HomeMy WebLinkAbout0099580-HVAC CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
OSHKOSH
ON THE WATER
Job Address 855 N WESTHAVEN DR
Contractor J F AHERN CO
Fuel [] Gas I [] Oil
System [] New J
[~j Forced Air I L~ Radiant
[] Electric 1 [] Hot Water
Owner AURORA MEDICAL GROUP INC
Category 512- Ind. & Comm-Both
[] Electric
[] Replace
Solar
~J Steam / L~J NC
[] Suppl. 1 ~ Con. Burner
Chimney Type ~ Chimney A ~.~ Chimney B ~..~ Direct Vent I~t Not Applicable I
Heat Loss ~t As Approved ~.~ Existing (.~ Not Applicable I value
BTU Rate ~ As Per Plan ~] Variable ~.~ Other ~ Value
Use/Nature rlnstall HVAC for Hospital Addition and Clinic Remodel. of Work
No 99580
Create Date 12/10/2002
Plan E8-38-0502
L~ Solid
[] Other
Vent j
Fees: Valuation
Issued By: ¢
$9,861,393.00 Plan Approval $0.00 Permit Fee Paid
[] Permit Voided J
$49,487.50
Date 01/24/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 855 MORRIS ST FOND DU LAC WI 54935 - 0 Telephone Number
(920) 921-9020
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903-1130
Fax (920) 236-5084
Phone (920) 236-5048
}IVAC PERMIT APPLICATION
Ail fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE 1/23/03
JOB ADDRESS
855 North Westhaven Drive
OWNER
Aurora Healthcare
CONTRACTOR J.F. Ahern Co.
CIRCLE ALL APPLICABLE
USE CATEGORY SINGLE FAMILY DUPLEX
FUEL ~ OIL ~
SYSTEM ~ REPLACE
E ,ECTRIC O0T A ERD
MULTI 'FAMILY
SOLAR
SOLID
OTHER
SUPPL.
is sEis LISER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY A
CHIMNEY B
EXISTING
VARIABLE
CHIMNEY TYPE
HEAT' LOSS
BTU RATE
NATURE OF WORK:
VENT
CON. BURNER
MANUFACTURER
DIRECT VENT
NOT AJPPLI CABLE
OTHER VALUE
INDUSTRIAL
OTHER
ELECTRICAL CONTRACTOR Staff Electric
Electrical installation of new/replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $~,000.00 ......................................................................................... ~ ..... $20.o0
$1,000.01 to $10,000.00 ...................................................... ~ ..................$20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.0t 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 $i00.00 plus the normal permit fee, which ever is