HomeMy WebLinkAbout2002-0097498-HVAC (addn to #97190) 0 CITY OF OSHKOSH N 97498
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 110 N SAWYER ST Owner LOURDES ACADEMY Create Date 09/18/2002
Contractor CONDON TOTAL COMFORT Category 512 - Ind. & Comm -Both Plan
Fuel 111 Gas Oil I Electric f Solar 1 Solid
System n New ! [ Replace El Other
116 Forced Air Li Radiant U Steam u NC u Vent
Electric I Hot Water 1 Suppl. I Con. Bumer
Chimney Type J Chimney A • Chimney B 0 Direct Vent () Not Applicable
Heat Loss 0 As Approved 0 Existing • Not Applicable Value 0
BTU Rate `) As Per Plan ( ) Variable • Other Value
Use /Nature COMM/ Install 75m btu gas furnace, a 2.5T a/c system and a 4T a/c system. *This permit is for the additional value of work added onto
of Work HVAC permit # 97190. The fee has been adjusted to note that also.
Fees: Valuation $5,550.00 Plan Approval $0.00 Permit Fee Paid $58.00
Issued By: Date 09/24/2002
❑ 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
130 +y : 4 ,. , , ' x �i :
- WI'S4903 -1130 •
Phoo0920) 2364050
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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
1
If you ar contractor particinatin2 in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account n
DATE 7/!l/n Z
JOB ADDRESS 1..K.1tAe� ,L 1 6-t // d xpleuu ,451.-
OWNER 1 .1 _._. I . / _
CONTRACTOR / .)�, � L ,r: Y� -
Y�
CHECK E1 ALL APPLICABLE
USE CATEGORY
❑Single Family ❑Duplex ❑Multi- Family ❑Rental %Commercial ❑Industrial
FUEL ,,Gas ❑Electric ❑Solid SYSTEM ❑New
❑Oil ❑Solar Replace
❑Other
'E
►•'i; orced Air ❑Radiant ❑SteampA/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED 11 o ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized . • the BTU's being vented.
CHIMNEY TYPE ❑Chimney A Chimney B ❑Direct Vent ❑Other
HEAT LOSS DAs Approved DExisting r ot Applicable
BTU RATE DAs Per Plan ❑Variable rot
Value
DESCRIPTION OF ALL WORK BEIN DONE /1�
"""'/ VT - /9-1 N. t2 ti
VALUE (Including labor and all materials including Tight fixtures) $ /'i 74 \ nn ?
ELECTRICAL CONTRACTOR /
OR ❑ Electric Installation Verification form a tached(If Replacement) ;
Electrical installation of new /replacement equipment shall be done by licensed contracto4 Ct
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