HomeMy WebLinkAbout0146597-HVAC 0 CITY OF OSHKOSH No 146597
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1680 -1698 S KOELLER ST Owner MARLIN KOELLER LLC Create Date 06/07/2011
Contractor AIR TEMPERATURE SERVICES INC Category 510 - Ind. & Comm - Heating & Ventilating Plan Q1-3282-0511H
Inspector
Fuel Gas U Oil 1 1 Electric L. j Solar 1 j Solid
System El New 1] Replace Q Other
1 Forced Air U Radiant u Steam u NC u Vent
Electric LI Hot Water Suppl. _1 Con. Burner
Chimney Type 0 Chimney A O Chimney B O 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 COMM/ MATTRESS FIRM/ Installation of ductwork and new registers. (State Approved Plan)
of Work
Fees: Valuation $10,000.00 Plan Approval $0.00 • Permit Fee Paid $160.00
Issued By: Lib Date 06/29/2011
❑ Permit Voided Parcel Id # 1307440403
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 5301 VOGES RD MADISON WI 53718 -6937 Telephone Number 608 - 257 -2600
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 (1
HVAC PERMIT APPLICATION JUN 2 8 A 2011
All information after bold categories must be provided.
Incomplete applications will not be processed. DEPARTMENT OF
COMMUNIT DEVELOPMENT
• Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services PO Box 1128V ISION
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 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 (.y"- - 7-1/
JOB ADDRESS �/ 5-fra/
a
OWNER 11 ne., ,eY
CONTRACTOR yvi ` y Se/rY) �\ 1 11p
CHECK ® ALL APPLICABLE (`r /7
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental ommercial ❑Industrial
FUEL ❑Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil CI Solar ❑Other,
TYPE
❑Forced Air ❑Radiant CI Steam ❑A/C ❑Vent DElectric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent DOther
HEAT LOSS DAs Approved ❑Existing ❑Not Applicable
BTU RATE DAs er Plan ❑Variable Other Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE ( r h t iv re . 1 C l
U
VALUE (Including labor and materials) $ (0/ O n
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07