HomeMy WebLinkAbout0157455-HVAC � CITY OF OSHKOSH No 157455
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 500 S OAKWOOD RD Owner MERCY MEDICAL CENTER OSH INC Create Date 07/15/2013
Contractor TWEET GAROT MECHANICAL INC Category 510-Ind.&Comm-Heating&Ventilating Plan Z6-3807-0713H
Inspector Nicole Krahn
Fuel ✓ Gas Oil � Electric Solar Solid
System ✓�New I � Replace __I � Other I
Forced Air Radiant Steam � A/C I Vent
Electric ✓ Hot Water , Suppl. Con. Burner
Chimney Type Chimney A 0 Chimney B � Direct Vent � Not Applicable
Heat Loss As Approved � Existing � Not Applicable Value
BTU Rate i As Per Plan � Variable � Other Value
Use/Nature �COMM/Mercy Medical/Remodeling the 2nd floor OB suite. This will be a three phase remodel with a new reception and waiting area, '
of Work new added exam rooms,added procedure room and updated ultrasound rooms. A new conference room will be added and a nurses
�nrork area. The heating work will include a hvac system serving the OB suite and replacing an exhaust fan on the roof.
�
i _ �
Fees: Valuation $64,524.00 Pian Approval $0.00 Permit Fee Paid $524.00
Issued By: � �� Date 08/28/2013
,
❑ Permit Voided ', Parcet 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 01HKO,�H
OtV 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$100.00 plus the
normal permit fee,which ever is greater.
OR
If vou are a contractor DarticiDatinQ in the Permit fee Account Svstem and have adequate funds check here
tf vou want this nrocessed throuQh vour account n
**Advisory-For applicable projects, an Electrical Installation Verification(EI�form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by the homeowner)must be snbmitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE Auqu s t 2 2, 2 013
JOBADDRESS 500 South Oakwood Road
OWNER_ Mercv Medical Center
CONTRACTOR Tw r/ aro M han; c�a 1 Tn
CHECK�ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial OIndustrial
FUEL �Gas ❑Electric ❑Solid SYSTEM ❑New �Replace
❑Oil ❑Solar ❑Other
TYPE
❑Forced Air ❑Radiant ❑Steam �A/C �Vent ❑Electric �Hot Water ❑Suppl. ❑Con.Burner
IS CHIMNEY BEING LINED �No �Yes -LINER SIZE &MANUFACTURER Existing
Note:All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE
Remodel of HVAC svstem servina OB-GYN Suite (Level 2 Area F (MOB) )
�nrl rPr�larP (� ) Pxhau�t fan nn rc��f
VALUE (Including labor and materials)$ 6 4 , 5 2 4 . 0 0
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form) Pi Pn�r powPr
o�/o�