HomeMy WebLinkAbout0156584-HVAC � CITY OF OSHKOSH No 156584
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 S OAKWOOD RD Owner MERCY MEDICAL CENTER OSH INC Create Date 05/04/2013
Contractor TWEET GAROT MECHANICAL INC Category 512-Ind.&Comm-Both Plan Z4-3740-0513H
Inspector Nicole Krahn
Fuel ✓ Gas Oil Electric Solar ' � Solid _
System �✓ New � � Replace � � Other _ �
✓ Forced Air Radiant Steam A/C Vent
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Electric Hot Water Suppl. Con.Bumer
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
HeatLoss AsApproved 0 Existing � NotApplicable Value :
BTU Rate As Per Plan � Variable � Other Value
UseoNWork Ifood prep a eatl(BoldttJ b#62704)H5 che k#1 6509 case management, IH555 vestiblule and IH560 office)to create a coffee shop and'I
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Fees: Valuation $14,427.00 Plan Approval $0.00 Permit Fee Paid $224.00
Issued By: �� Date 07/OS/2013
❑ Permit Voided i 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 pe�form 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 � HKO H
F� (920)236-5084
ON THE W/1?ER
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$100.00 plus the
normal permit fee,which ever is greater.
OR
I�vou are a contractor participating dn the Permit fee Account Svstem and have adeguate funds check here ��
if vou want this processed through your account n
**Advisory-For applicable projects, an Electrical Installation Verification(EIV)form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE June 12, 2013
JOB ADDRESS 500 South Oakwood Road RECEIVED
OWNER Mercy Medical Center ,
CONTRACTOR TweeUGarot Mechanical, �nc. JUN 1 'I Z013
DEVARTAIEXT OF
CHECK�ALL APPLICABLE C0�1�IUtiiTY DEVELOP�tEVT
TNSPECTIO\SER\'iCES Dl\'ISIOV
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental 6r7Commercial ❑Industrial
FUEL ❑Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar DOther
TYPE
6G1Forced Air ❑Radiant ❑Steam �C.IA/C fxlVent ❑Electric �Hot Water ❑Suppl. ❑Con.Burner .
IS CHIMNEY BEING LINED 67No ❑Yes -LINER SIZE & MANUFACTURER
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved 6c7Existing ❑Not Applicable
BTU RATE fc7As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE HVAC work associated with renovation
of existinq space into new Bistra
VALUE(Including labor and materials)$ 14,427.00 �
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Pieper Power �
o�/o�