HomeMy WebLinkAbout0126849-HVAC
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OSHKOSH
ON THE WATER
Job Address 500-550 S KOELLER ST
CITY OF OSHKOSH
No
126849
HVAC PERMIT -APPLICATION AND RECORD
Owner RIVER VALLEY ONE LLC
Contractor QUALITY MECHANICAL INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
I J Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 512 -Ind. & Comm-Both
U Electric
D Replace
U Steam
U Suppl.
Create Date 09/19/2007
Plan Z5-2083-0807-H
U Solar U Solid
D Other
~ AlC ~ Vent
U Con. Burner
. Direct Vent () Not Applicable
() Not Applicable Value
() Other Value
Use/Nature 1540 S Koeller / New HVAC system as per plan for the "Sport Cuts" tenant space.
of Work
Fees: Valuation
$12,935.00
Plan Approval
$0.00
Permit Fee Paid
$190.00
Issued By:
Date 09/19/2007
D Permit Voided I
Parcelld # 0611620000
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
PO BOX 162
LITTLE CHUTE
WI 54140 -162 Telephone Number (920) 687-1299
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 ofInspection Services
P.O. Box 1130
Oshkosh, VVI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIV
SEP 1 4 2007
DEPARTi\1ENT OF
COfv]fVlUI\iITY DEVELOP~~EN
INSPE.CTION SERVICES DIVIS
HVAC 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If vou are a contractor particivating in the Permit fee Account Svstem and have adequate funds. check here
if vou 'want this processed through vour account n
JOB ADDRESS 51--6 S I{ ~A /ol
OWNER Ri:;l!$~
CONTRACTOR ACD/JtU 'C4-fJ I ~,
DATE tf- /4~{)1
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMuIti-Family
D Rental
~ommercial
Dlndustrial
FUEL
'l'<;;r" as
~il
DElectric DSolid
DSolar
SYSTEM
,t1(New
o Other
DReplace
TYPE
)8lforced Air o Radiant DSteam ~A/C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE 1\ / J iL & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented. ~
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
~RIPTION OF AIL WORK BEING DONE c;;~4~% ~.de
~~) >h{~Lu :P '/l
VALUE (Including labor and materials) $
/;f 1~-3S fQ.
,
PO
0' - #190 -
ELECTRICAL CONTRACTOR
iJ 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.
10/04