HomeMy WebLinkAbout0100142-HVAC (condensing units)OSHKOSH
ON THE WATER
.lob Address 2450 W 9TH AVE
Contractor BERLIN HEATING & COOLING
Fuel ~J Gas ~
System ~J New
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Oil
Owner GOOD SHEPARD LUTH CHURCH OSH IN(:
Category 511 - Ind. & Comm-Air Conditioning
Electric
Replace
Forced Air I ~J Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type IO Chimney A ~) Chimney B ~ Direct Vent O Not Applicable I
Heat Loss I~ As Approved O Existing ~ Not Applicable I Value
BTU Rate I~ As Per Plan ~) Variable ~ Other I Value
No
Create Date
Plan
L~ Solid
100142
03/11/2003
Other
Vent J
Use/Nature Church / Adding 5 condensing units and colis to existing hvac system. Electrical permit required to be obtained.
of Work
Fees: Valuation
Issued By:
$11,085.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$166.00
Date 03/11/2003
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address N7545 Forest Ridge Rd BERLIN WI 54923 -0
Telephone Number
920-361-3066
OSHKOSH
ON THE WATER
Job Address
Contractor
Fuel
System
2450 W 9TH AVE
BERLIN HEATING & COOLING
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
LI Gas I LI oil
[] New
L-J Forced Air } ~j Radiant
L~ Electric I ~j Hot Water
Chimney Type ~) ChimneyA ~ Chimney B
Heat Loss ~.~ As Approved O Existing
BTU Rate ~ As Per Plan ~ Variable
Owner
Category
GOOD SHEPARD LUTH CHURCH OSH IN(
511 -Ind. & Comm-Air Conditioning
[] Electric 1 L~ Solar
[] Replace I
~d steam [ L~J A/C
L~ Suppl. I ]~ Con. Burner
~.~ Direct Vent O Not Applicable
~ Not Applicable I Value
{~ Other I Value
No 100142
Create Date 0311112003
Plan
LJ Solid
L~ vent
Use/Nature Church / Adding 5 condensing units and colis to existing hvac system. Electrical permit required to be obtained.
of Work
Fees: Valuation ~?~0 Plan Approval $0.00 Permit Fee Paid $166.00
Issued By: ~______~..~ Date 03/11/2003
[] Permit Voided j
In the perf~ of this~work, I agree to perform all work pursuant to rules governing the described construction.
Signature ~.._~.,~.' ."~_)¢ Date ~'~'~- ~,-~:::> ~
L/
Agent/Owner
Address N7545 Forest Ridge Rd BERLIN WI 54923 -0 Telephone Number 920-361-3066
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
O/HKO/H
ON THt:: WATER
HVAC PERMIT APPLICATION
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 you are a contractor participating in the Permit fee Account System and have adequate funds, check here
(f you want this processed through Four account [-]
JOB AODRESS
CONTRACTOR
DATE
CHECK [] ALL APPLICABLE
USE CATEGORY
I~Single Family V1Duplex
E]Mutti-Family
F1Rental
Coc~~ercial
Fllndustrial
FUEL [:]Gas F1Electric V1Solid
V1Oil F1Solar
TYPE
V1Forced Air []Radiant []Steam IX[MC []Vent
SYSTEM
[]Electric
V1New . , FIReplace
VIHot Water []Suppl. []Con. Burner
IS CHIMNEY BEING LINED []No F1Yes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
[]Chimney A
[]As Approved
[]As Per Plan
[]Chimney B
[]Existing
[]Variable
V1Direct Vent
mNot Applicable
[]Other Value
DESCRIPTION OF ALL WORK BEING DONE
[]Other
VALUE (Including labor and all materials including light fixtures)
ELECTRICAL CONTRACTOR
3 For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
9/02