HomeMy WebLinkAbout0128112-HVAC (supply/return)
G
OSHKOSH
ON THE WATER
Job Address 2975 S OAKWOOD RD
CITY OF OSHKOSH
No
128112
HVAC PERMIT -APPLICATION AND RECORD
Owner BARBER ENTERPRISES INC
Create Date 12/10/2007
Contractor
AIR TECH HEATING INC
U Gas
o New
U Forced Air
U Electric
Chimney Type KJ Chimney A
Category 510 - Ind. & Comm-Heating & Ventilating
Plan
UOil
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Fuel
System
Heat Loss
[) As Approved
[) As Per Plan
U Radiant
U Hot Water
C) Chimney B
o Existing
() Variable
BTU Rate
. Not Applicable
. Other
Value
Value
Use/Nature shkosh Office Systems / Move and add supply & return as needed. Install exhaust fan.
of Work
-----~
Fees: Valuation
$2,300.00
t/.d77( -<J
Plan Approval
$0.00
Permit Fee Paid
$44.50
Issued By:
Date 12/10/2007
o Permit Voided I
Parcelld # 1329103001
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
1305A INDUSTRIAL PKWY
FOND DU LAC
WI 54937 - 2208 Telephone Number 920-924-6742
---
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
.
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 participating in the Permit fee Account System and have adequate funds. check here
if YOU want this processed throuflh your account n
** 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 EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE
j'v'1) -b7
JOBADDRESSOS/;tlLos-iA. Dfhc6 S~C;~S- O!J-F-a<;~al ^ ~/J
OWNER D~,^Ic-o>k 6fnu $\I<;~S ~q7S-&~ /'"0'--
CONTRACTOR hYT~~ tt-d-h"j
CHECK Ii:f ALL APPLICABLE
SYSTEM
)(commercial
DNew
DOther
Dlndustrial
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
FUEL
DGas
DOil
DElectric DSolid
DSolar
DReplace
TYPE
DForced Air DRadiant DSteam DAlC o Vent 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
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
o Existing
o Variable
DDirect Vent 06ther
~ot Applicable
ta6ther Value
DESCRIPTION I SCOPE OF ALL WORK BEING DONE
r (;(.{
VALUE (Including labor and materials) $ J2/J('j . Db
DEPARTlv1ENT OF
COMiJIUNITY DEVELOPfV1ENT
INSPECTIOflJ SERVICES DIVISION
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
<$41.5D
07/07