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Home My WebLink About2006-HVAC (a/c & furnace) ~ OSHKOSH ON THE WATER Job Address 237 N WASHBURN ST CITY OF OSHKOSH No 118123 HVAC PERMIT. APPLICATION AND RECORD Owner ARTHUR E POMMERENING Create Date 09/09/2005 Plan 01-67-0805 Contractor CONDON TOTAL COMFORT Category 510 -Ind. & Comm-Heating & Ventilating I 1 Oil 1 I Solid 1"'1 Electric 0 Replace U Steam I I Solar Fuel 1"'1 Gas [7] New n Other System ~ Forced Air I I Electric U Radiant 1 I HotWater ~ AlC I 1 I Con. Burner I . Not Applicable U Vent Heat Loss K) As Approved K ) As Per Plan e ) Chimney B e ) Existing e ) Variable I I Suppl. e ) Direct Vent Chimney Type K) Chimney A BTU Rate . Not Applicable . Other Value Value Use/Nature om/Install furnace and AlC and duct system for alterations to existing office area. - AFTER THE FACT PERMIT! of Work Fees: Valuation $10,800.00 Plan Approval $0.00 Permit Fee Paid $163.00 Issued By: Date 02106/2006 0 Permit Voided I Parcelld # 0614030000 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 PO BOX 184 RIPON WI 54971 -184 Telephone Number 920-748-5050 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. I ""H '-0' :~:~G:~~: ~C~:~~::=~E ST A~~== '~BM720 - - o. This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical designer) observing construction Of projects within buildings with total areas 50.000 cubic feet or greater and bleachers (Comm 50.10/Comm 61,50), Failure to submit this form may result in penalties ss specified In Comm 5Q,26/Comm 61,23 and/or local ordinances. This form must be submitted prior to the plan approval expiration date or another submittal may be required. General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of altered existing buildings, submit this completed and signed form to: . The municipal building inspection office (refer to the plan approval letter for agency address !!!£! . Safety and Buildings, 10541N Ranch Road Hayward, WI. 54843 Note: If the review was done by the municipality, the compliance statement goes only to the municipal building inspector..A copy is not needed by Safety & Buildings. Personallnrormation you provide may bð used for secondary purposes [Privacy Law, s, 15.04 (1 )(m). 1. PROJEC'fINFORMATION: Please fill In the following with Information from your plan approval letter. Transaction 10 Number ~;}..o:::. "'ì3 Project Name ~rntnL~!C u I ~ ~\'tb VI L~C Site Number Î ¡;, 4- L 'll. Site location (number & street) ??" \.!.. ~ &:>..<,¡a ~u~ "51- ,.... City [J Village [J Town of O<>.\\.K-'~ County of l.J II..,-..)...~ 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 epply: [J Building Object 10 # 'JiiI,J--IVAC Object 10 # ~"04 3 01 [J Lighting Object ID # 0 Partial Completion Description of Portion Completed A))\ Statement of Substantial Compliance To the best of my knowledge, belief, and based on onsile observation, construction or the following building and/or HVAC items applicable to this project have been completed in substantial compliance with the approved plans and specificatIons, 0 BUILDING/LIGHTING ITEMS 1. Structural system Including .ubmlttaland erection of all building component. (tru..e., precast, metal building, otc.) 2. Fire protection .ystems (sprinklers. alarm., .moka detectors) designed, inttallod, and tested (Including forward flow on back flow devices) by opproprJataly registered professional. 3. Shaft and stairway enclosure 4. Exits including exil and directional lights 5. Firo-rasiätivo construction, enclosure of hazards, flre walls, labeled doors, ola.s 'br. HVAC ITEMS of construction, fire stopped penetration. S. Sanit.tlon .y.tom (toilets, sink., drinking facilltlos) 7. Borrier-froolncluding Comm 16 olevotors and lifts 8. Enorgy envelope requirement. 9. All conditions of building plan approval end applicable varlonce. The followIng items ore not In oompliance and must be addressed: 10. Exterior lighting & control requirements 11. Interior lighting & control requirements 12. All conditions of lighting plan approval and applicable varianco. 1, HVAC syotem Including nnal t.st 2. All cond~ions of HVAC plan approv.1 and applicable variances 'B~GcI- ~~t.I'-'.S B) 0 Statement of Noncompliance Due to the following Ii.tod violations. this project is not ready for occupancy: C) 0 SupervIsing Professional Withdrawn From Project (u.o A or B above to Indlceta project stat'" as or thio date.) D) [J Project Absndoned 3. SUPERVISING PROFESSIONAL ~GNATURE FOR: c Building ~ HVAC 0 Lighting .'R:f'"lh.l1i! W"'--~ Ù Date ~S Ie\" erLb Name (ploa.. print Or type) ~ r') . . \ \ Phon. number "1.~~.~ CuslomerlD# ~AA\)..", Signalur.~~ "