HomeMy WebLinkAbout0158884-HVAC (rooftop unit) /L"'� CITY OF OSHKOSH , No 158884
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1600 CAPITAL DR Owner MARLIN OSHKOSH II LLC Create Date 11/22/2013
Contractor RJ KAMPO PLUMBING&HEATING INC Category 510-Ind.&Comm-Heating&Ventilating Plan
Inspector John Zarate
Fuel ✓ Gas _ ' Oil -'I Electric _ � Solar � Solid _]
System � New � ✓ Replace _� Other_ J
✓ Forced Air Radiant � Steam � A/C_ Vent
Electric Hot Water � Suppl. _� Con. Burner
�----�
Chimney Type �imney A � Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate p As Per Plan � Variable _ � Other _� Value
Use/Nature COMM/replace rooftop unit -- ---
of Work 'I
i"ck#45739'* ''
'
I
Fees: Valuation $7,000.00 Pian Approval $0.00 Permit Fee Paid $126.00
Issued By: � Date 11/22/2013 '
❑ Permit Voided , Parcei Id#1307440111
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 1000 S WESTLAND DR APPLETON WI 54914 -8862 Telephone Number (920)730-9600
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, W154903-1130
Phone(920)236-5050
Fax (920)236-5084 C��HK��
�=s�=�_��rflrea �
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 1 128,
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
1f vou are a contractor participatinQ in the Permit fee Account System and have adequate funds check here �
if 1'ou want this processed throu�your account n
**Advisory-For applieable 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 ��O�O��
JOB ADDRESS /L�DD ���!/. �� �l�i�t�G
m / /� �������
OWNER //1G�i!'Gt/'� /�lrOl,a(i!"�7r�
CONTRACTOR ��� �)'7 , NOV 2 2 2013
CHECK C�1 ALL APPLICABLE �EN���T,"+i�,a ��:
C0�4�1U1i'�'X pEa'Eq,OP1fEVT
INSPECTi(?��;�rat�rr�4 p����SIOV
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �mmercial ❑Industrial
FUEL G3P'as ❑Electric ❑Solid SYSTEM ❑New p�'eplace
❑Oil ❑Solar ❑Other
Tf&�
orced 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 ��' s Approved ❑Existing ❑Not Applicable
BTU RATE QAs Per Plan ❑Variable ❑Other Value
DESCRIPTION�SCOPE OF ALL WORK BEING DONE ��p�A�Me�� IPOOr7�/� G�Ni�Y .
VALUE (Including labor and materials) $ ����` "v
.
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�