HomeMy WebLinkAbout2013-HVAC (furnace) /L", CITY OF OSHKOSH No �sazss
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD �TiE2m�
ON THE WATER
Job Address 2460 ABBEYAVE Owner THOMAS/SUSAN FOJTIK Create Date 10/16/2013
Contrector CONDON TOTAL COMFORT Category 500-Residential-Heating&Ventilating Plan
.__ _._____.
Inspector Nicole Krahn � �
Fuel � Gas _ J Oil_ _ __ ._ . Electric � �L Solar ', � Solid �'�,
System [�New . � [✓� Replace �� � Other _ _
� Forced Air � � Radiant �. Steam _ � A/C '�� Vent _ '�.
...._. ._.____
Electnc __ Hot Water ' SuppL ��Con. Burner�'�,
ChimneyType ',� ChimneyA � ChimneyB � DirectVent � NotApplicable �
HeatLoss ',Q AsApproved � Existing � NotApplicable �I Value
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BTU Rate As Per Plan Variable Other � Value
�--------- � • --. ... � �
Use/Nature SFR/REPLACE FURNACE "check#20643
of Work
�— -----... _. ._ . _ _.. -- --------'��
Fees: Valuation $2,810.00 Plan Approval $0.00 Permit Fee Paid $62.00
Issued By: ��J.� Date 10/16/2013
J ❑ Permit Voided I Parcel Id#0616740000
In the performance of this work, I agree to perform 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 pertorm 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
AgenVOwner
Address 11 BLACKBURN ST RIPON WI 54971 -2401 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.
CITY OF OSHKOSH
DIVISION OF INSPECTION SERVICES
PO BOX 1130
OSHKOSH, WI 54903-1130
PHONE: (920) 236-5050
FAX: (920) 236-5084
HVAC PERMIT APPLICATION
All inforxnation 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-ll 28. Commencing work without permit(s) will result in fees being
doubled or$100.00 plus the normal permit fee, whichever is greater.
Ifyou are a cond�actor participatinp in the Permit(ee Account Svstem ancl have adeguate fimds
� check here i�vou want thts processed throuQh your accaunt ❑
**Advisory—For applicable projects, an Electrical Installation Verification(EIV) form, signed by the Electrical
Contractor or Homeowner(for installations allowed to be performed by ihe homeowner)must be submitted with
the permi[ application. Application submitted without an EIV when such is required, will not be processed for
Permit Issuance and will be returned for completion.
JOB ADDRESS 2460 ABBEY AVE., OSHKOSH,WI 54904 DATE: 10/14/13
OWNER TOM FOJTIK
CONTRACTOR CONDON TOTAL COMFORT, INC. ll BLACKBURN ST. RIPON, WI 54971
CHECK ALL APPLICABLE
USE CATEGORY
X SinQle FamilY ❑ Duplex ❑ Multi-Famil y ❑ Rental ❑ Commercial ❑Industrial
FiJEL ❑ Gas ❑Electric ❑Solid SYSTEM oNew_ X Replacement
o0il ❑Solar ❑Other:
TYPE
oForced air ❑Radiant ❑Steam ❑ A/C oVent ❑Electric ❑Hot Water oSuppl ❑Con. Burner
IS CHIMNEY BEING LINED oNo ❑Yes - Liner size &Manufacturer
Note: All chimneys shall be sized per the BTU's being vented.
CHIIvINEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS oAs Approved ❑Existing oNot Applicable
BTU RATE oAs Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE: REPLACEMENT OF FURNACE
VALLTE(Including labor and materials): $2810.00 Fee: $62.00