HomeMy WebLinkAbout0104596-HVACOSHKOSH
ON THE WATER
.lob Address 2935 UNIVERSAL CT
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 BROS LLC
Category 512- Ind. & Comm-Both
L~ Electric
Replace
L~ Steam
L~ suppl.
No 104596
Create Date 10/06/2003
Plan 17-67-0703
Solar I ~J Solid
~J Other
A/C I ~J Vent
Con. Burner I
Chimney Type I~ Chimney A ~ Chimney B ~ Direct Vent O Not Applicable I
Heat Loss IO As Approved ~ Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~ Variable ~ Other I Value
Use/Nature THEDACARE/Install HVAC for new 7908 sf Medical Office Building.
of Work
Fees: Valuation
Issued By:
$41,200.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided
$386.00
Date 10/06/2003
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
Agent/Owner
Address 1565 HARRISON STREET OSHKOSH WI 54901 -0 Telephone Number
(920) 235-6670
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.
Division of Inspection Services
215 Church Avenue
P.O, Box 1130
Oshkosh, WI 54903-1130
Fax # <920) 236-5084
Phone (920) 256-5048
/7-5
CIRCLE ALL APPLICABLE
HVAC PERMIT APPLICATION
All fields/information after k ld categories must be provided.
Incomplete applicatio~ will not be processed.
DATE
USE CATEGORY SINGLE FAMILY DUPLEX MULTI-FAEqILY
FUEL ~ OIL ELECTRIC SOLAR
ELECTRIC HOT WATER SUPPL.
ER~ INDUSTRIAL
IS CHI~INEY BEING LINED LINER SIZE
Note: Ail chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE CHIMNEY
BTU RATE ~~P L~
VALUE (Including labor and materials)
CHIMNEY B
EXISTING
VARIABLE
DIRECT VENT
NOT APPLICABLE
OTHER VALUE
OTHER
ELECTRICAL CONTRACTOR
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
$0 to $1,000.00 ................................................................................................... : ................................... $20.00
$1,000.01 to $10,009.00 ............................................................................................................... $20.00 for first
$1,000.00 plus $1.50 per $t00.00 valuation or part thereof
$t0,000.01 to $25,000.00 ........................................................................................................... $155.00 for first
$10,000.00 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 $100.00 plus the normal permit fee, which ever is
greater.