HomeMy WebLinkAbout0146392-HVAC 0 CITY OF OSHKOSH No 146392
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 495 W WAUKAU AVE Owner TOLLROGE PROPERTIES LLC Create Date 06/16/2011
Contractor DDG INC HVAC CONTRACTING Category 512 - Ind. & Comm -Both Plan S2-3254-0611 1-I
Inspector Brian Noe
Fuel Nil Gas U Oil Electric Solar U Solid
System Li New Replace ® Other
✓J Forced Air u Radiant Li Steam 121 NC J Vent
Electric U Hot Water U Suppl. Con. Burner
Chimney Type p Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan 0 Variable • Other Value
Use /Nature Fox Valley Metrology / Install HVAC sysem per approved plan.
of Work
Fees: Valuation $52,090.00 Plan Approval $0.00 Permit Fee Paid $445.50
Issued By: Date 06/16/2011
0 Permit Voided I Parcel Id # 1413620101
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 re any n ssary approvals before starting such activity.
Signature Date 6 ) (3- ,-01
Agent/Owner-
Address W6342 CEMETERY RD VAN DYNE WI 54979 - 9710 Telephone Number 948 -6744
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
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone(920)236 -5050
Fax (920) 236 -5084 K H
ON HE WA R
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 permits) 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 n
** 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 G - S -do
q ,
JOB ADDRESS 15 L) &) o. v kok U t+v t
OWNER EoX V e \CO 1 b C
CONTRACTOR G �N
CHECK ® ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family (Mental tConimercial [Industrial
FUEL blGas DElectric ❑Solid SYSTEM New ❑Replace
❑Oil ❑Solar ®Other
TYPE
tHForced Air ❑Radiant ❑Steam (S1A/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED DNo ❑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 DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs Per Plan DVariable ❑Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
VRco P €- 4P /PN " SD, - 2,1s4- 6611t-
VALUE (Including labor and materials) $ 5 ) CD 9 0
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07