HomeMy WebLinkAbout0123526-HVAC
.e-
OSHKOSH
ON THE WATER
Job Address 500-550 S KOELLER ST
CITY OF OSHKOSH
No
123526
HVAC PERMIT -APPLICATION AND RECORD
Owner RIVER VALLEY ONE LLC
Create Date 02/06/2007
Contractor QUALITY MECHANICAL INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K) Chimney A () Chimney B
Heat Loss K) As Approved () Existing
BTU Rate D As Per Plan () Variable
Category 510 -Ind. & Comm-Heating & Ventilating Plan
U Electric
o Replace
U Steam
I I Suppl.
() Direct Vent
U Solar D Solid
D Other
U AlC 0 Vent
U Con. Burner
. Not Applicable
. Not AppliCable
. Other
Value
Value
Use/Nature COMMI (550 - Verizon) - 2 rooftop units, with curbs, economizers, drops, main trunklines with collars to accept branch ducts.
of Work
$19,970.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$310.00
Issued By:
Date 02/15/2007
D Permit Voided I
Parcelld # 0611620000
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 162
LITTLE CHUTE
WI 54140-0
Telephone Number (920) 687-1299
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.
.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HV AC PERMIT APPLICATION
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
If vou are a contractor varticivatin? in the Permit fee Account Svstem and have adequate funds. check here
if vou want 'hi., orocesud tMough your accauot D... !~ .
~.._~.- .-....-__c-j-c c-DATE / 2/ 07
JOBADDRESSQ&tJ 6 K:/.u..I.fMc5f (2/M;)mal~~ .
OWNER;9LI/h7~~a.-~?/ LAC. "' KECEIVED
CONTRACTOR6){{l fffi~A {)7~;C~ (j};J;(!,
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family
DDuplex
DMulti-Family
DRental
FEB 0 6
DEPARTMENT OF
)d9ommer2R~MU~~&VJ;A.OPMENT
FUEL
~s
DElectric DSolid
DSolar
SYSTEM
~ew
DOther
o Replace
TYPE
~rced Air DRadiant OSteam DA/C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE OChimney A DChimney B ODirect Vent DOther
HEAT LOSS DAs Approved DExisting ~ot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION OF 1LL WORK BEING DONE f~ Ui @ ~
A ~~4Yd4j oI/z-{ffXl )tr d- - -
VALUE (Including labor and materials) $
lit Q10 ~
ELECTRICAL CONTRACTOR
U For applicable projects, an Electric Installation Verification form,'signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
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