HomeMy WebLinkAbout2003-HVACOSHKOSH
ON THE WATER
.lob Address 491 S WASHBURN ST
Contractor CENTRAL HEATING SERVICE 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 491 S WASHBURN ST LLC
Category 502- Residential-Both
L~ 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
102013
06/06/2003
Other
Vent J
Use/Nature COMM/HVAC work for the last tenant space on the second floor.
of Work
Fees: Valuation
Issued By:
$5,300.00 Plan Approval
$0.00 Permit Fee Paid
Permit Voided J
$84.50
Date 06/06/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 1565 HARRISON STREET OSHKOSH WI 54901 -0
Telephone Number
(920) 235-6670
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be p~ocessed.
DATE
CIRCLE ALL APPLICABLE
USE CATEGORY
FUEL ~ OIL
SYSTEM ' ~
TYPE ~
ELECTRIC
SINGLE FAMILY DUPLEX
ELECTRIC
REPLACE
RADIANT
HOT WATER
MULTI-FAMILY ~
SOLAR SOLID
OTHER
STEAM ~ VENT
SUPPL. CON. BURNER
INDUSTRIAL
IS CHIMlqEY BEING LINED LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
c i EY TYPE CHIMNE B
EAT LOS
EXISTING
BTU RATE VARIABLE
NATURE OF WORK:
MANUFACTURER
NOT APPLICABLE
OTHER VALUE
OTHER
VALUE (Including labor and materials) $ ~ ~ (~O. ~50
ELECTRICAL CONTRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00 .............................................................................................................................. ~ ....... $20.00
$!,000.0! to $10,000.00 ............................................................................................................... $20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000.00 ............................................................................................................ $155.00 for first
$!0,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000.00 ............................................................................................................... ~ .................... ,.$305.00 plus $0.50
per $100.00 valuation or part thereof
Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $!00.00 plus the normal permit fee, which ever is
greater.
Isc nsln
Departm ~if Commerce
_ Safety and Buildings
2331 SAN LUIS PL STE 150
GREEN BAY WI 54304
TDD #: (608) 264-8777
www. commerce, state .wi. u sis b
www. wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
May 2 I, 2003
CUST ID No.261342
DALE H OCONNELL
TEMPERATURE SYSTEMS~ INC
PO BOX 802
GREEN BAY WI 54304-4802
A TTN: Buildings & Structures Inspector
BUILDING INSPECTION
CITY OF OSHKOSH
POB 1130
OSHKOSH WI 54902
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 05/21/2004
SITE:
Dumke & Associates LLC
491 S Washburn St
City of Oshkosh, 54902
Winnebago County
Facility: Schmiedel EnterPrises
FOR:
Object Type: HVAC ICC System
~. Identification Numbers
Transaction ID No. 872044
Site ID No. 637250
PleaSe refer tO'both identification nUmbers;
above, in all correspondence with the agency.
491 S Washburn St, Oshkosh 54902
Regulated Object [D No.: 904248
The submittal described above has been reviewed for conformance with applicable Wisconsin Administrative Codes
and Wisconsin Statutes. The submittal has been CONDITIONALLY APPROVED. The owner, as defined in
chapter 101.01 (10), Wisconsin Statutes, is responsible for compliance with all code requirements.
The following conditions shall be met during construction or installation and prior to occupancy or use:
Reminders
· IMC 313/Corem 64.0313(1) HVAC system balancing shall be performed, and a report shall be made available
to the department upon request.
· IMC 313/Comm 64.0313(3) All operating manuals conceming the HVAC equipment and its maintenance shall
be presented to the owner.
A copy of the approved plans, specifications and this letter shall be on-site during construction and open to
inspection by authorized representatives of the Department, which may include local inspectors. All permits
required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval the Division of Safety & Buildings reserves the right to require changes or additions should
conditions arise making them necessary for code compliance. As per state stats 101.12(2), nothing in this review
shall relieve the designer of the responsibility for designing a safe building, structure, or component.
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or at the address
on this letterhead.
Conditionally
DALE H OCONNELL'
Page 2
5/21/03
Sincerely, ~ 7
Lynne M LeCount
Plan Reviewer, Integrated Services
(920)492-7727, mtrf7 am - 4:30 pm, w 7 am - 11 am
llecount~commerce ~state.wi.us
Fee Required $
Fee Received $
Balance Due $
WiSMART code: 7648
cc: Peter R Ochs, Building Inspector, (920) 948-3500, Friday, 7:45 A.M. - 4:30 P.M.
Dumke Investments