HomeMy WebLinkAbout0126230-HVAC (replace RTUs)
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OSHKOSH
ON THE WATER
Job Address 1900 S KOELLER ST
CITY OF OSHKOSH
No
126230
HVAC PERMIT - APPLICATION AND RECORD
Owner DAYTON HUDSON CORP
Create Date 08/13/2007
Category 512 -Ind. & Comm-Both
J Electric
o Replace
U Steam
I J Suppl.
Plan
Fuel
BALCO SERVICES
I~ Gas
o New
~ Forced Air
U Electric
Chimney Type Chimney A
Contractor
Use/Nature COMM (TARGET) / REPLACE 9 RTU'S WITH NEW UNITS BY A DIFFERENT MANUFACTURER, EIV SIGNED BY TRIUMPH ELECTRIC
of Work
U Radiant
U Hot Water
Chimney B
C) Existing
o Variable
U Solar U Solid
o Other
~ AlC U Vent
I I Con. Burner
System
I I Oil
I
Heat Loss 0 As Approved
BTU Rate K:) As Per Plan
Direct Vent Not Applicable
. Not Applicable Value
. Other Value
Fees: Valuation $75,000.00
Issued By: ~/>r-
Plan Approval
$0.00
Permit Fee Paid
$560.00
Date 08/13/2007
o Permit Voided I
Parcelld # 1307440105
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 to se~~~rovaIS hp.fnrp. ~t:;u:ting such activity.
Signature ~ --Date,,__......
Agent/Owner
Address
N961 TOWER VIEW DR
GREENVILLE
~ 54942 - 8030 Telephone Number 920-757-6578
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.
el.
~~O'
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
ON THF WATFR
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
J
ee Account S stem and have ade uate unds check here
** Advisory _ For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EN when sllch is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE ff:-3-07
JOB ADDRESS {ClOt) S.. 'Cae /1<2r'!Jt~
OWNER ~ 3d/ )"-:.. D &'Cl -;
CONTRACTOR Bc.jGCJ S(z"VVi-c.~
CHECK It1 ALL APPLICABLE
USE CATEGORY
OSingle Family o Duplex o Multi-Family
ORental
~ Commercial
o Industrial
FUEL
~as
DOB
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
TYPE
~Forced Air o Radiant DSteam ~A/C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimney B DDirect Vent o Other
HEAT LOSS DAs Approved o Existing DNot Applicable
BTU RATE DAs Per Plan DVariable DOther Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE Rapla..H:eOf R7U!S LV''';''' nQ.t.o(/
r /V\/tf buf by CL OitlrGV'--I M(!1...Y'\ulhcfUer-
VALUE (Including labor and materials) $ 76; C/cJt'J
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) 1,,'w\J/fJ
I
07/07
~
ot.tjf.~?tH
Electric Installation Verification
I (We)
...-1" .,,","
J r : ~XI",",'~ A..' rf-ff! c,fr" c.. ,.:J:~-,-.
d' (Electrica.1 Contractor Name or Homeowner's Name)
'7~o t,l ".,~~; I A"A
(Addre~s)
Avf. IY~/L-l~"
(City)
wI
(State)
Sl( ~ JI-I
(Zip Code)
accept the respoDsibiJity to perform the electdc work as stated below, at the following address:
J 0 O()
.s. -K fPg. ({ e ," d-
(Address where work will be performed)
TIle l1ature ofthe
consists of: (Check One or Describe the Nature of Work)
_.L. Reconn,~ction or new circuit for replacement Heating Plant and/or Ale COltdenser.
R~q0nnt:ctiol1 or new circuit for replacement Electric Water Heater or power vented
oi./;Yl,n7j' hefl.ter.
R.e~Oljr!,~.ttion of the Service Entrance Cable, Meter Box, alterations to receptacles
'.,ancl lighting fixtul'es dtle to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
R~<;()flj+i"Gtlon or new circuit for the replacement of other permanently wired
'app1hu1ces I fixtures.
New cin.:uit for the addition of Ale to alt individual dwelling unit, including
required service electrical outlets. Note: Homeowners can only do their own
on a single family owner occupied home. Work on a condominium,
rental, or multi~use building would require a licensed Electrical
COnirl1CtOl'.
Other
The vahle of this wurk is $ ;2. 00 o. <'- 0
I hereby verifythh \\ork will be performed in compliance with the License requirements of
Section. 11-22 of Oshlwsh Municipal code a,11d further verify the recon.nection I installation
will be done incomr'llance with manufacturer and ElectJic code requirements,
/'[J
j;J ..'
-IJ~.(:12~
Signature ofCoITlpany (),Ticcror HomcoWl'Icr)
-Ill.- r. ~ AA) (( e...JJ Il!l (i......
(print Mamo)
~ .1--07
(Date)
07/07