HomeMy WebLinkAboutHVACOSHKOSH
ON THE WATER
.Job.Address 450 W RIPPLE AVE
Contractor BASSETT MECHANICAL
Fuel [] Gas ]
System [] New
"P~J Forced Air j
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
[] Electric ]
Chimney Type ~.~ Chimney A
Heat Loss ~ As Approved
BTU Rate ~ As Per Plan
Owner
Category
EVCO PLASTICS
510 -Ind. & Comm-Heating & Ventilating
Oil I L~ Electric I bi Solar
[] Replace I
Radiant I LJ Steam j ~ NC
Hot Water I ~uppl. ] ~ Con. Burner
Chimney B ~ Direct Vent ~I Not Applicable J
~ Existing ¢.~ Not Applicable J Value
¢.~ Variable ~ Other I Value
No 98453
Create Date 10/11/2002
Plan F8-42-0502
[] Solid
[] Other
Vent
0
yew
Use/Nature
of Work
67,557 Factory/Office HVAC systems & unit heater installation in plant.
Fees: Valuation $142,465.00
Issued By: ~
Plan Approval $0.0Q Permit Fee Paid
[] Permit Voided
$897.00
Date 11/06/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 1215 HYLANDAVE PO BOX7000 KAUKAUNA WI 54130 ,7000 Telephone Number
1-800-236-2500
CITY HALL
Inspection Services Div
215 Church Avenue
PO Box 1130
QOshkosh WI
54903-1130
O/HKO/H
ON THE WATER
City of Oshkosh
October 11, 2002
Bassett Mechanical
P O Box 7000
Kaukauna, WI 54130
Please resubmit the HVAC Permit Application and fee along with a copy
of the State Approved HVAC Plans. Thank you for your cooperation.
Sincerely,
Katrina Malson
Secretary
Inspections Dept.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
O/HKO/H
ON THE WATER
Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed tO Inspection Services, PO Box 1128,.
Oshkosh WI '54903-! 128. Commencing work without permit(s) will result in fees being doubled or $1.00.00 plus. the
normal permit fee, which ever is greaten
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check her,~
if you Want this processed through your account n
JOB ADDRESS
OWNER E~co
CONTRACTOR
CHECK [] ALL APPLICABLE
USE CATEGORY
[] Single Family I-IDuplex
[]Multi-Family
FIRental
DATE
OCT 11
DEPARTMENT OF
C0Mtv/[/NITY DEVELOPMENT
I~Commercial E]~dust~m
FUEL I~Gas E]Electric VISolid SYSTEM l~l~New FIReplace
[] Oil [] Solar [] Other
TYPE
~'Forced Air []Radiant nSteam I'-IA/C IDVent •Electric []Hot Water IZISuppl. DCon. Burner
IS CHIMNEY BEING LINED []No []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented·
& MANUFACTURER
CHEvINEY T'~E
RF, AT LOSS
BTU RATE
FIChinmey A
[~As Approved
[]As Per Plan
DChin~ney B
F1Existing
VIVariable
V1Dh-ect Vent
[]Not Applicable
[]Other Value
[]Other
DESCRIPTION OF ALL WORK BEING DONE
VALUE (Including labor and all materials including light fixtures) $
ELECTRICAL CONTRACTOR OR ~ Electric Installation Verification form attached(If Replacement)
Electrical installation of new~replacement equipment shall be done by licensed contractors.
3/02