HomeMy WebLinkAbout0134271-HVAC (2 furnace & 2 a/c's) CITY OF OSHKOSH No 134271
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 510 DOCTORS CT Owner MERCY MEDICAL CENTER OSH INC Create Date 12/04/2_ _008
Contractor CONDON TOTAL COMFORT Category 512 -Ind. & Comm-Both
-.._ - Plan
Fuel
/ Gas ~
QOiI ~ - -- ---
Electric __ ~ [~ Solar _
~i [~ Solid
System ~ New ~ / Replace _
-----' [~ Other
/ Forced Air Radiant Steam / A/C '
_~ ~~__ _ __.. _ Vent
I Q
Electric Hot Water Suppl. ~ Con_Burner_~
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existin Not Applicable Value
BTU Rate As Per Plan Variable Other Value 75,000
Use/Nature OMM /Replace 2 furnaces and 2 3-ton roof mounted condensers, with new indoor evaporator coils, EIV signed by Moderow Electric LLC
of Work *check #18765
- ---
Fees: Valuation~y~y-~ $8,975.00 Plan Approval $0.00 Permit Fee Paid
Issued By: ~ J 1 1 t~ ---
Permit Voided
$145.00
Date 12/04/2008
Parcel Id # 1519110200
In the performance of this work, I agree to pertorm all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature Date
Agent/Owner
Address PO BOX 184 RIPON WI 54971 -184 Telephone Number 920-748-5050
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not pertormed within two business days from the time the project is ready.
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130 ~~~ 1 ~ 2~~$
Phone(920)236-SOSO
Fax (920) 236-5084 O HKOlH
HVAC PERMIT APPLICATION ON THE WATER
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 20S 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
** Advisory -For applicable projects, an Electrical Installation Verification (Elm form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
JOB ADDRnECSS 5 ~ CJ ~GC.~C'(~ Ccur-~
OWNER_7-1~T I'~11_~1 r~1~1L ~j~'~~~
CONTRACTOR V,.)~ _ (U rj~ L (~~~ f .'~~.t ~r
CHECK B ALL APPLICABLE. -
USE CATEGORY
^Single Family ^Duplex ^Multi-Family ^Rental
DATE ~ IBS/O~
f~Commercial ^Industrial
FUEL Gas ^Electric ^Solid SYSTEM ^New
^Oil ^Solar [,Replace
^Other
TYPE
^Forced Air ^Radiant ^Steam ~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented. & MANUFACTURER
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS l~As Approved ^Existin
BTU RATE ^As Per Plan ^Variab e ^Not Applicable
f,~Other Value ~S, OCQ
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
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VALUE (Including labor and materials) $ gC~ ~~ , (~o
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~(` ~~~~ ~~i- C-{-~.-1 C LLC
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