HomeMy WebLinkAbout0125409-HVAC
o
OSHKOSH
ON THE WATER
Job Address 1120-1180 EMMERS LN
CITY OF OSHKOSH
No
125409
HV AC PERMIT - APPLICATION AND RECORD
Owner WESTOWNE NORTH PROPERTIES LLC
Create Date 06/19/2007
Plan Y3-1981-0507-H
Contractor NORTHCENTRAL CONST CORP HTG
Fuel ~ Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss D As Approved () Existing
BTU Rate () As Per Plan () Variable
Category 510- Ind. & Comm-Heating & Ventilating
U Electric
D Replace
U Steam
U Suppl.
() Direct Vent
Wolar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Not Applicabl~
. Not Applicable
. Other
Value
Value
Use/Nature COMM (1126) /THIS SPACE WAS RE-DESIGNED SO THE DUCTS HAVE TO BE MOVED TO COVE THE NEW SPACE LAYOUT
of Work
Fe.., VaIUal1~'~
Issued By:
Plan Approval
$0.00
Permit Fee Paid
$310.00
Date 06/19/2007
D Permit Voided I
Parcelld # 1621530000
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 ilJthtEr'permit plication within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) ahd to secu~e y necessary approvals before starting such activity.
Signat ."
Date tb~/ 1-G' 7
AgenUOwner
Address
631 S HICKORY ST
FOND DU LAC
WI 54935 - 5502 Telephone Number (920) 929-9400
)
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), 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 ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
~
OJHKOfH
ON THE WATER '
HVAC PERMIT APPLICATION
All infonnation 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If y'ou are a contractor lJarticilJatinf! in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n .
DATE
tcr/C;~u 7
)13 - Re\-Ch07-t-
JOB ADDRESS /1c1(P F (l1j11A~1 DtfZ
. OWNER W L-:::S"WAlJAJ 6lo.;){ L--LC
CONTRACTOR IJI)/1]7.j.U~J~n'ZkL- COIJ:5nZ-\Jch-CkJ COf?--ro
CHECK ItI ALL APPLICABLE
USE CATEGORY
o Single Family DDuplex DMulti-Family
DRental
~mmercial
DIndustrial .
FUEL
~
DOil
DElectric DSolid
o Solar
SYSTEM
DNew DRep1ace
ootne'r {,U(~ /h€C' /0 (){/j'/0t~ vue]]"
/S,.,(... Nev...; o/~a=r
OHot Water DSuppl. DCon. Burner
TYPE
DForced Air DRadiant
DSteam ~ DVent
DElectric
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the .BTU's being vented.
& MANUFACTURER
cIiIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
t1Chimney B
o Existing
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
D'ESCRlPTION OF ALL WORK BEING DONE J7-,~ fy4l e lzja{ /<: da<'Ij"~ i2d So !t&-
!./n ; J f fp f4/J{)i/P d v{~ h:J )/Ovw r~Jjl;e-t,ff"'P .:u~A .J ;r,C; (t'? Lu-y Del
VALUE
60
.$ )JJ-/, ? UJ :--
/
ELECTRICAL CONTRACTOR C ~ A Lu(.::f)-C
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicab~e, a separate Electrical Permit is required.
9/02