HomeMy WebLinkAbout0100506-HVACOSHKOSH
ON THE WATER
.lob Address 2471 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 500- Residential-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
100506
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
Mar 06 03 03:34p Oshkosh Inspections 920-236-5084'~
Cit~ of Oshkosh
Division of Inspection
P.O. Box 1130
Oshkosh, WI 54903-1130
Phon~ (920) 236-5050
Fax (920) 236-5084
RECEIVED
MAR 2 1 2003
DEPART IENT OF
All information after bold categories must be providext.
Incomplete applications will not be processed.
· Application(s) ~nd fe~(s) canbe brought to City Hall, Room 205 or mailed to Inspection Seawices, PO Box i 128,
Oshkosh WI 54903-1128. Comm~cing work without permit(s) will result in f~s being double~! or $100.00 plus the
normal pem-~t fee, which ever is greater.
OR
if you ~r¢ a ¢on(ractor partic~oaling in the Permit fee/lecount System and have &deauate fitnds, check here
~f gou want this Processed through your account n']
C~CK/it .iLL APPLICABLE
USE CATEGORY ~
ElSingl¢ Family nDuplcx ulti-Fan~I¥
CIRcntat
ElComm~rcial
FUEL ~[Gas 13Elec~c
E]Solid
SYSTEM
EIOil OSolar
,~ew Elt~laee
ElOther
TYPE
FIForced Air ElRadiant nStearn EIA/C EIVent ElElectric
Note: All chimneys shall be sized per the BTU's being vented.
J~Hot Water EISuppl.
& .MANUFACTURt~
CHIMNEY TYPE ElChimney A .~himney B .r'lDirect Vent
HEAT LOSS nAs Approved ~lExisting ~Not Applicable
BTU RATE ~As Per Plan ~Variable '~E]Other Value
ElOther
12Con. Burner
ELECTRICAL CONTRACTOR
[] For applicable projects, an'Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Pe~n-~t is required.
~/02