HomeMy WebLinkAbout0158363-HVAC � CITY OF OSHKOSH No 158363
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 401 W 33RD AVE Owner SMET INVESTMENTS LLC Create Date OS/27/2013
Contractor CENTRAL TEMP. EQUIP.SERVICE INC Category 512-Ind.&Comm-Both Plan B61-3857-0813H
Inspector Nicole Krahn
Fuel �s ' Oil __� Electric i Solar Solid '
System [�New __� � Replace � � Other
Forced Air Radiant_� Steam A/C _� Vent
Electric i Hot Water Suppl__� Con. Bumer
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable
HeatLoss �sApproved � Existing � NotApplicable Value _
BTU Rate As Per Plan � Variable � Other Value
Use/Nature OMM/OSHKOSH CORP/Building out the existing office space. "'check#72110
of Work i ,
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Fees: Valuation $36,005.00 Plan Approval $0.00 Permit Fee Paid $384.00
Issued By: ���j,,(� Date 10/21/2013
❑ Permit Voided �, Parcel Id#1413650000
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 1054 AMERICAN DR NEENAH WI 54956 -1305 Telephone Number (920)731-5071
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.
;� t
$'�\ ��� l — ���`� `
City of Oshkosh ,
Division of Inspection Services �
P.O.Box 1130 �
Oshkosh,WI 54903-1130
Phone(920)236-5050
F� �920>236-SO84 O.IHK01H
ON THE WATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
FEE: $384.00 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
jyou are a contractor partic�atin� in the Permit fee Account Svstem and have adequate funds, check here
if vou want this�rocessed throu,�h 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 submitted
with the permit application. Applications submitted without an EN when such is required, will not be �
processed for Permit Issuance and will be returned for completion.
�� DATE August 21, 2013
��i � 3�
JOB ADDRESS 3300 Medalist Drive RECEIVED
OWNER Oshkosh Truck AUG 2 2 2013
CONTRACTOR Central Temperature Equipmen� Service Inc
DEPART�IE�T OF
Cp�1�tUriTY DEVELOP�IEVT
CHECK H ALL APPLICABLE IVSPECTtOV SER�'10ES Dl�'1S10V
USE CATEGORY
❑Single Family ❑Duplex ❑Multi-Family ❑Rental �Commercial ❑Industrial
FiTEL ❑Gas ❑Electric ❑Solid SYSTEM C�New ❑Replace
❑Oil ❑Solar ❑Other
TYPE
�Forced Air ❑Radiant ❑Steam �A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con.Burner
IS CHIIVIlVEY SEING LINED ❑No ❑Yes -LINER SIZE &MANUFACTURER
Note:All chunneys shall be sized per the BTU's being vented.
CHIlVIlVEY 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 Add HVAC to the stora�e area being
converted to office �pace We'll Lse a 12 5 ton roofto� �nit comnlPtP w�th
ductwork, grilles, diffusers, thermostat, gas line, and a ventilation fan
VALUE(Including labor and materials) $ 36,005 00
ELECTRICAL CONTRACTOR(for projects not requiring an EIV Form)
o�/o�
1-16450