HomeMy WebLinkAbout0132516-HVAC CITY OF OSHKOSH No 132516
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 404-410 S KOELLER ST Owner RIVER VALLEY ONE LLC Create Date 08/27/2008
Contractor O'NEILL ENTERPRISES INC Category 512 -Ind. & Comm-Both Plan D8-2445-0708
Fuel / Gas Oil Electric Solar _ __i, Solid-
~-
System ~ New ~ ^ Replace Other
/ Forced Air Radiant Steam / A/C Vent
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
i04 S Koeller (Aspen Dental) /Install HVAC with 3 RTU's. **debit acct
Fees: Valuation $30,000.00 Plan Approval
Issued By:
$0.00 Permit Fee Paid $335.00
^ Permit Voided
Date 08/27/2008
Parcel Id # 0611630100
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 522 W 6TH AVE OSHKOSH WI 54902 - 5916 Telephone Number 230-2007 (office)
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.
08/26/2008 12:52 FAX 19202302008 ONEILL ENTERPRISES
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920)236-5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
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• 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
re a c r r art' th Permit count unds ch r
u wantthi r essed r ur account
** 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) mast be submitted
with the permit application. Applications sabmitted without as EIV when such is required, wB1 not be
processed for Permit Issaance and wBl be retained for completion. Q
~~~ i _ n l DATE 0 ~~l ~t~
JOB ADDRESS
CHECK ~ ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
~~a ~' ys. c~o~
~ ~8 ~ Zy
p k~
b
^Rental ,~Commercial ^Industrial
FUEL Gas OElectric ^Solid SYSTEM ~ew ^Replace
^Oil ^Solar ^Other
TYPE
~orced Air ^Radiant ^Steam /~1/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ~1o OYes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIlVINEY TYPE ^Chimney A ^Chimney B ~irect Vent ^Other .
HEAT LOSS s Approved ^Existing i7Not Applicable
BTU RATE s Per Plan ^Variable ^Other Value
.n , _ ,.
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
VALUE (Including labor and materials) ~, ~V(l
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
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