HomeMy WebLinkAbout2006-HVAC
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OSHKOSH
ON THE WATER
Job Address 1930 OMRO RD
CITY OF OSHKOSH
No
122973
HVAC PERMIT -APPLICATION AND RECORD
Owner B & G REALTY INC
Create Date 12/20/2006
Plan W7-1866-1206
Contractor FOX VALLEY CLEAN AIR
Fuel l!:J Gas LJ Oil
System o New
l!:J Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A o Chimney B
Heat Loss KJ As Approved () Existing
BTU Rate KJ As Per Plan o Variable
Category 510 - Ind. & Comm-Heating & Ventilating
U Electric
o Replace
U Steam
U. Suppl.
o Direct Vent
U Solar U Solid
o Other
U AlC U Vent
l I Con. Burner
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature COMM/ Kitchen hood and make-up air unit.
of Work
Fees: Valuation
$30,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$335.00
Issued By:
Date 12/20/2006
o Permit Voided I
Parcel Id # 1610970000
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 . n within an easemen , trongly urges the permit applicant to contact the easement
holder(s) and to se e ecessary approvals befor~starting such . ity.
Date
I;; -k -c7~
Signature
o
Address
1020 AMERICAN DR
NEENAH
WI 54958 - 0
Telephone Number 886-9797
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (Le. 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.
r\
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
(t)
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All infonnation 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
](y'ou are a contractor participatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n
DATE I J. - .k; -06
JOB ADDRESS 1766" ~r(J i?-J .
OWNER LdV,f~d~"".....G\'t:J(."'~tJ~vL6S .
CONTRACTOR fuoc J Cl ~kf (? {(2O'11Lgl(~ F ~ .
CHECK Ia ALL APPLICABLE
USE CATEGORY
r, OSmgle Family ODuplex OMulti-Family
FUEL ~
DOi!
DElectric DSolid
o Solar
SYSTEM
~etciaJ
DNew
DOther
OIndustrial '.
ORental
DReplace
TYPE
~ced Air DRadiant DSteam DAlC DVent DElectric OHot Water DSuppl. Deon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chiinneys shall be sized per the BTU's being vented.
& MANUFACTURER
CmMNEY TYPE
HEAT LOSS
BTURATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE Ie: I ~ \...c.. ~ t..u:>J J- ~ k t!! -e...pa,J;l:( lJV\.-/~..
VALUE
. o..s....
,$ ,?O. O{'JO
,
\~~ .If)
() \ IV
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\ ~\ ,?J f'q- rrP
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,"\ ELECTRICAL CONTRACTOR .' .
o For applicable projects, an Electric mstallation Verification form, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicabl,e, a separate Electrical Permit is required.
9/02