HomeMy WebLinkAbout2005-HVAC
~
OSHKOSH
ON THE WATER
Job Address 476 WYLDEWOOD DR
CITY OF OSHKOSH
No
116450
HVAC PERMIT -APPLICATION AND RECORD
Owner
WYLDEWOOD CONDOMINIUMS LLC
Create Date 07/13/2005
Plan
Contractor BREWER HEATING
Fuel 1v'1 Gas
System [7] New
Lv'! Forced Air
I I Electric
Chimney Type r) Chimney A
Heat Loss r ) As Approved
BTU Rate r ) As Per Plan
Category 510- Ind. & Comm-Heatlng & Ventilating
I I Oil
I
n Other
I I Electric
D Replace
U Steam
I I Suppl.
I I Solar
I I Solid
U Radiant
I I HotWater
( ) Chimney B
( ) Existing
() DirectVent
Lv'! AlC I
I I Con. Burner I
. Not Applicable
U Vent
( ) Variable
. Not Applicable
. Other
Value
Value
Use/Nature Heating and AlC work in association with the 6 Unit Condo/ LATE PERMIT" (Insulation inspection was conducted on 7/12/05 and no permit
of Work was obtained or applied for.)(Final inspection 9/21/05- no permit)
Fees: Valuation
$27.000.00
Plan Approval
$0.00
Permit Fee Paid
$630.00
Issued By:
~
Date 09/23/2005
D PenmitVoided I
Parcelld # 1632000000
In the perfonmance 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 penmit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
N8804 N DOUGLAS ST
RIPON
WI 54971-0
Telephone Number
920-748-6494
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.
Buildings, HVAC, Compliance Statement
Thia lonTI is required 10 be submitted by the supervising professional (architect. engineer, HVAC designer or eleCfrjÇGI
døs'GM') obSe!VÛ1g construction of projeœ within bui1l5inss with total areas 50,000 cubic feet or greater ænCl blæc;hers
(Comm 50.101Comm 51.50). Failure to submit this form may result in penalties 25 specified in Comm 5C.26lComrn 61.23
and/or local ordmZltlCl!S.
General Instructions: prior to the initial occupancy of new buildings or additions and the fin:¡¡1 occup;¡ncy of
altered existing buildings. submit this completed and signed form to:
. Tne municipal building inspe~lion office and
. Safety and Buildings. 10541N Ranch Road Hayward, Wi. 54843
F>Sr5onal infolmlllÏOn you provide may be uso<! for secondary Pur¡¡QSQ' (Privacy Uw, s. ~S.O4 (1 )(m J.,
1. PROJECT INFORMATION: Please fill in the following with information from your plcn ¡¡;¡provalle!ter.
TransactIon 10 Number q"7 ¿, tJ 4 '3 .
Site Number ¿ to 70;; 7 s:¡
Site location (number & street) t.J yl d¡;- 1..Ia. ~ v./tI.¿r - O...I! ""'- I2<J .! 1.f'"7'Z47- It,/'
.. ¡:;yéíty (J Village (J Town of ¿o,s" ¡¿h~1, County 01 4/. ...",,~6~ tJ'
2. PURPOSe OF THIS STATEMENT: (ChecK Box A. B. C, or D to ir.cic,,;e ¡)u';¡C~C ::~C col'"è;:leta 3~Y oc~e'
a;¡:iiœble boxes anc into,",¡¡~on. A:"<2CI'I acoitional p"ses it necessEry.)
C~ec~:t'Josewhc:t"Oply, 06uilC:¡nsO!;¡j8ct.ID~ !:)I-'.VACO~jec:\D1: 94{;"a/9
0 Lçhtinç Objeo: 10" 6U\~1"~ ¥-t{
'"' !'¡;:"'.;ã: Cc,,"-~:e\ic/'.
Oesc',~~on Of ?ortion Ccm:lat8C
A) W Statement of Subs:antial Compliance
;0 In. ~~S: of my t<.'owtec\!e. be~ie;. an': ~e.ec on 011":9 c::.a~e~cc. cccs~""'c~:" c~ ,~. ':k:Ii~; ~";iéi"¡; er.c.'", "VA:
it.",. ~oOI ca~lo 10 this pro).", ~sv. O'~" :~m~iete~ in s~~s",~::.1 c:"'clia~c. ",;:~ ,".: .,:,cv~:: ;o::;;c.s .,:
s;>acffiç¡¡tio~.,
Tn.. follo""ing items sr.. not in eompliane8 one: must be adc:",~se~: D, c,.¡., -S.t:-r
;?-I!'p~ k:-
S) 0 Statement of Nonc;ompliance
;:)ua to the following liSte~ viol:;~O~$.IhI$ projeC'. is no! 'eady ~or o=,;¡ocy:
¡: eutLCINGiLIGHTlNG l1"f:!\'IS
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C) ':;¡ supervising Professional Withdraw" From Projec:t (Us. A or;; .::o>e';c ir.~i~,,¡. ~'oj~!:: .:";US is of ~,¡. o~';,.)
0) 0 Project Abandoned,
3. SU?ERVISING PROFESS!ONAL SIG~TURE FOR;
a c"!id"'Ç ~v AC CI L;çh~ng /.,)ð(/q, ¿;:x.,,< f'-
....",. (;>1"'" ,ç"y~.;
Phone nur::=e, "l::J.o.- '74.. ~: C\:5lOme' 10 # f> g,.;¡ ""lll
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TOTAL P.03
Job Address 476 WYLDEWOOD DR
HVAC Permit Work Card
Permit Number
116450 Create Date 07/13/2005
Owner
WYLDEWOOD CONDOMINIUMS LLC
Contractor BREWER HEATING
Category 510 - Ind. & Comrn-Heatlng & Ventilating
Plan
Fuel ~ .. []J5iCJ I I Electric I ~ ~ Value $27,000.00
System [7] 'N;"": -------.J n Replace D Other J
Lv'! Forced Air I U Radiant I U Stearn I Lv'! AlC I U Vent I
U Electric I U Hot Water I U Suppl. I U Con. Burner I
Chimney Type D Chimney A 0 Chimney B 0 DirectVent . Not Applicable
Heat Loss 0 As Approved 0 Existing . Not Applicable I Value
BTU Rate 0 As Per Plan () Variable . Other I Value
Use/Nature Heating and AlC work in association with the 6 Unit Condo/ LATE PERMIT' (Insulation inspection was
of Work bonducted on 7/12/05 and no permit was obtained or applied for.)(Final inspection 9/21/05- no permit)
Inspections:
Date 7/12/05
Type Rough In
Inspector Nicole Krahn
approved w/cond.
No inspection was requested and no penmlt was obtained.
Date/Time requested:
07/13/200507:18 AM
Notice Type:
Phone Number:
Access:
¡-
Ready Date/Time: 07/12/2005 07:18AM
Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --
Type Final
Inspector Nicole Krahn
approved
Date 9/21/05
Date/Time requested:
09/22/2005 06:46 AM
Notice Type:
Phone Number:
Access:
Ready Date/Time: 09/22/2005 06:46 AM
Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
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