HomeMy WebLinkAbout0117630-HVAC
G
OSHKOSH
ON THE WATER
Job Address 401W33RDAVE
CITY OF OSHKOSH
No
117630
HVAC PERMIT -APPLICATION AND RECORD
Owner
SMET INVESTMENTS LLC
Create Date 12/1412005
Plan Q3-81-0905
Contractor ENGEBOS HEATING & COOLING, INC
1 I Oil
Fuel 1,(1 Gas
System Pl New
~ Forced Air U Radiant
1 1 Electric 1 I Hot Water
Chimney Type () Chimney A C) Chimney B
Heat Loss ( ) As Approved C ) Existing
BTU Rate () As Per Plan C ) Variabie
Category 512 -Ind. & Comm-Both
1,(1 Electric
I 1 Solar
1 I Solid
0 Replace
U Steam
I 1 Suppl.
D Other
C) DirectVent
~NC 1
1 I Con. Burner I
. Not Applicable
U Vent
. Not Applicable
. Other
Value
0
Value
Use/Nature Install HVAC for new office building.' Late Permit
of Work
Fees: Valuation
$58,800.00
Plan Approval
$0.00
Permit Fee Paid
$474.00
Issued By:
Date 12/19/2005
0 Permit Voided I
Parcelld # 1413650000
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
1717 W MATHEW DR
DEPERE
WI 54115-0
Telephone Number
920-338-1818
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.
HVAC Permit Work Card
Job Address 401 W 33RD AVE
Permit Number
117630 Create Date 12/14/2005
Owner
SMET INVESTMENTS LLC
Contractor ENGEBOS HEATING & COOLING, INC
Category 512 - Ind. & Comm-Both
Fuel ~I DJ5iC::J ~ Electric I U Solar "l
System PI New n Replace
Plan Q3-81-0905
~ Value
n Other
I U Vent
I
~ Forced Air I U Radiant I U Steam
U Electric I U Hot Water I U Suppl.
Chimney Type D Chimney A () Chimney B
Heat Loss 0 As Approved 0 Existing
BTU Rate D As Per Plan 0 Variable
I ~NC
I U Con. Burner
$58,800.0,2
I
I
() Direct Vent
. Not Applicable
. Not Applicable I
. Other I
Value
Value
Use/Nature Install HVAC for new office building.' Late Permit
of Work
Inspections:
Date
Type Note
Inspector Allyn Dannhoff
12113105 NO HVAC PERMIT SEE CIN
Date/Time requested:
Notice Type:
Phone Number:
Access:
Ready Date/Time:
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
Date Type
r'"="~'~""
Date/Time requested: 01/0412006 10:43 AM
Inspector Allyn Dannhoff
Notice Type:
Phone Number: JIM 660-7355
Access:
þPEN 7-4:30. SOMEONE WILL BE ON SITE
Ready Date/Time: 01/04/2006 10:43 AM
Requested By: ENGEBOS HEATING & COOLING, INC
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
~"
HVAC Permit Work Card
Job Address 401 W 33RD AVE
Permit Number
117630 Create Date 12/14/2005
Owner
SMET INVESTMENTS LLC
Contractor ENGEBOS HEATING & COOLING. INC
Plan Q3-81-0905
Category 512 -Ind. & Comm-Both
Fuel ~ DJ5iC::J ~ Electric I ~ ~ Value $58.800.00
System I!'J New 0 Replace 0 Olher I
~ Forced Air I U Radiant I U Steam I ~NC I U Vent I
U Electric I U HotWater I U Suppl. U Con. Burner I
Chimney Type 0 Chimney A () Chimney B 0 DirectVent . Not Applicable
Heat Loss ,0 As Approved () Existing . Not Applicable I Value
D As Per Plan I
BTU Rate () Variable . Other Value
UselNature Install HVAC for new office building.' Late Permit
of Work
Inspections:
Date 112512006
Type Final
Inspector Allyn Dannhoff
not approved
1"~"~O -
Date/Time requested:
SEE FCN
Notice Type:
Phone Number:
Access:
Ready Date/Time:
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
Date 31312006
Type Reinspect
Inspector Allyn Dannhoff
approved
Date/Time requested:
Notice Type:
Phone Number:
Access:
Ready Date/Time:
Requested By:
0 Reinspect Fee 0 Fee Waived
0 Reinspect Fee Paid
01/30/2006 09: 49 FAX
19207882965
F1SHER&ASSOC
I4i 002/002
Buildings, HVAC Compliance Statement SBD-9720
This form is required to be submitted by the supelVising professional (architect, engineer, HVAC designer or electrical
designer) abselVing construction of projects within buildings with total areas exceeding 50,000 cubic feet or greater and
bleachers (Comm 50.10/Comm 61.50). Failure to submit this form may result in penalties as specified in Comm
50.26/Comm 61.23 and/or local ordinances.
General Instructions: Prior to the initial occupancy of new buildings or additions and the finai occupancy of
aitered existing buildings, submit this completed and signed form to:
. The municipal building inspection office and
. Safety and Buildings, 10541N Ranch Road, Hayward, WI 54843
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1)(m)].
1, PROJECT INFORMATION: Please fill in the following with information from your plan approval letter.
Transaction ID Number
Site Number 641759
Site location (number & street)
[2] City 0 Village 0
1159811
3300 MEDALIST DRIVE
Town Of OSHKOSH
County of
WINNEBAGO
2, PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary).
Check those which apply:
0 Building Object ID#
0 Lighting Object ID#
0 Partial Completion
0 HVAC Object 10#
Description of Portion Completed
Statement of Substantial Compliance
To the best of my knowledge, belief, and based on onsite observation, construction of the following buildin9 and/or HVAC
items applicable to this project have been completed in substantial compliance with the approved plans and specifications.
A) [2]
[2] BUILDINGILIGHTING ITEMS
1. Structural system including submittal and erection of all building
components (trusses, precast, metal building, etc.)
2. Fire protection systems (sprinklers, alarms, smoke detectors)
designed, installed, and tested (including forward flow on back flow
devices) by appropriately registered professionals.
3. Shaft and stairway enclosure
4. Exits including exit and directionallighls
5. Fire-resistive construction, enclosure of hazards, fire walls, labeled
doors, class of construction, fire stopped penetrations
6. Sanitation system (toilets, sinks, drinking facilities)
7. Barrier-free including Comm 18 elevators and lifts
8. Energy envelope requirements
9. All conditions of building plan approval and applicable variances
10. Exterior lighting & control requirements
11. Interior iighting & control requirements
12. Ail conditions of lighting plan approval
and applicable variances
0 HVAC ITEMS
1. HVAC system including final test
2. All conditions of HVAC plan approval
and applicable variances
The following items are not in compliance and must be addressed: INSTALL H.C. PARKiNG SIGNS.
INSTALL FiNISH ASPHALT PER GRADING PLAN AT H.C. PARKING AREAS.
B) 0 Statement of Noncompliance
Due to the following iisted violations, this project is not ready for occupancy:
C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.)
0) 0 Project Abandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
[2] Building 0 HVAC 0 Lighting RICHARD J. FISHER
Name (please print or type)
Customer ID# 263460 Signature
Phone #
(920) 687-9035
SBD-9720 (R.OI12003)
Date:
1/30/2006
fkZZL-
/
. 920-445-0461 p.2
Jan 31 06 07:48a Smet Construction
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Receive.d Time Jan,27, 1:15PM
TOTAL ,,-""
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