HomeMy WebLinkAbout0100503-HVACOSHKOSH
ON THE WATER
.lob Address 2491 N MAIN ST
Contractor K KELLY INC
Fuel ~J Gas
System ~J New
~J Forced Air
~J Electric
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Radiant
Hot Water
Owner SKB CAPITAL CORPORATION
Category 510 - Ind. & Comm-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA
Heat Loss I~ As Approved
BTU Rate IO As Per Plan
Chimney B
~ Existing
~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100503
03/24/2003
Other J
Vent J
Use/Nature
of Work
12 UNIT/Install Hydronic heating system.
Fees: Valuation
Issued By:
$21,787.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$273.00
Date 03/28/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 2057 BELLEVUE ST GREEN BAY WI 54311 -5619 Telephone Number
877-905-3559/920-46
-Hat 06 03 03:34p
Civj of Oshkosh
Division of Impec6on S~viccs
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920)236-5050
Fax (920) 236-5084
Oshkosh Inspections
9ao-a36-5o84~
RECEIVED
p.2
· Application(s) and fe~(~) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Co~ing work without permit(s) will result in fees being doubled or $100.00 plus thc
normal permit fee, which ever is greater.
OR
If you are a ¢ontr~tctor partic~vatinff in the Permit fee 4ccount Svs.tem and hav~ ~tdeauate funds, check here
if yo~ want tb~s processed through your account n
CISingle Family EIDuplcx J~Mulfi-Family . ElRental ....... Etcomm~ia177 [glndustrial
FUEL ,J~C_~ I"lEle, ctric OSolid SYSTEM- fl~qgw r'lRep]ace
E]Oil . OSolar I~Othcr
TYPE
nForeed Air ~lRadiant r'lSteam [3A/C EIVent r'IElectrie
IS CHIMNEY BEING LINED EIblo l-lYes - LINER SIZE .~//~
Note: All chimneys shall bo sized p~r fl~e BTU's bo~ng vented.
/~I-Iot Water EISuppl.
& MA3YOFACTURER
ElCon. Burner
CHIMNEY TYPE ElChimney A ~_ .Ch~. ey B nDireet Vent
i~AT LOSS ~ A~mv~ ~is~g ~qot ~pli~blc
B~ ~ P~ ~ OV~able fl~ value
~Othcr
ELECTRICAL CONTRACTOR
13 For applicable projects, an El~6tric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Eleclrical P6a-mk is required.