HomeMy WebLinkAbout2002- HVAC
e
OSHKOSH
ON THE WATER
Job Address 425 N WASHBURN ST
CITY OF OSHKOSH
No
98448
HVAC PERMIT - APPLICATION AND RECORD
Owner
ARTHUR E POMMERENING
Create Date 11/06/2002
Contractor
CONDON TOTAL COMFORT
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
I I I Oil
. -----.. -_...J
I
1
U Solar
System
1,,1'1 Gas
0 New
0 Forced Air
I J Electric
1 1 Electric
0 Replace
0 Steam
I 1 Suppl.
U Solid
0 Other
0 Vent
UNC I
I 1 Con. Burner I
() Not Applicable
0 Radiant
I I HotWater
Chimney Type r) Chirnney A () Chirnney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
. Direct Vent
() Not Applicable
() Other
Value
0
Value
Use/Nature ~OMM/ Install 4 - 10T 2 stage RTUs.
of Work
Fees: Valuation
$41,900.00
Plan Approval
$0.00
Permit Fee Paid
$389.50
Issued By:
Date 11/06/2002
0 PermitVoi_cJ.~
In the perforrnance of this work, I agree to perforrn all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
11 BLACKBURN ST
RIPON
WI 54971 - ~ Telephone Number
(920) 748-5050
Address
e
OSHKOSH -In
ON THE WATER V\::!/
Job Address 2/N WASHBURN ST
/
Contractor CONDON TOTAL COMFORT
CITY OF OSHKOSH
No
98448
HVAC PERMIT - APPLICATION AND RECORD
Owner
ARTHUR E POMMERENING
Create Date 11/06/2002
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
0 Replace
U Steam
I I Suppl.
I 1 Solar
U Solid
0 Other
U NC I U Vent
1 I Con. Burner 1
Fuel
1,,1'1 Gas
PJ New
~ Forced Air
1 J Electric
I I Oil
I
System
Chimney Type r) Chimney A
U Radiant
I I Hot Water
() Chimney B
. Direct Vent
() Not Applicable
() Existing
() Variable
() Not Applicable
() Other
Value
0
BTU Rate
. As Approved
. As Per Plan
Value
Heat Loss
Use/Nature cOMM/lnstall 4 - 10T 2 stage RTUs.
of Work
Fees: Valuation
$41,900.00
Plan Approval
$0.00
Permit Fee Paid
$389.50
Date 11/06/2002
Issued By:
0 Permit Voided I
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
11 BLACKBURN ST
RIPON
WI 54971 -184 Telephone Number
--
(920) 748-5050
Address
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
lVE~
D OcrZJ260? ~
CO4141{j~::~~N], 0: O~Q1H
HVAC PERMIT APPLICATION '£lOPMfNì
All information after bold categories must be provided.
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
If vou are a contractor varticipating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this vrocessed through vour account n
'1¿.r
JOB ADDRESS ~""" ¡:¿: ()/ ~ ffi
OWNER ~ ~l/Li~~(J
CONTRACTOR ~ lrr-. ~ ~Li17
HATE /{)¡;7/v;;<
CHECK ø ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex
DMulti-Family
0 Rental
òQCommercial
0 Industrial
FUEL
~Gas
DOil
DElectric DSolid
DSolar
SYSTEM
~ew
0 Other
DReplace
!lPE
~Forced Air DRadiant DSteam DAiC DVent DElectric
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTD's being vented.
DHot Water DSuppl. DCon. Burner
& MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
ñPAs Approved
jzfAs Per Plan
DChimney B
0 Existing
0 Variable
~irect Vent 0 Other
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
'1- ~ÆÅJ\ t.;J..J /0.7 Q)~\Y)..J
7?7U/~ .
VALUE (Including labor and all materials including light fixtures) $ y~ 9ð-f:J,-
ELECTRICAL CONTRACTOR ~.
0 For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicable, a separate Electrical Permit is required.
9/02
~scons;n
Department of Commerce
REg~\~~~ff\CE
íO'JII\'! cuoM. .:.
to\þ.R ì I¡ 2fj(\3
Safety and Buildings
2331 SAN LUIS PL STE 150
GREEN BAY WI 54304
TOO #: (608) 264-8777
www.commerce.state.wi.us/sb
www.wisconsin.gov
Jim Doyle, Governor
Cory L. Nettles, Secretary
March 12, 2003
CUST ID No.259120
ATTN: Buildings & Structures Inspector
ARTHUR WARREN
CONDON TOTAL COMFORT INC
PO BOX 184
RJPON WI 54971
MUNICIPAL CLERK
TOWN OF ALGOMA
15 N OAKWOOD RD
OSHKOSH WI 54904-7826
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES: 12/1612003
SITE:
Pommerening Used Car Dealership
NWashbumSt
Town of Algoma, 54901
Winnebago County
FOR:
Object Type: HV AC System Regulated Object ID No.: 877452
Revision
The submittal described above has been reviewed for confonnance with applicable Wisconsin Adnrinistrative 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:
Revised plans cover the office and mezzanine area, and the re-Iocation of the toilet rooms.
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 pennits
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.
Fee Required $
Fee Received $
Balance Due $
230.00
230.00
0.00
WiSMART code: 7648
cc: Peter R Ochs, Building Inspector, (920) 948-3500, Friday, 7:45 A.M. - 4:30 P.M.
Shoreland Development Corp
Buildings, HVAC, Lighting Compliance Statement
This form is required to be submitted by the supervising professional (architect, engineer, HVAC designer or electrical
designer) observing construction of projects within buildings with total areas exceeding 50,000 cubic feet and construction
of antennas, towers, and bleachers (iLHR 50.10). Failure to submit this form may result in penalties as specified in
ILHR 50.26 and/or local ordinances.
General Instructions: Prior to the initial occupancy of new buildings or additions and the final occupancy of
altered existing buildings, submit this completed and signed form to:
. The municipal building inspection office and
. Safety and Buildings, P.O. Box 7162, Madison, WI 53707-7162
Personal information you provide may be used for secondary purposes [Privacy Law, s. 15.04 (1 )(m)].
1. PROJECT INFORMATION: Please fill in the following with information from your plan approval letter.
Transaction 10 \CJC1 1'2.7... + 'f.,¡ Co, o"?-,i.
Site h4ì ~'iß' 1
Site location (number & streett N. \i-. ì ~a..&':Q¡,.J~-
X City 0 Village 0 Town of CO\.l-.1(o:5\-\- County of \,j ¡ )\\ w~3 a
2. PURPOSE OF THIS STATEMENT: (Check Box A, B, C, or D to indicate purpose and complete any other
applicable boxes and information. Attach additional pages if necessary.)
Check those which apply: 0 Building Object ID # XX HVAC Object ID # - 6ìl4Çd-,.
0 Lighting Object ID #
0 Partial Completion
Description of Portion Completed
A) W Statement of Substantial Compliance
(\ To the best of my knowledge, belief, and based on onslte observation, construction of the following building andlor HVAC
items applicable to this project have been completed in substantial compliance with the approved plans and specifications.
0 BUILDING ITEMS
1. Structural system including submittal and erection of all building
components (trusses, precast, metal building, etc.)
2. Fire protection systems (sprinklers, alarms, smoke detectors) designed,
instailed, and tested (including forward fiow on back fiow devices) by
appropriately registered professionals
3. Shaft and stairway enclosure
4. Exits including exit and directional lights
5. Fire-resistive construction, enclosure of hazards, fire wails, labeled
doors, class of construction
6. Sanitation system (toiiets, sinks, drinking facilities)
7. Barrier-free including Comm 18 elevators and lifts
8. iLHR 63 energy envelope
9. Ail conditions of building plan approval and applicable variances
The following items are not in compliance and must be addressed:
xx HVAC ITEMS
1. HV AC system including final test
(ILHR 64.53)
2. Ail conditions of HV AC plan approval and
applicable variances
0 LIGHTING ITEMS
1. Exterior lighting & control requirements
2. Interior lighting & control requirements
3. Ail conditions of lighting plan approval and
applicable variances
B) 0 Statement of Noncompliance
Due to the foilowing listed violations, this project is not ready for occupancy:
C) 0 Supervising Professional Withdrawn From Project (Use A or B above to indicate project status as of this date.)
0) 0 Pr~ectAbandoned
3. SUPERVISING PROFESSIONAL SIGNATURE FOR:
0 Buiiding XX HVAC 0 Lighting Arthur Warr n
Name (please print or type)
Phone number 920.748.5050
Customer 10 # 259120
SBD-9720 (R.OS/98)
l.J-
~
HVAC Permit Work Card
Job Address 425 N WASHBURN ST Permit Number 98448 Create Date 11/06/2002
Owner ARTHUR E POMMERENING Contractor CONDON TOTAL COMFORT
Category 500 - Residential-Heating & Ventilating Plan
Fuel ~ D::QiCJ I I Electric I ~ ~ Value $41,900.00
System [7] New I íJ Replace I n Other I
~ Forced Air I U Radiant I U Steam I U AlC I U Vent I
U Electric I U HotWater I U Suppl. I U Can. Bumer I
Chimney Type D Chimney A U Chimney B . DirectVent U Not Applicable I
Heat Loss . As Approved U Existing U NotAppiicable I Value 0
BTU Rate . As Per Plan U Variable U Other I Value
Use/Nature OMM/lnstall 4 - 10T 2 stage RTUs.
of Work
InspectIons:
Date
Type
Inspector
DatelTime requested:
Notice Type:
Phone Number:
Access:
Ready DatelTime:
Requested By:
0 Reinspect Fee 0 Fee Waived
D Reinspect Fee Paid
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