HomeMy WebLinkAbout0100975-HVACOSHKOSH
ON THE WATER
.lob Address 1400 S KOELLER ST
Contractor CONDITIONED AIR DESIGN INC
Fuel
System
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Gas J ~J Oil
New J
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner IHOP DEVELOPMENT
Category 512- Ind. & Comm-Both
Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA ~ Chimney B
Heat Loss IO As Approved ~ Existing
BTU Rate IO As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
100975
04/22/2003
Other J
Vent J
Use/Nature
of Work
and Exhaust Hood system for new restaurant
Fees: Valuation
Issued By:
$31,350.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$337.00
Date 04/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 11104WBECHERST WESTALLIS WI 53227 -0
Telephone Number
414-546-2020
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236~5084
RECEIVED
4 200,
L/ DEPARTMENT OF
COMMUNITY DEVElOPMeNT
HVAC PERMIT APPEICATiO
Al! information afar bom 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-I 128. Commencing work without permit(s) will result in fees being doubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR
I£¥ou are a contractor participating, in the Permit £ee Account System and have adequate funds, check here
if yOU, want this processed through _your account
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
F1Singlc Family nDuplcx F1Multi-Family FIRcntal ~Commcrcial
FUEL )li~lDas FIElectric FiSolid SYSTEM ~ew
BOil mSolar QOther
TYPE
FIIndustrial
FIReplace
~6i'ced Air FIRadiant FISteam F1A/C FiVent FiElectric FIHot Water mSuppl. FiCon. Burner
IS CItIMNEY BEING LINED ]~No ~ ~lres - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE FlChimney A FIChimney B DDirect Vent
HEAT LOSS I-lAs Approved FlEx!sting FiNer Applicable
BTU RATE [=lAs Per Plan nVariable I-IOther Value
DESCRIPTION OF ALL WORK BEING DONE
QOther
VALUE (Including labor and all materials including light fixtures) $ ,~/y
ELECTRICAL CONTRACTOR
For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. IF not attached or not applicable, a separate Electrical Permit is required.
3/02