HomeMy WebLinkAbout0155472-HVAC (storage room) �
�
� CITY OF OSHKOSH No 155472 �
i
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 S OAKWOOD RD Owner MERCY MEDICAL CENTER OSH INC Create Date 03/11/2013
Contractor TWEET GAROT MECHANICAL INC Category 512-Ind.&Comm-Both Plan
Inspector Nicole Krahn
Fuel ✓ Gas , Oil Electric Solar Solid
System a New I � Replace I �✓ Other I
Forced Air Radiant Steam ✓ A/C Vent
Electric ✓ Hot Water Suppl. Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
Heat Loss As Approved � Existing � Not Applicable Value __ _
BTU Rate As Per Plan 0 Variable � Other � Value =
Use/Nature OMM/REROUTE SUPPLY&RETURN DUCTWORK SERVING STORAGE ROOM AND RELOCATION HW PIPING FOR �,
of Work INSTALLATION OF NEW 2-HOUR FIRE DOOR, ADD NEW FIRE DAMPERS AT DUCT PENETRATION OF NEW 2-HOUR '
FIRE-RATED WALL **check#155480, 155592
i
I
Fees: Valuation $13,283.00 Plan Approval $0.00 Permit Fee Paid $214.00
Issued By: ��(�(„� Date 05/07/2013
❑ Permit Voided � Parcel Id#0613660000
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
AgenUOwner
Address PO BOX 11767 GREEN BAY WI 54307 -1767 Telephone Number 920-498-0400
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 O.IHKa.1F--�
ON THF\NATFR �
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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour account ❑
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE April 23, 2013
JOB ADDRESS 500 South Oakwood Road
OWNER Mercv Medical Center "
CONTRACTOR Tweet/Garot Mechanical, Inc.
CHECK E�f ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FUEL OGas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar �Other Modify Existinq
TYPE
❑Forced Air ❑Radiant ❑Steam �A/C ❑Vent ❑Electric �Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED ONo ❑Yes -LINER SIZE & MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved DExisting ❑Not Applicable
BTU RATE �As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE Reroute supplv s return ductwork servinq
storaae room and relocation HW pipinq for installation of new 2-hour fire door. Add new
fire dampers at duct penetration of new 2-hour fire-rated wall.
VALUE(Including labor and materials)$ 13,283.00 '
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) van Ert Electric ^
o�/o�