HomeMy WebLinkAbout0133043-HVAC (alterations)CITY OF OSHKOSH No 133043
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATE R
Job Address 500 S OAKWOOD RD Owner MERCY MEDICAL CENTER OSH INC Create Date 09/22/2008
Contractor J F AHERN CO Category 510 -Ind. &Comm-Heating & Ventilating Plan
Fuel / Gas Oil / Electric Solar 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 (Hospital /HVAC alterations in a sterilazation room in the Surgery section. Install two VAV boxes and 1 exhaust fan to address temperature
of Work ~ntrol issues.
Fees: Val
Issued By:
Plan Approval
$0.00
Permit Fee Paid $278.75
^ Permit Voided
Date 09/22/2008
Parcel Id # 0613660000
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 PO BOX 1316
FOND DU LAC
WI 54936 -1316 Telephone Number 920-921-9020
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 pertormed 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 ~~-~p~(
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 you are a contractor participating in the Permit fee Account System and have adequate funds check here
if you want this processed through your account n
** Advisory -.For applicable projects, an Electrical Installation Verification (EIS 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 submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
9/18/08
DATE
JOB ADDRESS 500 S. Oakwood Road, Oshkosh, WI 54904
OWNER Mercy Medical Center (Affinity Health Care)
CONTRACTOR August Winter Sz Sons, Inc.
CHECK ®ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex ^Multi-Family
FUEL ^Gas ^Electric ^Solid
^Oil ^Solar
^Rental ®Commercial
SYSTEM ^New
^Other
^Industrial
®Replace
TYPE
®Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ®Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BT'U's being vented.
CHIMNEY TYPE OChimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ®Not Applicable
BTU RATE ^As Per Plan ^Variable ^Other Value
DESCRIPTION /SCOPE OF ALL WORK BEING DONE install (2) new VAV boxes and (1)
new exhaust fan
VALUE (Including labor and materials) $ 21,$75.00
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) EXCeIIenCe EleCtrlC
o~~o~