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Home My WebLink About0107261 H Page 1: [[2210,99,2336,144][9][B,,][Arial]]107261 [[1101,101,1565,160][12][B,,][Arial]]CITY OF OSHKOSH [[2070,104,2120,149][9][B,,][Arial]]No [[104,201,353,258][12][,,][Arial]]OSHKOSH [[793,201,1867,260][12][B,,][Arial]]HVAC PERMIT - APPLICATION AND RECORD [[101,261,359,299][7][,,][Arial]]ON THE WATER [[1233,324,1673,362][7][,,][Arial]]DUMKE & ASSOCIATES LLC [[100,326,297,364][7][B,,][Arial]]Job Address [[1075,326,1176,364][7][B,,][Arial]]Owner [[337,327,702,365][7][,,][Arial]]450-480 N KOELLER ST [[1959,329,2140,367][7][B,,][Arial]]Create Date [[2181,329,2343,367][7][,,][Arial]]04/05/2004 [[100,401,268,439][7][B,,][Arial]]Contractor [[341,401,873,439][7][,,][Arial]]CENTRAL HEATING SERVICE INC [[1075,401,1218,439][7][B,,][Arial]]Category [[1259,401,1608,439][7][,,][Arial]]512 - Ind. & Comm-Both [[1938,401,2006,439][7][B,,][Arial]]Plan [[2024,401,2194,439][7][,,][Arial]]K7-14-0304 [[843,472,883,510][7][,,][Arial]]Oil [[1226,472,1256,510][8][,,][Wingdings]]ü [[1227,472,1257,510][8][,,][Wingdings]]ü [[1279,472,1386,510][7][,,][Arial]]Electric [[357,475,387,513][8][,,][Wingdings]]ü [[358,475,388,513][8][,,][Wingdings]]ü [[409,475,469,513][7][,,][Arial]]Gas [[1712,475,1786,513][7][,,][Arial]]Solar [[2143,475,2214,513][7][,,][Arial]]Solid [[101,476,168,514][7][B,,][Arial]]Fuel [[357,550,387,588][8][,,][Wingdings]]ü [[358,550,388,588][8][,,][Wingdings]]ü [[410,550,474,588][7][,,][Arial]]New [[1194,550,1311,588][7][,,][Arial]]Replace [[1984,550,2065,588][7][,,][Arial]]Other [[100,551,217,589][7][B,,][Arial]]System [[357,619,387,657][8][,,][Wingdings]]ü [[358,619,388,657][8][,,][Wingdings]]ü [[410,619,559,657][7][,,][Arial]]Forced Air [[844,619,954,657][7][,,][Arial]]Radiant [[1278,619,1370,657][7][,,][Arial]]S team [[1660,619,1690,657][8][,,][Wingdings]]ü [[1661,619,1691,657][8][,,][Wingdings]]ü [[1710,619,1765,657][7][,,][Arial]]A/C [[2142,619,2208,657][7][,,][Arial]]Vent [[413,687,520,725][7][,,][Arial]]Electric [[844,687,991,725][7][,,][Arial]]Hot Water [[1278,687,1370,725][7][,,][Arial]]Suppl. [[1712,687,1886,725][7][,,][Arial]]Con. Burner [[100,763,326,801][7][B,,][Arial]]Chimney Type [[424,763,581,801][7][,,][Arial]]Chimney A [[795,763,952,801][7][,,][Arial]]Chimney B [[1167,763,1327,801][7][,,][Arial]]Direct Vent [[1538,763,1745,801 ][7][,,][Arial]]Not Applicable [[101,838,256,876][7][B,,][Arial]]Heat Loss [[422,838,606,876][7][,,][Arial]]As Approved [[853,838,966,876][7][,,][Arial]]Existing [[1281,838,1488,876][7][,,][Arial]]Not Applicable [[1824,838,1911,87 6][7][B,,][Arial]]Value [[2175,838,2193,876][7][,,][Arial]]0 [[426,910,597,948][7][,,][Arial]]As Per Plan [[855,910,971,948][7][,,][Arial]]Variable [[1284,910,1365,948][7][,,][Arial]]Other [[101,913,248,951][7][B,,][Arial]]BTU Rate [[1824,913,1911,951][7][B,,][Arial]]Value [[130,987,301,1025][7][B,,][Arial]]Use/Nature [[321,991,1037,1029][7][,,][Arial]]Install HVAC System for Dental Office. (suite 460) [[178,1025,300,1063][7][B,,][Arial]]of Work [[851,1324,1070,1362][7][B,,][Arial]]Plan Approval [[1338,1324,1419,1362][7][,,][Arial]]$0.00 [[101,1326,360,1364][7][B,,][Arial]]Fees: Valuation [[538,1326,700,1364][7][,,][Arial]]$15,700.00 [[1585,1326,1828,1364][7][B,,][Arial]]Permit Fee Paid [[2067,1326,2184,1364][7][,,][Arial]]$287.00 [[101,1401,266,1439][7][B,,][Arial]]Issued By: [[2051,1401,2121,1439][7][B,,][Arial]]Date [[2150,1401,2312,1439][7][,,][Arial]]04/06/2004 [[1082,1512,1283,1550][7][,,][Arial]]Permit Voided [[1960,1514,2122,1552][7][B,,][Arial]]Parcel Id # [[2130,1514,2220,1552][7][,,][Arial]] [[177,1613,1797,1651][7][,,][Arial]]In the performance of this work, I agree to perform all work pursuant to rules governing the described construction. [[174,1660,1935,1698][7][,,][Arial]]While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work [[175,1710,1925,1748][7][,,][Arial]]described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement [[176,1760,1273,1798][7][,,][Arial]]holder(s) and to secure any necessary approvals before starting such activity. [[175,1826,326,1864][7][B,,][Arial]]Signature [[1907,1826,1977,1864][7][B,,][Arial]]Date [[1024,1880,1212,1918][7][,,][Arial]]Agent/Owner [[174,1955,304,1993][7][B,,][Arial]]Address [[377,1955,774,1993][7][,,][Arial]]1565 HARRISON STREET [[1007,1955,1173,1993][7][,,][Arial]]OSHKOSH [[1650,1955,1946,1993][7][B,,][Arial]]Telephone Number [[2004,1955,2370,1993][7][,,][Arial]](920) 235-6670 [[1321,1958,1364,1996][7][,,][Arial]]WI [[1403,1958,1493,1996][7][,,][Arial]]54901 [[1516,1958,1527,1996][7][,,][Arial]]- [[1534,1958,1552,1996][7][,,][Arial]]0 [[137,3037,2327,3082][9][B,,][Arial]]To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of [[139,3084,2351,3129][9][B,,][Arial]]Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone [[139,3131,2304,3176][9][B,,][Arial]]Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may [[137,3178,2007,3223][9][B,,][Arial]]continue if the inspection is not performed within two business days from the time the project is ready. OSHKOSH ON THE WATER .lob Address 450-480 N KOELLER ST Contractor CENTRAL HEATING 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 DUMKE & ASSOCIATES LLC Category 512- Ind. & Comm-Both Electric Replace L~ Steam L~ suppl. No 107261 Chimney Type I~ ChimneyA ~ Chimney B Heat Loss I~ As Approved ~ Existing BTU Rate I~ As Per Plan ~ Variable Direct Vent Create Date 04/05/2004 Plan K7-14-0304 Not Applicable Other Solar I ~J Solid ~J Other A/C I ~J Vent Con. Burner I Not Applicable Value Value Use/Nature of Work HVAC System for Dental Office. Fees: Valuation Issued By: $15,700.00 Plan Approval $0.00 Permit Fee Paid Permit Voided $287.00 Date 04~06~2004 Parcel Id # 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 Agent/Owner Address 1565 HARRISON STREET OSHKOSH WI 54901 -0 Telephone Number (920) 235-6670 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.