HomeMy WebLinkAbout2013-HVAC � CITY OF OSHKOSH No �5s2ss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1090 N WASHBURN ST Owner KWIK TRIP _ _ _ Create Date 08/16/2013
Contractor RON HAMMESS REFRIGERATION INC Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel ✓ Gas � Oil _ � ✓ Electric � Solar �' Solid
System New � �Replace ' ❑ Other I
Forced Air ' Radiant � Q Steam A/C J, Vent �
Electric Hot Water Suppl. �I Con. Burner ;
Chimney Type Chimney A � Chimney B 0 Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value _ _
BTU Rate As Per Plan � Variable � Other —�' Value _ .
Use/Nature COMM/KWIK TRIP/Construction of a new convenience store with a gas fueling canopy and double bay carwash. State approved
of Work Ibuilding and hvac plans,trans ID#2194028.Plan#AA7-3845-081 H
I I
_ __— _�
Fees: Valuation t�/ $292,760.00 Plan Approval $0.00 Permit Fee Paid $1,669.00
A��
Issued By: f�' Date 10/16/2013
❑ Permit Voided I Parcel Id#1616412001
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 app� ti n wi in e sement,the City strongly urges the permit applicant to contact the easement
holder(s)and to secure a ne ap Is before ch activity.
Signature ' Date V `/� � :
AgenUOwner
Address 2424 SOUTH AVE LACROSSE WI 54601 -6221 Telephone Number 608-788-3110
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 �--�KO I--I
� ON THE WATFR �
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem and have adequate (unds, check here
if vou 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)must be submitted
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 �!' -/`�l�
JOB ADDRESS ��91> ��'7Fli ��S/f buv�1 ST�r�TD.:�kos�i �1 .5�/9'�3
OWNER �LtJ.'t�S �./J����o?�
CONTRACTOR� 2U��rH,y�,os �PFYr��vsc�'�Yi .�i2c
, . —� -
CHECK 0 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL �Gas ❑Electric ❑Solid SYSTEM �7New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�Farced Air �JRadiant ❑Steam [�A/C ❑Vent ❑Electric �Hot Water ❑Suppl. ❑Con.Burner
�S CHIMNEY BEING LINED ❑No ❑Yes -LINER SIZE &MANLTFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS 2�As Approved ❑Existing ❑Not Applicable
BTU RATE I�As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE ��t S f'u l� ��1/�}C �9u�orn�ii f
l��c��7i�vR-K �L/ l'�t�e��e.,nc,� s'��P ct.x� C'��ZS_�-
VALUE(Including labor and materials) $ �9� 7(t Q� ��
ELECTR�CAL CONTRACTOR(for projects not requiring an EIV Form)
o�io�
�6s s