HomeMy WebLinkAbout0099717-HVACOSHKOSH
ON THE WATER
.lob Address 3300 MEDALIST DR
Contractor CENTRAL TEMP. EQUIP. SERVICE INC
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 SMET INVESTMENTS LLC
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type
Heat Loss
BTU Rate
IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
IO As Approved ~ Existing ~ Not Applicable I Value
I~ As Per Plan ~ Variable ~) Other I Value
No
Create Date
Plan
~ Solid
99717
12/17/2002
Other J
Vent J
Use/Nature
of Work
IalND/LATE PERMIT/Provied & install 3 package heating & cooling roof-top units, ductwork, gas lines, grilles, diffusers and controls for office
ddition within existing plant. *Late fee waived per BN.
Fees: Valuation
Issued By:
$107,951.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$720.50
Date 02/06/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Address
Agent/Owner
1054AMERICAN 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
All information after bold categories must be provided. -~c.31t~ ~--e~t_ ~ ~ m_o_o_d
Incomplete applications will not be processed. ~ocd f.~_~?aYv~ *c~'5~(-°°~.* '
· 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
if you want this processed through your account ~'~
FEE - $719~50 J
JOB ADDRESS 3300 Medalist Drive,
O~V~N~R GE Power Systems
CONTRACTOR
Oshkosh
Central Temperature Equipment Service Inc.
CI-W~CK [] ALL APPLICABLE
USE CATEGORY
FISingle Family F1Duplex
EIMult(:Family F1Rental
DATE January 28, 2003
RECEIVED
3 O'2003
COMMuNITy DEV£L E
[XlCommercial EllnousPr~Jt//
FUEL F1Gas [:]'Electric F1Solid SYSTEM
[:]Oil [:]Solar
TYPE
~Forced Air FIRadiant F1Steam F1A/C [:]Vent F1Electric
[New FIReplace
FIOther
F1Hot Water F1Suppl. F1Con. Burner
IS CHIMNEY BEING LINED []No FiYes - LINER SIZE
Note: All chimneys shah be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[:]Chimney A
IXlAs Approved
lXlAs Per Plan
[:]Chimney B
FiExisting
F1Variable
[:]Direct Vent
[:]Not Applicable
F1Other Value
FIOther
DESCRIPTION OF ALL WORKBEING DONE Provide and install 3 packaqe heating
& cooling roof-top units, ductwork, curbs, gas lines, grilles, diffusers and
controls
VALUE (InclUding labor and all materials including light fixtures) $ l o 7: q 51 _ no
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.
1-12009 9/02