HomeMy WebLinkAbout0122782-HVAC (roof unit)
" e
OSHKOSH
ON THE WATER
Job Address 100 E GRUENWALD AVE
CITY OF OSHKOSH
No
122782
HVAC PERMIT -APPLICATION AND RECORD
Owner DANIEL L BUSH
Create Date 12/04/2006
Contractor WESLEY HEATING & COOLING INC
Fuel 1,(1 Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss K) As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 512 -Ind. & Comm-Both
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
U Solar
U Solid
D Other
U Vent
U AlC
U Con. Burner
. Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature COMMI DB Paddock Lounge - Replace roof top heating & cooling unit. EIV provided by Kollmann-Reilley Electric.
of Work
Fees: Valuation
$7,548.00
U/)?Vo
Plan Approval
$0.00
Permit Fee Paid
$124.00
Issued By:
Date 12/04/2006
D Permit Voided I
Parcelld # 1515370000
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
3220 BASLER LN
OSHKOSH
WI 54901 - 0
Telephone Number 920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, S~rvice, 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 flot performed within two business days from the time the project is ready.
r\
(\
City of Oshkosh
Division ofInspection Services
P:P:l39~}.1}9... .....
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 136-5084
(I)
OJHKOJR
ON THE WATER
HV!'C PE~MIT APPI..IC~IIQN
All information after bold categories must be provided.
Incomplete applications will not be processed.
. 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
Ifvou are a contractor particioating in the Permit fee Account System and have adequate funds. check here
if vou want this orocessed through ,vour account n
/(.,lU E. ~~ DATE \\-&"'\-~o
JOBADDRESS \<\~. ..<\~lli"\\~~ ~~ . . ;7
O~R\-:\ ..~ .... D6PtLJ~~G~ .
C(}N'rRACr~~-. ~~-~~~~ d3b- ~951 1Jt?1i
CHECK ltr ALL APPLICABLE
USE CATEGORY
[]SingleFamlIy DDuplex DMulti-Family
o Rental
~mmercial
Dlndustrial
FUEL
~
o Oil
ED
tsrReplace
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
TYPE
~orced Air o Radiant DSteam DA/C DVent DElectric
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
[]Hot Water DSuppl. DCon. ,Bt,1t,W(r;.
DEe 4 iVVO
& MANUFACTURER
Dr.PM~TMENT OF
_ / ,... - . -~ ~~ I.~"TV nE".!!:~ nDMENT
lYOther" "i,d~\iJtU ij ~ .bf_",~,~,~'" ...
CHIMNEY TYPE DChimney A DChimney B DDirect Vent
HEAT LOSS DAs Approved ~sting DNot Applicable
BTU RATE DAs Per Plan o Variable B0ther Value
DESCRIPTION OF ALL WORK B~ING DON;-Q, ~':''' <,>. ., "': ~, ~~
~~ h":X~ ~ ~""='\.,"'~ 1."",,,,-, 'l--..
\l\~ f)
V\ \ v ~y ry
\1\ Q1.^~
,'\.f
'-- \ If'
VALUE (Including labor and materials) $ "'\~~. ~
\ '
~?
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification form, si ne y the Electrical Contractor, must be
attached. Ifnot attached or not applicable, a separate Electrical Permit is required.
10/04
11/29/2006 21:35 92027379&5 KOLLMANN
t-IDV-28. ~2006 21: 31FRttt:'I~ ryll'~!~1l ::. ~ f . I \.. C~. :: ) 235~69S1
<i'~ ,;~ .. "::.;...;,..;:.. 41f\Fl*. t..'&'K fI"II, . ,..- "
t-'A(;jt. tll/tlL
1D~1~(..)(965 P.4
..". V~4~ ... rr- r
~
~
Cb~
~~~
nl~",-
rollllllU>> .
0dMI;k1l/t ~U30
OIIW"._
...~
Electric IDStaIIatiml VerifieatiOJl
· ~\.~=.\1.~" ~~
(mecnica1 CowactorName)
\\C\""'\ ~~~~$-~ t\~d.t,.lh~.)~ ~
(Addrta) (City) (&ate) (Zip Code)
havebeea Cbtd1~to ~NUlleJedrlc~warkfor ~~~f~ ~~;~~
at tbC tbIJowio&ad.dnsss: \Q.~ ~ &:::::..A ~ _
".. ....... .... ( ~wod:wiUbcpabmecl)
I(W6)
v--....a....- "
The DBiDteotthcwod;~ of. (0Iect Oaeo.r~_ N8l1IreofWnrk)
~ .1l.clcoDIlectkmtJt..cin'mit for'~HadiDg Pbut..uor AIC ~.
__ ..~ ornev.-cUc:uit for~Eledric Wala-Beaterorpowa'\IGIed
1'1* heaftJ.
_ ~ of'lhe Selvicc ~CabJe, M_lJox. ~ toteceptacJea
abd lighting fixtures due 10 _ingl.DitilfIU~:NOt.e: . NewSenke
Entr~ Cables lriU requiB: a.scparatopcrmit.
_ ~orJ1GWckcu.itforthe.~ofotber~'w.iR:d
. app1iuJce&/~_ .
~ New cirr:nit fbrtheaddmOft of AJC to 1ft ~ t:iwd1ing-1IW (lmbae or the .
iDdiYiduJ 5)'Itema in a duplex. or condomiI1inm), iDefudift$ required service
~ ou11etS.
- OlDer E
DEe 4 2006
The value olthis worlcu $~
):po
DEPARTMENT OF
f,."'l!1MI.IJJ l;tHTV f)!;VELOPMENT
1 hereby verify Ibis WUlt win be perfonl1ed by an c:mployeeortltii COlf.IP3Ily.~~ Wfl"Y
the reconnCClion . tal '$1 will be deDe in C4'>'mp1i~ with manu1i!cturcr and meefric code
requ' ents.
'2 ,jl"" .. ellct'-
~t Name ofotT1Cet)
libJ;',
I (Date)
.
I
f
:;
.
$lID
~