HomeMy WebLinkAbout0125381-HVAC (exhaust fan)
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OSHKOSH
ON THE WATER
Job Address 600 N WESTHAVEN DR
CITY OF OSHKOSH
No
125381
HVAC PERMIT - APPLICATION AND RECORD
Owner WESTHAVEN OFFICES LLC
Create Date 06/18/2007
Contractor
TWEET GAROT MECHANICAL INC
Category 510 - Ind. & Comm-Heating & Ventilating
Plan
Fuel
~ Gas
o New
~ Forced Air
I I Electric
Chimney Type C) Chimney A
UOil
U Solar U Solid
D other
U AlC U Vent
I I Con. Burner
. Not Applicable
I J Electric
o Replace
U Steam
I I Suppl.
() Direct Vent
System
Heat Loss
D As Approved
K:) As Per Plan
U Radiant
U Hot Water
C) Chimney B
C) Existing
C) Variable
BTU Rate
. Not Applicable
. Other
Value
Value
Use/Nature OMM (Theda Care) / Furnish and istall1 exhaust fan and all requisite duct to serve the Urology Procedure Room.
of Work
Issued By:
$5,156.00
~..c7
Plan Approval
$0.00
Permit Fee Paid
$88.00
Fees: Valuation
Date 06/18/2007
D Permit Voided I
Parcelld # 1621650100
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
h~lder(S) and~o se re a:y necessary approvals before starting such activity.
Signature _ft..",.,-, ___ Date ~
L.---"""" Agent/Owner
Address
PO BOX 11767
GREEN BAY
WI 54307 -1767 Telephone Number 920-498-0400
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
CIJ
OfHKOfH
ON THE WATFIl
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 you are a contractor TJarticiTJating in the Permit fee Account System and have adequate funds. check here
if yOU want this orocessed throuf?h your account n
DATE 6/18/07
JOB ADDRESS 600 Westhaven Ave.
OWNER Theda Care
CONTRACTOR Tweet Garot Mechanical, Inc.
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family o Duplex DMulti-Family
DRental
~Commercial
Dlndustrial
FUEL
~Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
DReplace
TYPE
~Forced Air DRadiant DSteam DNC DVent DElectric DHot Water DSupp1.DCon. Burner
IS CHIMNEY BEING LINED QfNo 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
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
o Other Value
DESCRIPTION OF ALL WORK BEING DONE Furnish and install (1) exhaust
fan and all requisite duct to serve the Urology Procedure Room
VALUE (Including labor and all materials including light fixtures) $ 51 56 . 00
ELECTRICAL CONTRACTOR Excellence Electric
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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