HomeMy WebLinkAbout0098371-HVAC (mini-split a/c)OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
Chimney Type
Heat Loss
BTU Rate
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
No
98371
137 ALGOMA BLVD
CONDON TOTAL COMFORT
[] Gas
[] New
Forced Air J
Electric J
~ Chimney A
~.~ As Approved
~ As Per Plan
Radiant
Hot Water
Chimney B
~ Existing
(,~ Variable
Owner CONGREGATIONAL CHURCH
Category 501 - Residential-Air Conditioning
[] Electric 1 [~-~-Iar
[] Replace I
~ Steam I L~J NC 1
U Suppl. I U Con. Burner t
~ Direct Vent O Not Applicable I
O Not Appli~ble ~ Value
~ Other ~ Value
Create Date 11/04/2002
Plan
[] Solid
[] Other
Vent
Use/Nature
of. Work
IOMM/Install
2 - Samsung 1.5 ton mini-split.
Fees: Valuation
Issued By:
$4,500.00 Plan Approval
$0.00 Permit Fee Paid
[] Permit VoidedI
$72.50
Date 11/04/2002
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number
(920) 748-5050
-..v.,
Od Ko. fH"...
ON T. HE WATER
NOV 0 1 20 2_ '""'"
c r J-ICATION
Incomplete applications will not bc proccsscd.
· 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 &)ublcd or $100.00 plus the
normal permit fee, which ever is greater.
OR ~,
If you are a contractor participating in the Permit fee/lccount System and have adequate funds, check here
if you want this processed through your account ~]
CI:W~CK [~ ALL APPLICABLE
USE CATEGORY
FlSingle Family I-IDuplex
r-IMulti-Family
F1Rental ~Commercial I-IIndustrial
FUEL [2OilVIGas l-lSolar~Electfic VlSolid SYSTEM /~loeWther V1Replace
TYPE
F1Forced
FIRadiant I-]Steam/~A/C [2Vent FIElectric F1Hot Water FISuppl. FICon. Burner
Air
IS C/tlMNEY BEING TT~T~ mxT^ m,,__ LD~R SJ~ZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
F1Chimney A ~h~'--~Direct Vent
[-3As Approved~g..--"T3Existing F1Not Applicable
l-lAs ~ [3Variable FIOther Value
[3Other
DESCRIPTION OF ALL WQRK BEING DONE
VALUE (Including labor and all materials including light fixtures) $ ~'~. --
ELECTRICAL CONTRACTOr-s' OR [] Electric Installation Verification form attachcd(IfRcplaccmcm)
Electrical installation of new~replacement equtpment shall be done by licensed contractors.
1/02