HomeMy WebLinkAbout0158211-HVAC � CITY OF OSHKOSH No 158211
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1661 1663 MARICOPA DR Owner JHA PROPERTIES LLC Create Date 10/11/2013
Contractor JIM'S HEATING&AIR CONDITIONING,L Category 502-Residential-Both Plan
Inspector John Zarate
Fuel Gas Oil Electric Solar Solid '
System New �� �✓ Replace � Other
✓ Forced Air ' Radiant � Steam � A/C Vent
Q Electric i Hot Water Suppl. Con.Bumer j
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 Value
Use/Nature MULTI-FAMILY/replace furnace and(2)A/C units �il
of Work j
�I"ck#5057**
'
,
�
Fees: Valuation $6,685.00 Plan Approval $0.00 PermitFee Paid $126.00
Issued By: ��/� Date 10/11/2013
� Permit Voided I Parcel Id#1318070000
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 N6714 RANGELINE RD SHEBOYGAN WI 53083 -2330 Telephone Number (920)467-6777
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.
'\ j��d � .
City of Oshkosh ��""\,��
Division of Inspection Services 'S""`
P.O.Box 1130 � �
Oshkosh,WI 54903-1130 �
Phone(920)236-5050
Fa�c (920)236-5084 O �--� �--I
ON THE WATER
HVAC PERMIT APPLICATION
Al(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$100.00 plus the
normal permit fee,which ever is greater.
OR
I�vou are a contractor participating in the Permit fee Account Svstem and have adequate funds. check here
�you want this processed throu�vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted �
with the permit application. Applications snbmitted withont an EIV when snch is reqaired,will not be
processed for Peimit Issnance and will be returned for completion.
DATE � Q I
JOB ADDRESS ���' 3 C�.,t'�I CG'
OWNER ��� � �1�2�i � T�C '�YnQ.S h `
CONTRACTOR i+M' � 'n ,- � �f' l,vcK.0�a'1� (�,C N u�l l i'I �G.,�K�-e-IIY�- t`.C� .
' Sh�a,�' ��� 53�'�3
CHECK Bf ALL APPLICABLE �2� ��� � ���
USE CATEGORY
❑Single Family �Duplex ❑Multi-Family ❑Rental p Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New I�Replace
❑Oil ❑Solar ❑Other
TYPE
�IForced Air ORadiant ❑Steam �IA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED�o ❑Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTCJ's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B �irect Vent ❑Other
HEAT LOSS ❑As Approved I�Existing ONot Applicable
BTU RATE ❑As Per Plan ❑Variable �Other Value ���� �
DESCRIPTION/SCOPE OFp ALL WORK BEING DONE G G. '� lf�- C�GY (1C2CC-
Ci.,�'1 C� 2 - C!1-�Y-ac�i C'�.%,�C C D`nG�'�CUlet'�
;
VALUE(Including labor and materials)$ ���� �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) '--
o�/o�