HomeMy WebLinkAbout0123964-HVAC
e CITY OF OSHKOSH No 123964
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3530 OMNI DR Owner OMNI GLASS & PAINT INC l,;reate Date 12/06/2006
Contractor HURCKMAN MECHANICAL IND., INC. Category 512 -Ind. & Comm-Both Pan W6-115-1206
Fuel ~ Gas I UOil I ~ Electric I U Solar I U Solid I
System o New I o Replace I r- Other I
~ Forced Air I U Radiant I U Steam I ~NC I ~ Vent I
U Electric I U Hot Water I U Suppl. I U Con. Burner I
Chimney Type D Chimney A () Chimney B . Direct Vent () Not Applicable I
Heat Loss I. As Approved () Existing o Not Applicable I Value
BTU Rate '. As Per Plan C) Variable C) Other I Value
..
Use/Nature New HVAC system as per State Trans ID # 1357432 to include hot water reheat in office, unit heaters, electric wall heaters, infrared
of Work ~eaters and mak-up air units for shop / warehouse areas. Note: Mechanical Screening has been approved by F anning per 11/07/06 review
with attached letter from Designer.
Fees: Valuation $411,810.00 Plan Approval $0.00 Permit Fee Paid $2,244.50
Issued By: Date 03/28/2007
o Permit Voided I F arcel ld # 1278000000
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 w rk
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easem nl
holder(s) and to secure any necessary approvals before starting such activity.
Signature DatE
Agent/Owner
Address P.O. BOX 10977 GREEN BAY WI 54307 -977 Telephone Number 920-499-8771
--
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), you Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rece ved. 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, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC 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 Servic s, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubl d or $100.00 plus the
normal permit fee, which ever is greater.
OR
I ou are a contractor artici atin in the Permit ee Account S stem and have ade ua e unds check here
if vou want this orocessed throuflh your account n
.JOB ADDRESS "3 <" '3~:J ~ALA/.2: ~IL ,
OWNER OplAAJl:- t1:. ~ .c ,.,. '+t~
CONTRACTOR ~~( 'M """-A .-.....> \(\l\~ c-\... <.1> ~.>.. ~.:....... Q,
CHECK Ii} ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex OMulti-Family
ORental
ft(Commercial
Industrial
FUEL ~as
DOil
DElectric OSolid
DSolar
SYSTEM
DNew
OOther
DRep ace
TYPE
~orcedAfr ~diant DSteam )(NC )t!lent ~lectric )(iotWater DSuppl.
IS CHIMNEYBEINC LINED JXNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
Con. Burner
VALUE (Including labor and materials) $
DChimney A
~s Approved
~ Per Plan
)iitbimney B
OExisting
DVariable
ODirect Vent DOther
ONot Applicable
DOther Value
CHIMNEY TYPE
HEAT LOSS
BTU RATE
-
,
L( I ( ~ r 0 · O'l)
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification fOlfJ)sE\
attached. If not attached or not applicable, a separate Electrical If*w~
jJJ/v ;Jet- ~ ~~
-? /d'0i6c:MAR 2 3
DEPARTMENT 0
COMMUNITY DEVELO MENT
10104
HURCKMAN MECHANICAL IND., INC.
1450 Velp Avenue (54303)
P. O. Box 10977
GREEN BAY, WISCONSIN 54307-0977
(920) 499-8771
TO: City of Oshkosh-city Hall
Division of Inspection Services
215 Church Avenue, Room 205
Oshkosh, VVl54901
WE ARE SENDING YOU:
DShOP Drawings
Dcopy of letter
COPIES DATE
X Attached
o Prints
LETTER OF T
DATE: 3/21/2007
JOB #
NSMITTAL
51931
HV AC Permit Ap lication
Omni Glass & aint
DESCRIPTION
DReSUbmit
the followin :
o Plans DSpeCiflCati ns Dsamp,es
o Returned for Corrections
DFor Review & Comment
RECEIVED
File
MAR23
DEPARTMENT OF
COMMUNITY DEVELOPMENT
DChange Order
TIN:
Under Separate Cover via
o Executed Agreement ~Other
NO.
1 3/21/2007
1 3/21/2007
1
DFor Approval
DFOrYourUse
DAs Requested
Copy To:
HVAC Permit Application Form
Ck #48191 for fees of $2,370.00
Copy of State approved plan
DAPproved as Submitted
DAPproved as Noted
_ copies to approval
DSubmit
_ copies to distribution
DReturn
D Prints Returned After Loan to U
Phil Steinho er