HomeMy WebLinkAbout0133854-HVACCITY OF OSHKOSH No 133854
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
Fuel / Gas Oii Electric Solar_ ___j ^ Solid
System ^/ New ~ ^ Replace ~ ^ Other ___
/ Forced Air Radiant ~ Steam / A/C Vent ~
Electric Hot Water Suppl. Con. Burner
Chimney Type Chimne A Chimne 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
330 S Koeller St - (St. James) AFTER THE FACT /INSTALL 1 ROOFTOP UNIT, DUCTWORK, GRILLS, ELECTRIC HEATERS, GA
PIPING TO ROOFTOP UNIT ONLY & TOILET EXHAUST FANS (Mechanical screening required per City of Oshkosh Planning Dept.)
"*check #17156
Fees: Valuation $10,800.00
Issued By:
Plan Approval
$0.00
$344.00
Date 11 /06/2008
Permit Fee Paid
^ Permit Voided Parcel Id # 1608701100
In the performance of this work, I agree to perform ail 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 Oate
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.
:; ~ .. . ~ A~r1
C#ty Qfashkosh
C1iV13i0~14fIn3¢eoflbri Scrv{cts
1'.t1. Box I t30
ashkosh, WI34903y1l~0
Phone (92{1} x36-5050
Fax (920236-5084
HVAG PERMIT APPLI+CATtON
A!i informatlbn aRer hold categories must be provided.
Tnwmplete applications will not ba processed.
1
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Application(s) and fee(s) can be brought to Clty Hall, Room 245 or mailed to Inspection Setviaes, PQ Box l I28,
t7shkash WI 349U3-11211. Commencing work without potmit{s) will result in fees being doubled or $144.44 plus the
nbrniai ptrmit fee, which ever is greater.
aR
I~vou are a contractor narrieinntine rn fife Perenlt,~ee Account Svstem and kave~eg,uaf4.funds ch~,k hl,,,e~re
if you wun~ rota processed lhrauQh our account f-1
** Advisory - FaY applicable projects, atx Electr#ea1 Installation Yerltieatlon (E1Y) form, signed try the Blccfxical
Contr~ccot yr >~omeownez (for insta3latiana allowed to be gerformed by the homeowner} mast 'be sabwltted
rv#th the pcimit appl3catlan. Applications tf;abm#tied witUcoot an EI(V when each is retluiredr will not be
pract~aeett for PQnedit 78A>iasfct and vriU be Retarned for completion.
DATE (1 ~ 3 -0 8 ~_
Jt7B ADIIRESS 3 ~ l~, ILA ~(~/Z ~i`,
owNER 5 r~~ ~A.ti, ~
coNTRACTOR zc~i~~v~ ~yaG (,..~ . ~p-a7433~ b "70~- l-~
CHECK B1 ALL APPLICABLE
USE CATEGORY
DSingle Family gDuplex DMulti-Ffunily
Fl(JEL @!'Gas QElcctria ^Solid
DOiI ^Sotar
ClRental )~Commereial OIndustrial
SYSTEM Qlttew 4ltcplace
^Ot~her __~~~ (r tt~ t t!
T'A'PE
orced Air DRadiant ^Staam 5ij'AIC OVent Ol?loctrie ^Hat Water DSuppl, • OGon. Burner
IS CHIMNEY BEING LINED [7No ^Yes -LONER SIZE N ~ & MANUFACTURER
Noto: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A ^Chitnnay B Dbirebt Vent DOther
MEAT LOSS
~ DAs Approved ClExisting ~Alot Applicable
B'I'
U RATE DAs Par Plan DYsriabte ^4ther Value "
i SCOPE OF ALL WORK BEING DONE1-~R09~ ~ p (i(
VALUE {Inetudtng labor and motorists) $ ~~. ~'G7.7 -- THE
i`~~
ELECTRICAL CONTRACTOR (tor projects not requiring $n EIV Form} -,._...
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