HomeMy WebLinkAbout0157184-HVAC (a/c) /t"+ CITY OF OSHKOSH No 157184
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 139 HIGH AVE Owner KLRR INC Create Date 08/12/2013
Contractor VALENTINE HEATING&COOLING Category 511 -Ind.&Comm-Air Conditioning Plan
Inspector John Zarate
Fuel ✓ Gas Oil Electric � Solar _ �Solid __
System � New � �✓ Replace I � Other
Forced Air Radiant Steam � ✓ A/C �Vent
Electric Hot Water SuppL � Con. Burner \
Chimney Type Chimney A Q Chimney B � Direct Vent � Not Applicabl�
Heat Loss As Approved 0 Existing � Not Applicable Value
BTU Rate As Per Plan � Variable � Other Value
Use/Nature OMM/REPLACE EXISTING 3 TON A/C **check#1105
of Work I
I
Fees: Valuation $3,378.00 Plan Approval $0.00 Permit Fee Paid $78.00
Issued By: �� Date 08/12/2013
❑ Permit Voided � Parcel Id#0101050000
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 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.
Dec. 14. 2006 9:41AM inspection servicas ��0. 0321 P. 4
, �y of Os6tiosh
� Division ofi�upxtion Savicts ' �
' P.O.Box 1130 . �
4shkosh�WI 54903-!130 �
Phoae(920)236-SQ54 � �
�ax (920)236-5084 /
�
ON A R
HYAC PERMIT APPLICATION
. AIl information afta bold caugories mo�st be provided. .
ineompleu ap��ications wiU not be procasccl
• Application(s)and fee(s)can be brought to City Hall,Room 20S or mailcd to Inspection Services,PO Box 1128,
' Osblwsh WI 54943-1128. Commencin�work without permit(s)will resttlt in fc.�s bemg doubltd or S 100.00 pIus the
. normal permit fec,which cver is greater.
� OR �
• o�e are a n ' n !n th arniit ee c ux t ni v 'dt uate ds eheck h re
if voa want tkis� _«..1 throuPh vour account r1 '
• ' DATE 8" S � ��
� aos annR�ss l 3 � �,. � �.�- . RE�EIVED
'OWNER . '
corrrRarroR �a�..Q.���N�., T�.rc. AUG 12 2013
CHECK�AI.I.APPi1CABLE neP>.r,�s�;11E\"I OF
C0�9�iUVIT`n'raE�'ELOP:1fEVT
' iNSPECTfOti SEl2ViCES DI�'ISIO�
usE cA�roRx
OSingle Family L7Duplex QMulti-Family �{tental �ommerciat � (�Indus(rial
FUEL ,ias �Eleetric ❑Solid SYSTEM �Ntw �teplac�
❑Oil ❑Solar pp��
TYPE
OForced Ait �Rad'tant ClSttam �/C DVent ❑EleCtric DHot Wstcr �Suppl. (�Con.Burner
IS C:�iIMNEY BE1NG LINED[7No❑Ycs -LINER SIZE____ �MANUFAG'TClRER
Note:All chimaey�shall be siud per the BTTI•s beusg veaeed.
CSI11'�NEY TYPE OChi�ey A C]Cttiumey B �irxt Vart OOthet �
HEAT LOSS [�As Approved qExisti.ng ot AggIicable
BTU R�►'I'E ❑As Per Plati OVariable ClOther Vaiue
DESCRIPTTON OF AI,�,WORK BEING DONE
.
.
VALUE . _ � � •� � � 3� 3-�g, od
ELEGTRYCAL CON'�'RACTOR
0 rar applicablc projects,an Electric Installation Verification.forn�,signed by the Electrical Contractar,must be
attaached. If not attached or npt applicable,a separate Electrical Permit is required. �
���� �� ;
��Q��� 9�0� �
���,o�_ � 3'� 83