HomeMy WebLinkAbout0103040 HOSHKOSH
ON THE WATER
.lob Address 871 W 18TH AVE
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Owner ROBERT J SCHROEDER
Category 502- Residential-Both
L~ Electric
New ] ~] Replace ]
Forced Air ] ~ Radiant
Electric I ~J Hot Water
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~) Chimney A O Chimney B ~) Direct Vent ~ Not Applicable I
Heat Loss ]~ As Approved ~ Existing O Not Applicable ] Value
BTU Rate ]~ As Per Plan ~) Variable ~ Other ] Value
No
Create Date
Plan
~ Solid
103040
07/23/2003
Other ]
Vent
75m btu
Use/Nature SFR/Install gas furnace, 2T a/c system, air cleaner and air exchanger. *EIV form from Witzke Electric.
of Work
Fees: Valuation $5,720.00 Plan Approval $0.00 Permit Fee Paid $92.00
Issued By: Date 07/23/2003
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature
Date
Agent/Owner
Address 11 BLACKBURN ST 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 performed within two business days from the time the project is ready.
HVAC PERMIT APPLICATION
All information ~ bold categories n-.,~t b~ provided.
Incomplet~ appllcafious ~ not b~ 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 d~ubled or $100.00 plus the
normal permit fcc, which ever is greater.
OR
I ouarea contractor artici atin il~the Permit eeAccountSystem a-aL . . ·
" ' ' .unave aae uate unds check here
i ou wanlthis rocessed throu II our account
JOB.aDDRESS
OWNER ~
CHECK I~' ALL APPLICABLE
)~sE CATEGORY
ingle Family [DDuplex
rnMulti-Family F1Re;ntal
F1Commercial
IDNew
FIOther
FIIndustrial
/i~eplace
FUEL _,J)ffGa s [2] Eleclzic IDSolid SYSTEM
F1Oil t-}Solar
· E
~orced Air F1Radiant F1Steam~AJC FIVent FIElectric FIHot Water OSuppl.r"lCon. Burner
IS CHIMNEy BEING LINED~"4o F1 ,Y, es - LINER SIZE & MANUFACTURER_
Note: All chimneys shall be sized per the BTU s being vented.
CHIMNEy TYPE [DChimney A /~Chirrmey B ~..irect Vent ~Other
HEAT LOSS [2]As Approved I-IExisting ,l~ot Applicable
BTU RATE U]As Per Plan I-IVariable f-lOther Value
DESCRIPTION OF ALL WORK BFANG DONE
VAIfi. IE (Including labor am! all malcrials light
I~1 .E('TRI('AI. ('()NTt{A( 'T( )R .......... O~R [ I EtccIrtc Inlllillallon \ ct If)callotl form attachcd(H Rcplaccmc,ll}
JUL.lB.2003 ?:49AM WITZKE ELECTRIC
Electric Installation Verification
(Elcctd.cal Contractor Name)
(Address) (CiW) (Slate) (Zip Code)
have been contracted to perform elecUic installation work for '-~e$~ e-¢ ~
('Name of party eonl~acted ~o)
(Adckess where work will be performed)"
Tim nature of the work consists of.' (Check One or Describe the Nature of Work)
.~.. Reconnection or new circuit for replacement Ite~ting Plant and/or MC Cond~t~r.
Reconncction or new circuit for replacement Electric Water Healer or power vented
water heater.
Reconnection of the Scrvicc Bntrmce Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: N~w Service
.Entrance Cables will require a s~parate permit.
__ Reco~nection or new circuit for the replacement of other p~'manenfly wircA
applienc~ / ~,'tures.
N~v circuit for the addition of MC to an indivtdua! ~welling unit (hous~ or the
individual syste, rn~ in a duplex or condominium), including required service
electrical outlets.
The value ofthis work is $ ~.~0 '~ ~
! hereby verify this work will be performed by an ~ployce of this compm~y and ~u~her verify
the reconncction / installation will be done in compliance with manufacturer and El~cU'ic code
requ~mrnen~s.
(~ilinature of Company Officer)
(th'iht Name of Officer)
(Date)