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OSHKOSH
ON THE WATER
Job Address 500-550 S KOELLER ST
CITY OF OSHKOSH
No
124858
HVACPERMIT -APPLICATION AND RECORD
Owner RIVER VALLEY ONE LLC
Create Date 05/15/2007
Contractor AIR TECH HEATING INC.
Fuel ~ Gas UOil
System ~ New
~ Forced Air U Radiant I
UElectric . U Hot Water . I
Chiimney Type U Chimney A o Chimney B
Heat Loss () As Approved o Existing
BTU Rate o As Per Plan C) Variable
Category 510 -Ind. & Comm-Heating & Ventilating Plan
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burne, I
. Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature 510 S Koeller - Tenant space build out for Citl Financial. Install HVAC system including RTU.
of Work
$10,100.00
~
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$161.00
Issued By:
Date 05/17/2007
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
1305A INDUSTRIAL PKWY
FOND DU LAC
WI 54937 - 0
Telephone Number 920-924-6742
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.
Crty nfOshkosh
Dr~sironnf~uOn~
P.O. Ba1l: 1130
~ wi 54903-1130
Phone (92{;) 236-505{;
rn (920) 236-5684
~
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ul UJ, I
ON THE WA.",S!:
HVAC PERfJllT APPUCATION
A1l~~~ boki~mustbep..~~
J:ncomplete a.r,.'P~ ~ill :not be processed.
~ ~~li~oo(s} ~d fee(S) can be ~ to City H~ ~ 205 or~iled to 1nspection Services, PO &:x: 1128,
():;:h..1(p&~ WI 54903-1128. Commencing work ~i1:hot..lt jies.wil(s) 'W111 result in fees bcit:.g c.>O'.ililed or $100JJO plus t
normal pe..mit:ree~ ~ e"";;'"er is ~~_
OR
If tiOU are a: contractor varnci;u;.tiltF in the Permit fee Account Svstem and ha:ve adequate f-eu'ids. check he;
if yOU WG.ut tk4 processed tkrouf!"k 1<>D'Mr acco2.at l ~
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Uhh.""ctric OSolid
OSolar
SY~l'~M
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DOfueA
OReplace
TYPE
~orced Air 0Radi.ant CS~ PAle OVen! OE.ecttic DHot W4it."'T OSuppLOCun.. &.nne!'
IS~'"EYBmNGI~~-mD:NQCYes -LINBKSJ7-~ N/ A
I
~: ,An ...'f.;....~"S shall be sized p:er the BTlI's ~ \feL4ed.
& ~4....~u""F ACi -uKER
t;~;MN"EY 'rYPE
Hm;AT Lo...~
~HJ R..~TE
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D...t\s A-.~vved
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w~g
OVariable
U1.Jitect Ymt uOfuer
D.N"ot ...~licab!e
00tl:...e- Value
DES(~RLTp"TION OF ALL WOIU{ BI!:~~G 001\"'E
~~ /L -r~
~~ ~ HLlREeBve-o
MAY 1 7 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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