HomeMy WebLinkAbout0100507-HVACOSHKOSH
ON THE WATER
.lob Address 2481 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
100507
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~
City of Oshkmh
Div/s/on of Inspect/on Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Pho~ (920) 236-5050
Fax (920) 236-5084
RECEIVED
HAR 2 1 200i
DEPARTMENT OF
All information after Ix)Id categories must be provided.
hcompk~ applications wil/no: be proce~s~l.
· Application(s) and fee(s) can be brought to City Hail, Room 205 or mailed to Inspection Services, PO Box 1 I28,
Oshkosh WI 54903-1128. Commencing work without permit(s)will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor partictvating in the Permit fee Account System and have ~zdeauate funds, check here
if your want this processed through ),our account ~']
CHE. CK ii~ ALL APPLICABLE
USE CATF_foORY
CISin~¢ Family ClDuplcx ~Multi-Family
5R~tat ElCommereial ClIndu~al
FUEL ~'Cras OEleclxic ElSolid SYSTEM ,~lew E]Repl~e
[3Oil OSolar ElOther
TYPE
I'lForcedAir [DRadiant [2Steam OMC EIVent EIElectrie /l~HotWater EISuppl.
IS CHIMNEY BEING LINED EINo l-lYes - LINER SIZA y//(~ & MANUFAC~
Note: All chimneys shall be sized per the BTU'$ being vented.
[3Con. Burner
CHIMNEY TYPE EIChimney A J~Chimney B rnDircct Vent EIOther
HEAT LOS,~ OAs Approved ~ "-OE.xisti~.g J~Not ,~4~plieable
BTU RATE ~ Per Plan [3Variable E]Other Value
/
ELECTRICAL CONTRACTOR
O For applicable projects, an Electric Installation Verifioation form, s~gned by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Eleclxical Pem-~it is required.