HomeMy WebLinkAbout0102393-HVAC ( rooftop unit)(~ CITY OF OSHKOSH No 102393
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1508-1550 S KOELLER ST Owner OSHKOSH KOELLER LLC
Contractor TENTH STREET STATION INC Category 512 - Ind. & Comm-Both
Fuel ~J Gas ~ ~J Oil L~J Electric ~J Solar I L~ Solid
System ~J New ~ ~ Replace ~ ~ Other
~ Forced Air I ~ Radiant L~ Steam ~ A/C I ~ Vent
~J Electric I ~J Hot Water b~ suppl. ~J Con. Burner 1
Chimney Type I~ Chimney A ~ Chimney B O Direct Vent ~ Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value 0
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value 7.5 ton cool/50m heat
Create Date 06/24/2003
Plan
Use/Nature COMM/#1528 / Replace rooftop unit.
of Work
Fees: Valuation $7,500.00 Plan Approval $0.00 Permit Fee Paid $117.50
Issued By: Date 06/24/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 924 OHIO STREET OSHKOSH WI 54902 -0 Telephone Number 236-8770
~ FRO~-~TENTH STI~EET STATION, INC. FAX NO. :920-~3G-0150 Jun. 17 ~ ll:l~qM P1
CRy of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI $4903-1130
Phone (920) 236-5050
Fax (920) 236.5084
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
' Applioaiion(s) and fee(s) can be brought m City Hail, Room 205 or mailed to Inspection Services, PO Box 1 I28,
· Oshkosh WI 54903.1128. Commencing work without pmmit(s) will result in fees b~ing doubled or $100.00 plus the
normal permit fee, which cvcr is, greater~
If vou are, a contractor t~a~tlcit~at~ng in the Perm~_i~ee~Account Sy~tqm and have ~de ua e s cttetk hera
i["~°u'want thi# ttrocessed through ~ozrr acco.~ __
CI~.CK li~ ALL APPLICABLE
USE CATEGORY
l-I$in§1¢ ~f~nily ~lDuple~ I~Mul~id~amily
[~ommercial Ellndustrial
i~J'gL 'Ii'Oas II~Iectric r'lSolid SYSTEM ClNew
I=lOil . ElSolar OOth~
~orced Air I~lRadian! L=ISteam V1A/C V1Vent ElElectric OHot Water I~$uppl.
IS CHIMNEy BRING LINED [!i~o DYes - LINER SIZE & MANUFA~R
Note: Ail chinmeys shall be sized per the BTU's being vented. '
CHIMNEY TYPE DChiraney A ElChimney B I~Direct Vent OOth~
I'IF, AT LOSS EIAs Approved El~xisting []Not Applicable
BTU RATE f'lAs Per Plan OVariable OOther Value _'7. ~'
scm mo , or aL: WOlm
~]~c'place
EICon. Burner
VALUE On¢iuding labor and .!1 mat~rial~ including light fixtures) $ 7~'G~- (yr.~
L C ac co 'ncro _
F1 For applicable projeots, an Elettric Installation Verification form, signed by ~e Electrical Comrattor, must be
attached, If not aRached or not applicable, a separate Electrical Pa-mit is required.