HomeMy WebLinkAbout0133853-HVAC/~`~ CITY OF OSHKOSH No 133853
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 300-350 N KOELLER ST Owner BROS LLC Create Date 11/06/2008
Contractor ZIEGELBAUER HVAC INC Category 512 -Ind. & Comm-Both Plan D6-2429-0708-H
Fuel / Gas Oil ~ ~lectnc i ~[ Solar ! [}( Solid
System a New ~ ~ Replace _ _~ Other
/ Forced Air Radiant Steam / A/C Vent J
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
Fees:
Issued By:
Permit Fee Paid
$407.00
Date 11/06/2008
Permit Voided I Parcel Id # 1608701100
In the pertormance 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 P01001
Agent/Owner
FOND DU LAC
WI 54936 -1001 Telephone Number 922-4770
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.
40 S Koeller St - (Windy City Grill) AFTER THE FACT /INSTALL 1 ROOFTOP UNIT, DUCTWORK, GRILLS, ELECTRIC HEATERS,
SAS PIPING TO ROOFTOP UNIT ONLY ALSO TOILET EXHAUST FANS (Mechanical screening required per City of Oshkosh Planning
>ept.) **check #17156
12,900.00 Plan Approval $0.00
~,w.'. 'r ~ ~. z ~.? ,fit "Yfi
City of QsAkash
division of Inspcctibri StrVicds
P.O. Box 1130
4shkash, WI 54943.1134
~hana(p~a}ZS6-SO30
PaR (920}234-SO$4
IiVAC PERMIT APPLiCAT14N
Ati information alter bald categories must be provided,
Incomplete applications will not be processed.
1:. 4 ~ 1 ~ ~'. ' rp
~b ~~
off rNfi w
e Application(s) and fct(s) can 6c brat,gl4t to City Hall, Room 205 or mailed to inspection Services, P4 Tlox I t2$,
bshkash WI 54903.11$. Commencing work without porrnit{s) will result in fees being doubled or SIQO,00 plus the
nt~rrnal permit fee, wbiah ever is greater.
OR
Ltevu era a aonrraetor partici~a~n¢ rn the Perrntt,~ee Accnunt~Svsrem and have asleauale,(.~r~ds check here
ff vvu want this proQe~pd Ihrnu h YDUt aCCDUn1 n
*~ Advisory -Fat applicable projects, an Electrical Installation Yerificatiatt {EIV) farm, signed by the $loctxicai
ConcractQx yr ~vmcvw~ex {l`or Installatian$ ttllowtd to be gcrformati by the hameawr-c4~) mast be anbmittcd
with the permit t-pplication. Applications submitted withatat an EIV when each is repaired, w1I1 not be
praccsacd for Permit Isanance and will be xttarntsd for completion,
DATE { 1- 3--y~
JOB ADDRESS 3 4 D 01/ . KO E L F F.R.- dT'
OWNER ~v Y C ~ T Y
coNTRACTOR ,fit ~G ELa,4[~s.~ NvA c 1~~- .
CHECK Cod ALL APPLICABLE
USE CATEGORY
OSingle Family (]Duplex OMulti-Family
F1JLL j~ias Q8leatria ^Solid
DOIi ^Solar
p ~-a ~a~ - duo ~-N
~Cammercial OIndusttial
ORental
'~NeW p[tcplace
OOther ~mF~~ t/t~ ~ r
SYSTEM
T E
orced Air l7Radiant ^Stcarn ~lA/C C1Vent gEiectric t7Hot Water OSuppl, ~ OCon. Burner
I3 CHIMNEY BEING LINED C7No ^Yes - LINER SIZES & MANUFACTURER.
Note: Ali chimneys shalt be siud per iho BTU's being vented.
CHIMNEY TYPE Chimney A (]Chimney B (]birect Vent QOther
HEAT LOSS OAs Approved DExisting Not Applicable
$~'~ YtA,TE DAs Per ('tan L7Vsriable C7Other Value
IyESCltZ1P?xQN / SGd~PE t~F ALL WORK HEIIVG DONE ~ ' 200t'-rr~P LIn+~TLt_Ctl~/.~-r11~.~
~i~'~"~ ~dS~ c3iY_rl~. P~ ??.~GY% aP ~L!~!lfo~.+t.1/
VALUE (Including labor and mattrlals) ~l'Z-~ OD ~ C
_ ~}~-C-T
>'ri.~cz'Ricatr ~Q4+4TAACC4R {tor projects not requtring aq BN Form)
07/07
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