HomeMy WebLinkAbout0099718-HVACOSHKOSH
ON THE WATER
218-248 WISCONSIN ST
CENTRAL TEMP. EQUIP. SERVICE INC
Job Address
Contractor
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner HIWISCA LLC
Category 512- Ind. & Comm-Both
Electric
Replace
L~ Steam
L~ suppl.
No 99718
Create Date 01/31/2003
Plan G3-104-1102
Solar I ~J Solid
~J Other
A/C I ~J Vent
Con. Burner I
Chimney Type I~ Chimney A ~ Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value
Use/Nature 220 Wisconsin St/TOPPERS PIZZA/Install new HVAC distribution system. Install Kitchen exhaust hood, install bath fans. *LATE PERMIT.
of Work
Fees: Valuation $6,427.00 Plan Approval $0.00 Permit Fee Paid $205.00
Issued By: Date 02/06/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1054 AMERICAN DR NEENAH WI 54956 - 0 Telephone Number (920) 722-2214
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
o0%1
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
(f vou want this processed through your account ["]
DATE January 10, 2003
JOB ADDRESS 220 Wisconsin Avenue, Oshkosh
OWNER Toppers Pizza
CONTRACTOR Central Temperature
CHECK [] ALL APPLICABLE
USE CATEGORY
VlSingle Family I"lDuplex
Equipment Service,
F1Multi-Family V1Rental
FUEL [[IGas VIElectric V1Solid SYSTEM
[]Oil VISolar
TYPE
i~Forced Air FIRadiant FISteam VIA/C []Vent []Electric
Inc.
c,2,,, ox,
[]New ~".~.~ FIReplace
~Oth~ ~
,al
FlHot Water []Suppl. []Con. Burner
IS CHIMNEY BEING LINED VINo []Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
I-lAs Approved
FIAs Per Plan
ViChimney B
ViExisting
ViVariable
[]Direct Vent
[]Not Applicable
[3 Other Value
DESCRIPTION OF ALL WORK BEING DONE Install a new hood
and return air grilles
[]Other
and ceilinq diffusers
1-11998
VALUE (Including labor and all materials including light fixtures) $ 6,427.00
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