-�,��a�r.�.�T�c �