HomeMy WebLinkAbout2002-HVAC 4 .41/•.), CITY OF OSHKOSH N 97190
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 110 N SAWYER ST Owner LOURDES ACADEMY Create Date 08/28/2002
Contractor CONDON TOTAL COMFORT Category 502 - Residential -Both Plan
Fuel 111 Gas U Oil 1 Electric I ( Solar 1 1 Solid
System LI New 1 n Replace 1 ❑ Other
IJ Forced Air I Li Radiant IA Steam U A/C Li Vent
Electric I I Hot Water I Suppl. I Con. Bumer
Chimney Type J Chimney A • Chimney B ) Direct Vent 0 Not Applicable
Heat Loss J As Approved 0 Existing • Not Applicable I Value 0
BTU Rate K ) As Per Plan C Variable • Other Value 80m btu
Use /Nature COMM/ Convert second floor classroom into an office suite (Install gas fumace and 3.5 ton NC system.)
of Work
Fees: Valuation $9,350.00 Plan Approval $0.00 Permit Fee Paid $146.00
Issued By: Date 09/10/2002
❑ Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 -184 Telephone Number (920) 748 -5050
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Phone (920) 276 -SOSO .'- ' ..
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HV • , PERMI . CATION
All info * n ca be provided.
Inc < 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 permits) 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
if you want this processed through your account 11
DATE ,PAV)
JOB ADDRESS / /O
OWNER A./...110.-. G
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CHECK Q ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi - Family ❑Rental A_Commercial ■ Industrial
FUEL Gas ❑Electric ❑Solid SYSTEM ❑New ❑Replace
❑Oil ❑Solar ❑Other
TYpE ln
Worced Air ❑Radiant ❑Steam�A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED41 o ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A .[Chimney B irect Vent ❑Other
HEAT LOSS DAs Approved ❑Existing Not Applicable
BTU RATE DAs Per Plan ❑Variable Other Value f ,9, 1
DESCRIPTION OF ALL WORK BEING DONE
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VALUE (Including labor and all materials including Tight fixtures) $ 902`.. a —
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ELECTRICAL CONTRACTOt O R O Electric Installation Verification form att i
Electrical ui in co! installation ojnew /replacement a ��
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