HomeMy WebLinkAbout0124962-HVAC (rooftop unit)
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OSHKOSH
ON THE WATER
Job Address 450 W MURDOCK AVE
CITY OF OSHKOSH
No
124962
HV AC PERMIT - APPLICATION AND RECORD
Owner XIU LI YANG
Create Date OS/24/2007
Category 512 - Ind. & Comm-Both
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
Contractor WESLEY HEATING & COOLING INC
Fuel l!:J Gas UOil
System o New
l!:J Forced Air U Radiant
U Electric U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss D As Approved . Existing
BTU Rate o As Per Plan () Variable
I Solar U Solid
o Other
l!:J AlC U Vent
U Con. B.urner
. Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature COMM (L1 YANG'S RESTAURANT) / REPLACE EXISTING ROOFTOP UNIT, EIV SIGNED BY KOLLMAN-REILLEY ELECTRIC
of Work
Fees: Valuation $6,516.05
~-".(~
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$109.00
Date OS/24/2007
o Permit Voided I
Parcelld # 1219260100
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
AgenUOwner
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, 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, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE \\lATER
HV AC PERMIT APPLICATION
All infomlation 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
Ifvoll are a contractor oarticioatin)! in the Permit fee Account System and have adequate funds, check here
if VOll want this orocessed through your account n
DATE 5\ (}O \C::rl
.
JOB ADDRESS ~~) ~ ~~ ~ "t'. p..".'-! E,
OWNER \.....i..>~~~~b.~..~~~ ,
CONTRACfOR \..,. " ~,..~ ~'i:> "- "ZS: ~ GG~~
CHECK ItJ ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
~Commercial
Dlndustrial
FUEL
~as
OOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
:ePlace
kQ~~\OP
TYPE
~orced Air DRadiant DSteam 'DQA/C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes -LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
~:\isting
DVariable
)/Jifrect Vent ~Other
, DNot Applicable
.l&.Other Value
DESCRIPTION OF ALL WORK BEING DONE~ ?i~~~
~~~ \'-~~
- ~~'-
'-- ~. . . '" <~
. - -::~
VALt:E'!ncluding ..thar ilnd materi.;) $lF'~ \\. ~ ~ e:;~
-""",."
ELECTRICAL CONTRACTOR t \. ~ ~ ~'--~ "->
2 For applicable projects, an Electric Installation Verification form, 'l., cd by the Electrical Contractor. must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
10/04
OS/23/2007 15:48
9202737%5
K-R ELECTRIC LLC
TO: 19202137965
111l. 01') I
PAGE 01/01
P.2
r. I! \
-22-2007 21(ll53 FROM:I.<ESLEY HEAT!NG (920) 235-6'351
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Electric Instanation Verifieation
l(We) ,_ ,_ _~~:\.~~b.;'\3,..;"',
(Electrical Contractor N .
\\t)""L~\~,:~:.~"}~c.... ~~ t>\--~~~J.'-")\ ~~~
(A~) (City) {State} (Zip Code)
. Jm",,~_ 10"- olcctdc iostalloiion...,. fnrl ,'}w )~~ ~
_ (Name (t to) ~
at the tbI"-"n~ address: ~_ ~ \ ,. . .. 'l2.
..,..,""'"6 _~ \b~ ,~y. ~~ -..
(Addrca whCR WOrk win be:: petfQJmtd)
....... .
nw natute otthl; work mDSistS of. (01ec1\ One or Deseribe the Nature ofWOtk)
!i:- Reconna;tiOll or new cin:Uit tbr replacement Heating Plant and/or Ale Con&mer.
ReconnectiOl1 or new circuit for repIacanent Elootric Wa.ter H.eator or powe.r ve:u:ted
WOlter ~er.
R~on of the Service Entrance Cable. Mater Box,ll1terati<ms tp :rea;ptaclet
and lighting fixtures due to siding J soffit installation, Nota:. New Servioo
Entrance Cables will require a separate permit.
Reco.nnectiou or new circuit for the teplacement of other pcnnanent1y'wired
applianoe$ {fi:x.l'UTes.
New circuit for the addition of Ale to an indiYUUud dWBlling lmit (boule- or the
indi~dual systems in a duplex or eondominium). including required service
electrical outlets.
Otber
ClCr; cd
The value of this work is S ..
I hereby v-;;rify thi:> work wilt be perf.;;rmed '...y an employee of WS cOTllpany and further verify
the rceonuection I installation wiU be done in compliance with manufacturer and Electric code
requirements .
t" ~
*. '"
,,'"
~1.~
/(Sign e of Company Officer)
:Ere}?;- t;;14 Q;'1~
(Print Name ofOfflW)
s= ;J2~Ol
(Date)
5102