HomeMy WebLinkAbout0140561-HVAC l CITY OF OSHKOSH No 140561
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 855 N WESTHAVEN DR Owner AURORA MEDICAL CENTER OF OSHKOS Create Date 04/20/2010
Contractor J F AHERN CO Category 510 - Ind. & Comm - Heating & Ventilating Plan P3- 2968 -0410
Fuel 12 Gas U Oil u Electric 1 i Solar u Solid
System ❑ New 1 ❑ Replace n Other
u Forced Air u Radiant ❑ Steam ❑ NC ❑ Vent
Electric ❑✓ Hot Water J Suppl. I Con. Burner
Chimney Type 0 Chimney A O Chimney B O Direct Vent • Not Applicable
Heat Loss C ) As Approved 41 Existing O Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use /Nature 2nd Floor Remodel / Ductwork is being modified to match the new wall layout during interior remodel project.
of Work
Fees: Valuation $8,700.00 Plan Approval $0.00 Permit Fee Paid $140.50
Issued By: a Date 04/20/2010
❑ Permit Voided I 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
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 performed within two business days from the time the project is ready.
City of Oshkosh
11
Division of Inspection Services
P.O. Box
Oshkosh, WI WI 54903-1130
Phone (920) 236 -5050 �����
Fax (920) 236-5084
ON THE WATER
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 f
** 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 returned for completion.
DATE 7 /S, ,9Q /Q
JOB ADDRESS ,g15 W. 771AWA/ O
OWNER ,& /4, 4 /0/62)/7,4 RECEIVED
CONTRACTOR 3: Af/E ,(J CO APR 19 2010
Eel ALL APPLICABLE DEPARTMENT OF
CHECK
�3 -aG1 (�? �' cf / 4 CO MMUNITY DEVELOPMENT
USE CATEGORY INSPECTION SERVICES DIVISION
❑Single Family ❑Duplex ❑Multi - Family ❑Rental XCommercial ❑Industrial
FUEL Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar 'Other ,54 40,
TYPE
,Forced Air ❑Radiant ❑Steam ❑A /C ❑Vent ❑Electric 74-lot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED igNo ❑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 Ds Approved XrExisting ❑Not Applicable
BTU RATE tilAs Per Plan ❑Variable ❑Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE l a/L`7 4/1. e /5 8 Z'V6 AllYfirED
I I Air , a, / A I Ii i /!_ O' iii /A
VALUE (Including labor and materials) $ 8 �G� " `' f�E c - 1 /W-0:-
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)