HomeMy WebLinkAbout0125555-HVAC
e
OSHKOSH
ON THE WATER
Job Address 400-430 N KOELLER ST
CITY OF OSHKOSH
No
125555
HV AC PERMIT - APPLICATION AND RECORD
Owner DUMKE & ASSOCIATES LLC
Create Date 06/28/2007
Plan Y5-1987 -0507 -H
U Solar U Solid
o Other
~ AlC ~ Vent
Contractor E C MERRILL INC
Fuel l!:J Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate . As Per Plan () Variable
Category 512 -Ind. & Comm-Both
I.fJ Electric
D Replace
U Steam
U Suppl.
. Direct Vent
U Con. Burner
() Not Applicable
C) Not Applicable
() Other
Value
Value
Use/Nature Com/ EARLY START - Re- install diffusers and grills in new ceiling layout -- This penn it issued subject to Early Start Policy -- No work to be
of Work concealed prior to inspection
$3,500.00
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$112.50
Issued By:
Date 06/28/2007
D Permit Voided I
Parcelld # 1611220000
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
1018 W SOUTH PARK AVE
OSHKOSH
WI 54902 - 0
Telephone Number (920) 235-3600
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.
P.O. Box 1130 i
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
.~
OfHKOfH
ON THE WATER
RECEIVED
HVAC ~ERMIIAPPLICATION
All informatio~LAf1eA,%lJg~gories must be provided.
Incompl~~~ 0Jiil not be processed.
, !' COMMUNITY DEVEL~PMENT . i
. Application(s) ~d fee(s) can be bro~~~'0bS~l\b~iled t~ Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without peIl11it(s) will result ~n fees being doubled or $100.00 plus the
normal permit fee, which ever is greater. !
,OR ,.'. , . ...... . . ,
J(vou area contractor varticivating in the Permit fee Account System and have adequate funds. check here
if yOU want this processed through your account n '
JOB ADDRESS L/ 3 (j ;J. K.Oft l.,-L,121'l-
OWNER c; TJ4 (L I~ ~ fLDJ P
CONTRACTOR E _ C~ iIL4 tZ/t-lt t ",.c...--
DATE :;- /~ I /t; ')
I /
~rP .?~
c,~J~'O?/ ~
viI ~
CHECK It'J ALL APPLICABLE
,
USE CATEGORY
DSingle Family DDuplex OMulti-Family
o Rental
OCommercial
o Industrial
FUEL
~as
DOil
DElectrlc DSolid
o Solar
SYSTEM
Dij"ew
o Other
I
DReplace
TYPE I
~orcep Air o Radiant OSteam DAlC OVent OElectric DHot Water OSuppl. DCon. Burner
IS CWMNEYBEING LINED DNo DYes - LINER SIZE II / IlL. & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented. ~
ClDMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
DAs Approved
DAs Per Plan
DChimney B
lmxisting
o Variable
ODirect Ven! DOther .
ONot Applicable
DOther Value
, ,
DESCRIPTION OF ALL WORK BEING DONE R e:.- /1V5j'71-t-.L' j)/PF-v512-.<<.-; .J- ~ !tl<..t...-}
I jJ NIZ-~ C//Z-c;. //1-/6 1-/41 ~f/ r
VALUE (Inclu1lng labor and all """ral' IncludIng light fixtures) $ ?> >0 J ~ . ~ IP /'
ELECTRICAL CONTRACTOR' . . ~ / 111- . ..' . :. .'
o For applicable projects, an Electric Irtstallation Verification form, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicable, a separate Electrical Pft~ I
JUN 1 .2 2007
.DEPARTMENT OF 9/02
COM~UNm DEVELOPMENT
INSPECTION SERVICES DIVISION
L-_'
......~
,.-~~~
.iII. ~ VL .
~..