HomeMy WebLinkAbout0133332-HVAC/~I"~ CITY OF OSHKOSH No 133332
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 855 N WESTHAVEN DR Owner AURORA MEDICAL CENTER OF OSHKOS Create Date 03/11/2008
Contractor J F AHERN CO Category 510 -Ind. &Comm-Heating & Ventilating Plan 63-2293-0308
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 Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value
Use/Nature
of Work
uvnwca -nnciauvna ~~ Diu nuw ui iwCUwai vnicC ounumy -
2linen rooms and 1 office. **check #3298
Fees: Valuation $8,140.00 Plan Approval
Issued By:
$0.00
area, iocKer area, nurses station, ~ exam
Permit Fee Paid _$1.33.00
Date 10/07/2008
^ Permit Voided
Parcel Id # 1621520000
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
Address PO BOX 1316
Agent/Owner
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 performed within two business days from the time the project is ready.
~,3- zz93-4308
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130 ~~,
Phone (920) 236-5050,
Fax (920) 236-5084 O~
ON THE WAT
HVAC PERMIT APPLICATION DE"'~~ ~' ~~'Eiv,r ~~
COMMUNITY i)E1lE! 0~-~MEN'i~
All information after bold categories must be provid~SPECI'IUN SEl~2VlCE~ C?1ViSI0(V
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 narticipatinQ in the Permit fee Account Svstem and have adequate funds. check here
if you want this processed through your 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) 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 retarned for completion.
~~ / DATE__ ~~~.5~ O~
JOB ADDRESS g~~/I/- ~~7~~//,1'J ~~~T~, i('D~ ~~
OWNER ~~(~~'~/Y/~/~G~IT~''
CONTRACTOR ~~ p,~.
CHECK ®ALL APPLICABLE
USE CATEGORY
OSingle Family ^Duplex ^Multi-Family ^Rental ~1Commercial ^Industrial
FUEL `Gas ^Electric ^Solid SYSTEM ^New Re lace
^Oil ^Solar I,~Other
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 BTU's being vented.
CHIMNEY TYPE ^Chimney 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
VALUE (Including labor and materials) ~_~~~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
o~/o~