HomeMy WebLinkAbout2013-HVAC (rooftop unit) � CITY OF OSHKOSH No 158538
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3001 S WASHBURN ST Owner BFO FACTORY SHOPPES LLC Create Date 10/29/2013
Contractor ACR CORP Category 512-Ind.&Comm-Both Plan
Inspector Nicole Krahn
Fuel ✓ Gas Oil _� Electric _� �Solar i Solid
System �New _ I []✓ Replace � � Other � :
�
✓ Forced Air �Radiant Steam A/C _� Vent
Electric j Hot Water � Suppl. � Con. Bumer
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate As Per Plan 0 Variable_ � Other � Value
Use/Nature OMM(UNIT E20-CORNING WARE)/REMOVE AND REPLACE EXISTING ROOFTOP HVAC UNIT, NEW OF EQUAL CAPACITY i
of Work "check#32335
i
Fees: Valuation $9,370.00 Plan Approval $0.00 Permit Fee Paid $174.00
Issued By: ��� Date 10/29/2013
❑ Permit Voided I� Parcel Id#1329420000
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 PO BOX 13155 GREEN BAY WI 54307 -3155 Telephone Number (920)494-5676
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 01HKO.IH
ON THE 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 54903-1128. Commencing work without permit(s)will result in fees being doubled or$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participatinQ in the Permit fee Account Svstem and have adeguate funds, check here
�vou want this processed through vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form,signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted
with the permit application. Applicadons snbmitted withont an EIV when snch is reqnired,will not be
processed for Permit Issnance and will be retarned for completion.
DATE /d ^ ��— /_3
JOB ADDRESS ��� � S • ���S H£3 v i?� S' j ���,
�ENED
OWNER C �t� �.c<<.(c= 'Y�,v? �_
CONTRACTOR �,, i,� C n„� n //�--�C.=Ca� p . OCT 2 9 2013
CHECK�ALL APPLICABLE DEN�rn�E�r oF .
C01q�qU�TTy DEVE;.,OPMENT
INSPECTION SERViCES a►17SiON
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL �'ias ❑Electric ❑Solid SYSTEM ❑New �teplace
❑Oil ❑Solar ❑Other
�E
Forced Air ❑Radiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED�No �Yes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Vaziable �Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE �� �-�.qv�/�_ .�r ) C :z-���. [�c�
c�c , s �..���� r c� /�.lJ..�, c c�<.c �-�-- e
�� � w ta c=— C �' t� ..�. �. l _' f�.� A c . �-T S�
��l ,
VALUE(Including labor and materials)$ [ . �d
��-�' /� G r>a -' ���-c'7]'�/C ';
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
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