HomeMy WebLinkAbout0154436 - HVAC (create new office space) CD CITY OF OSHKOSH No 154436
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 100 N MAIN ST Owner DAYMARK 100 N MAIN LLC/OSHKOSH 621 Create Date 02/01/2013
Contractor VAN HANDEL HEATING&COOLING Category 512-Ind.&Comm-Both Plan Y8-3688-0113
Inspector John Zarate
Fuel ❑ Gas Jj Oil 1 lectric J Solar 1 Li Solid
System ✓ New J ❑ Replace 1 7 Other J
Q Forced Air J Radiant Q Steam J NC Q Vent
Electric ❑ Hot Water 1 ❑ Suppl. J ❑ Con_Burner
Chimney Type 01 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable
Heat Loss 0 As Approved 0 Existing O Not Applicable 1 Value
BTU Rate 0 As Per Plan 0 Variable 0 Other Value
Use/Nature COMM/Creating new Office space*Oshkosh Convention&Visitors Bureau-Per approved plans and applicable codes. **check#1360
of Work
1
Fees: Valua ' 22,000.00 Plan Approval $0.00 Permit Fee Paid $294.00
Issued By: 1, Date 02/12/2013
❑ Permit Voided 1 Parcel Id#0800570000
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 an�y/neccessacy approvals before s arting such activity.
.x.
Signature t 7 Date /' ^/./
Agent/Owner
Address N4170 CTY RD E FREEDOM WI 54130 -0 Telephone Number (920)540-9914
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 (r4
Oshkosh, WI 54903-1130
Phone(920)236-5050
Fax (920)236-5084 OJHKOJH
ON THE WATER
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 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 02 Ol 3
JOB ADDRESS 0 Shs H Vcs \ b
OWNER 0 V Al I l 1, Coo CONTRACTOR /a,r l a H a, U i �fl
CHECK ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental 'CO ommercial ❑Industrial
FUEL ,Etas DElectric 0 Solid SYSTEM ITew DReplace
l
DOH ❑Solar 00ther
TYPE
porced Air DRadiant ❑Steam [/C ❑Vent DElectric DHot 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 birect Vent ❑Other
HEAT LOSS DAs Approved DExisting ❑Not Applicable
BTU RATE PAs Per Plan ❑Variable DOther Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE ke �_ A �_t. b A I I(l
VALUE (Including labor and materials) $ ODD
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
I 360