HomeMy WebLinkAbout0099227-HVAC (boiler)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
CI~Y CE OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
99227
1759W9TH AVE
TOWER MECHANICAL SERVICES INC
Owner JAMES H LANG PROPERTIES INC
Category 510- Ind. & Comm-Heating & Ventilating
~-Gas ] [] Oil ] ~ b~ Solar
[] New I [] Replace I
~ Forced Air j b~ Radiant I bi steam I !-J NC I
[] Electric ] [] Hot Water ] E~-Suppl. 1 II Con. Burner I
Chimney Type ~ Chimney A ~ Chimney B ~.~ Direct Vent ¢.~ Not Applicable I
Heat Loss ~ As Approved ~.~ Existing ~1 Not Applicable I Value
BTU Rate ~ As Per Plan ~ Variable ~.~ Other I Value
Create Date 10/28/2002
Plan
[] Solid
[] Other
Vent
0
Use/Nature COMM/LATE PERMIT/Install new boiler for new & existing car wash bay equipment and snow melting systems.
of Work
Fees: Valuation
Issued By:
$28,850.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided
$649.00
Date 12/30/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address P.O. BOX2552 OSHKOSH WI 54903 -2552 Telephone Number
(920) 426-3005
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 54903-1128. 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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
i£¥ou want this processed through Four account ~
JOB ADDRESS 1759 W 9TH AVE
OVV2~rER
LANG OIL INC
CONTRACTOR TOWER MECHANICAL SERVICES INC
E]Multi-Family
F1Rental g'lCommercial
CH-ECK [] ALL APPLICABLE
USE CATEGORY
[3Single Family [3Duplex
FUEL ~Gas []Electhc []Solid SYSTEM ~NeW
F1Oil []Solar FIOther
12-24-02
TYPE
I~Forced Air F1Radiant F1Steam []A/C []Vent []Electric ~Hot Water []Suppl. EICon. Burner
IS CHIMNEY BEING LINED [3No []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CRIMNEY TYPE
HEAT LOSS
BTU RATE
1G:Chimney A
r-lAs Approved
IGAs Per Plan
[]Chimney B
[]Existing
[]Variable
[]Direct Vent
[]Not Applicable
[2 Other Value
[]Other
DESCRIPTION OFALLWORKBEINGDONE NEW BOILER FOR NEW AND EXISTING CAR WASH BAY
EQUIPMENT AND SNOW MELTING SYSTEMS
VALUE (Including labor and all materials including light fixtures) $ 28,850. [30
ELECTRICAL CONTRACTOR
[] For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02