HomeMy WebLinkAbout2007-HVAC
.
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
128123
HVAC PERMIT -APPLICATION AND RECORD
Job Address 3325 S WASHBURN ST
Owner BERGSTROM OF THE FOX VALLEY INC
Create Date 10/01/2007
Plan Z7-2114-1007H
Contractor HURCKMAN MECHANICAL IND., INC.
Fuel ~ Gas I J Oil
System o New
I.!J Forced Air I.!J Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss o As Approved C) Existing
BTU Rate ~) As Per Plan () Variable
Category 510 -Ind. & Comm-Heating & Ventilating
I J Solar U Solid
D Other
U AlC U Vent
U Con. Bumer
. Not Applicable
U Electric
D Replace
U Steam
I I Suppl.
() Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature New Auto Dealership. Office areas will be heated with forced air. Service areas are heated with infrared heaters with ventilation as
of Work required.
,
Fees: Valuation $38,300.00
Issued By: \ ~ ^-'
Plan Approval
$0.00
Permit Fee Paid
$376.50
Date 12/11/2007
D Permit Voided I
Parcelld # 1365500000
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
P.O. BOX 10977
GREEN BAY
WI 54307 - 977 Telephone Number 920-499-8771
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
iOshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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rIJ~/#' DEC05~007 ~
f'\. I DEPARTMENT OF . OfHKOfH
^ \ \ ~ I llF..V.ELOP\\1ENT ON THE WATER
V HVAC PERMIT JMWmnWttES DIVISION
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 varticipatinf!in the Permit fee Account System and have adequate funds. check here
if YOU want this orocessed throueh your account n
DATE \ \ -1.- d-CD I
.JOBAUDRESS 33dS &.W~""~u""~
OWNER~P('~~~ ~~~l~-2... _
CONTRACTOR ,\\u ,c..~ ~n. ~~.IfY\c;,C"~,,: ... <',,-0 \lI'.~~-K-\.~
CHECK ~ ALL APPLICABLE
USE CATEGORY
pSingle Family ODuplex OMulti-Family
i
ORental
IXfCommercial
DIndustrial
FUEL
~as
DOil
OElectric OSolid
o Solar
SYSTEM
~ew
OOther
OReplace
~~edAfr ~adiant OSteam DAlC DVent DElectric OHotWater OSuppl. 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
OChimney A
iaAs Approved
~s Per Plan
l)tChimney B
OExisting
OVariable
ODirect Vent DOther
DNot Applicable
DOtherVaIue
DESCRIPTION OF ALL WORK BEING DONE
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o~ .,>-~~\Ul. .~ ;.>..~ ~ u..:i~ \"'~~~ ~~~~
L0':'~ ~.(b~\'~\\~~\0--~ .
VALUE (Including labor and materials) $_ ~ 8 J <-~Oo. ao
ELECT~~~:a~~~:~o~~~~n~~la:on~~fi~a~~~, S~~:t;;-;~l~~calContractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
o~~ d-S,Cx:::>O =. o\O;()O
\ 3 ~oQ ::. <.0<0. SO '--\'62>)<.. s<SJ
.3 ~, ~OO .3 \6.56
10/04