HomeMy WebLinkAbout0102853-HVACOSHKOSH
ON THE WATER
Job Address 330 338 N EAGLE ST
CONDON TOTAL COMFORT
Contractor
Fuel
System
[] Gas ]
[~New
~ Forced Air ~
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
~--Oil
Radiant
Hot Water
Owner IMMANUEL LUTHERN CHURCH
Category 510- Ind. & Comm-Heating & Ventilating
[] Electric
[] Replace
Steam
Suppl.
[] Solar
J LJ ~/c j
I [] Con. Burner ]
Chimney Type ~ Chimney A
Heat Loss ~ As Approved
BTU Rate ~.] As Per Plan
U s eo/fN~1~oU rr;
Chimney B O Direct Vent (.~ Not Applicable I
~,] Existing O Not Applicable I Value
~,] VadaMe ~ Other I Value
No 102853
Create Date 06/06/2003
Plan
I I,, IS°lid I
[] Other I
Vent
Church/HVAC for addition.
Fees: Valuation
Issued By:
$10,400.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided ]
$159.00
Date 07/15/2003
In the perfO(mance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
AgentJOwner
Address 11 BLACKBURN ST RIPON WI 54971 - 184 Telephone Number (920) 748-5050
HVAC PERMIT APPLI
,MI information after bold categories must be
lncomplet~ applications will not b~ processed.
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection lees, PO Box 1128,
Oshkosh WI 54903-I 128. Commencing work without permit(s) will result in fees being dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
! ' . ~.
ou are a contractor artici atin in the Permit ee Account S stem and have ade uate unds check here
i ou wantthis rocessedthrou h our account
~Commercial
[]Industrial
JOB ADDRESS ~>~ ~'~ ~
/. " -
CHECK ~I ALL ~PLIC~LE
USE CA.GORY
~Single F~ily ~Duplex ~Multi-Fmily ,~R~ntal
FUEL ~Oas FlElectric FISolid SYSTEM ~New FIReplace
il []Solar []2Other
'rYPE
[3Forced Air i-IR.adiant V1Steam DA/C VIVent U1Electric I-IHot Water F1Suppl. VICon. Burner
IS CHIMNEy BEING LINED [3No FIYes . LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEy TYPE [3Chimney A F'lChirrmey B
HEAT LOSS V1As Approved [qExisting
BTU RATE []-lAs Per Plan f-qVariable
DESCRIPTION OiiF ALL WORK BEANG DONE
~Direct Vent []Other
I-1Not Applicable
l-tOt&er Value
VAI,UE (h,ch, di,,g lahor and all materials including light fi,turex) $ ..... )_~)_ ~ ~
EI,E("I'RI('AI. ('ON'I'RA('T()I{ ...... ~ ..... ()~ [ ] Eleflrlc Installation ~ ¢Hflcstlon form Ilisched(tt Rcpl.cen~nl)