HomeMy WebLinkAbout0100779 HOSHKOSH
ON THE WATER
.lob Address 2211 OREGON ST
Contractor CONKLIN SHEET METAL INC
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner VTM ASSOCIATES LTD PARTNERSHIP
Category 512- Ind. & Comm-Both
Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved ~ Existing O Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
100779
04/11/2003
Other J
Vent J
Use/Nature
of Work
Ic2211 C Oregon/Ductwork alterations to provide distribution to 7 private office. Replace flex duct with ridgid duct install 4 zone dampers, relocate
eiling diffusers.
Fees: Valuation
Issued By:
$8,540.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$134.00
Date 04/14/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 5060 KENWOOD CT OSHKOSH WI 54904 -0
Telephone Number
231-3744
CITY OF OSHKOSH
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 2211 OREGON ST Owner VTM ASSOCIATES LTD PARTNERSHIP
Contractor CONKLIN SHEET METAL INC Category 512 - Ind. & Comm-Both
Fuel L~J Gas I E~ Oil 1 ~ Electric I LI Solar
System ~J_ New I [] Replace i
kd Forced Air I [~ RadiantI LJ Steam I kd NC
[] Electric ] b~ Hot Water I [] Suppl. ] [] Con. Burner
No
Chimney Type ~.~ Chimney A (.~ Chimney B ~ Direct Vent O Not Applicable I
Heat Loss ~ As Approved ~.~ Existing O Not Applicable I Value
BTU Rate ~ As Per Plan ~ Variable J~ Other I Value
Create Date
Plan
[] Solid
[] Other
L-J Vent
100779
04/11/2003
Use/Nature J2211 C Oregon/Ductwork alterations to provide distribution to 7 private office. Replace flex duct with ridgid duct install 4 zone dampers,
of Work Irelocate ceiling diffusers.
/
Fees: Valuation ~%54~ Plan Approval $0.00 Permit Fee Paid $134.00
Issued By: ~ Date 04/14/2003
[] Permit Voided J
In the performanc/e-of')this work, I ~k pursuant to rules governing the described construction.
Signature ~[/' ~ Date
Agent/Owner
Address 5060 KENWOOD CT OSHKOSH WI 54904 - 0 Telephone Number
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
I{VAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
CONT~CTOR ~0 kZ.>~ ~CM~ / /~/~f~
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAMILY
FUEL ~ OIL ELECTRIC SOLAR
SYSTEM NEW REPLACE ~
~ INDUSTRIAL
SOLID
TYPE ~~ RADIANT STEAM A/C
ELECTRIC HOT WATER SUPPL.
IS CHIMNEY BEING LINED ~/~ LINER SIZE
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
NATURE OF WORK:
CHIMNEY A
AS APPROVED
AS PER PLAN
CHIMNEY B
EXISTING .
VARIABLE
VENT
CON. BURNER
MANUFACTURER
DIRECT VENT OTHER
NOT APPLICABLE
OTHER VALUE
VALUE (Includin~ labor and materials) $
ELECTRICAL CO}~i2P. ACTOR
Electrical installation of new/~eplacement equipment shall be done by licensed
contractors.
Valuation
Fees
$o to $~,ooo.oo ............................................................................ ~ ..................... ~ ....... $20.00
$1,000.01 to $10,000.00... FF~-~P~--F~ $20 00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000.00 ................................................................................................. $155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000.00 ...................................................................................................................... $305.00 plus $0.50
per $100.00 valuation or part thereof.
· Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
O.J'HKO/H
City of Oshkosh
Division of Inspection services
215 Church Avenue
PO Box 1130
Oshkosh WI 54902-1130
Office 920-236-5050
Fax 920-236-5084
Electric Installation Verification
(I) (We)
(Electrical Contractor Name)
(^ddress) (City)
(State) (Zip Code)
have been contracted to perform electric installation work for
(Name of party contracted to)
at the following address: .~.2//- ~ t~'_~ q/2~,~ ~
(Addres~W'here work will be performed)
The nature of the work consists of' (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding / soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is $
I hereby verify this work will be performed by an employee of this company and further verify the
reconnection / installation will be done in compliance with manufacturer and Electric code
requirements.
ature of Company Officer)
(Print Name of Officer)
(Date)