HomeMy WebLinkAbout0158866-HVAC � CITY OF OSHKOSH No �5ssss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 535-551 HIGH AVE Owner HIWISCA LLC Create Date 11/05/2013
Contractor CENTRAL HEATING SERVICE INC Category 512-Ind.8�Comm-Both Plan 662-3914-1013H
Inspector John Zarate
Fuel ✓ Gas __� Oil � Electric Solar Solid i
System [] New I � Replace I � Other �
✓ Forced Air Radiant_� Steam A/C Vent
Electric ' Hot Water _ Suppl. Con. Burne�
Chimney Type �himneyA � Chimney B __ � Direct Vent � NotApplicable �
HeatLoss AsApproved _ � Existing � NotApplicable _� Value
BTU Rate As Per Plan � Variable � Other I Value
Use/Nature OMM/547/build-out'for Insomnia Cookie Company store front with kitchen facility "check#25409
of Work
�
Fees: Valuation _$10,900.00 Plan Approval $0.00 Permit Fee Paid $183.00
Issued By: ��,J Date 11/21/2013
� Permit Voided I Parcel Id#0103330000
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 1565 HARRISON STREET OSHKOSH WI 54901 -3007 Telephone Number (920)235-6670
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 Of�--�a�
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$144.00 plus the
normal permit fee,which ever is greater.
, OR
f vou are a contractor particibating in the Permit fee Account Svstem and have adepuate funds, check here
if vou want this nrocessed through vour account r]
**Advisory-For applicable projects, an Elertrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)mnst be snbmitted `
with the permit application. Applications sabmitted withont an EIV when sach is reqaired,will not be
processed for Permit Issaance and will be retarned for completion.
DATE / /
JOB ADDRESS _�LI 7 /�7 � � � S �•
OWNER. �[N S � L�7 JV l �' L' � � K I L S ��.�IVED
CONTRACTOR_j' l�� 7-���} � � F� T!�Cs S C-!2 � l c � f/�C .
NOV 2 0 2013
CHECK E�1 ALL APPLICABLE
:��PA62"�11�.'"�T OF
USE CATEGORY �p�q�q�u'�e�'���£VELOP'.NE*IT
❑Single Family �Duplex ❑Multi-Family ClRental �COTT1IT181'C1�SPEC'�i(��$�����SIO'.V
FUEL �6as , OElectric ❑Solid SYSTEM ONew OReplace
�Oil ❑Solar ❑Other
TYPE
�`orced Air �Radiant ❑Steam ❑A/C ❑Vent �Electric ❑Hot Water ❑Suppl. �Con.Burner
IS CHIMNEY BEING LINED QNo DYes -LINER SIZE &MANUFACTURER
Note:All chimneys shall be sized per the BN's being vented.
CHIMNEY TYPE OChimney A �Chimney B ❑Direct Vent OOther
HEAT LOSS ❑As Approved OExisting �Not Applicable
BTU RATE f�As Per Plan OVariable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
J7� U' � C � E � J�L�. � �t,'S
.�� , �
VALUE(Incladiog Ixbor and materialsj$ 1 v .� �1 � �� •
�l � 3 �
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