HomeMy WebLinkAbout0123783-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1111 COOLIDGE AVE
CITY OF OSHKOSH
No
123783
HVAC PERMIT - APPLICATION AND RECORD
Owner RICK H SCHMUDE
Create Date 03/07/2007
Contractor
. .
CONDON TOTAL COMFORT
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
~ Gas UOH
o New
~ Forced Air U Radiant I
U EleCtric LJHotWater I
D Chimney A . Chimney B
IC) As Approved () Existing
D As Per Plan C) Variable
U Solar U Solid
o Other
U AlC U Vent
.' U Con. Burner-I
o Not Applicable
System
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
Chimney Type
Heat Loss
. Not Applicable
. Other
Value
BTU Rate
Value
50,000
Use/Nature SFR / Replace furnace and add 4" chimney liner. EIV provided by Heatley Electric.
of Work
Fees: Valuation
$1,770.00
~
Plan Approval
$0.00
Permit Fee Paid
$37.00
Issued By:
Date 03/13/2007
o Permit Voided I
Parcelld # 1605550000
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 perform 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
Agent/Owner
Address
PO BOX 184
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.
~ar-13-07 09:35AHEATLEY ELECTRI~
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Electric InstaJlation Verification
I I -~C{-fre~: ti~c-fV/ c
W (E ectric.1 Contractor Name) jJ, ^
C;; (( ;1L 'StavrfJD .1:kt!fY'. __
(Address) (City) (Sta~) (Zip Code) C .
have been contracted to perfolDl electnc installation work for C~ CJ'r\.. T a-t O<....L, cJ)d\.~.j'-f
n . ( (Name ofpa<ty contracted to)
at the following address; l.{ t r lD't) _ ~ Jcve _ S-r
(Address where W~ll be performed)
I (We)
The Dature..Jiilie work consists of: (Check One or Describe the Nature of Work)
JL. Reconnectionor new circuit for replacement Heating Pfant a~c1/or NC Condenser_
Reconncction or 11~ circuit for replacemont Electric Water Heater or power vented
water heater.
Reconnection oithe SeJ'Vice Entrance Cable, Meter BO;1(, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate ~"nit.
Roco.anection or .new circuit for the replacement of other permanently wired
appliances / fixtures.
New circuit for the addition of Ale to an indzVidual dwelling unit (house or the
individual systems in a duplex or condominiu.m), including required service
electrical outlets_
Other
LL ~(;
The value of this work is $. . DC):;
I hereby verify this work will be performed by au employee of this company and further verify
the reconnection I installati will be done in compliance with manufacturer and Elecrric code
reqUirementsd
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(print Name of Officer)
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(Date)
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HVAC PERMIT APPLICATION
All infOffil.\tion a1kr bold categories lIll.Lrt be provided.
Incomplete appuutions will nol be Proccs.scd.
AppliWion(,) and fee(,) can be brought to City Hall, Room 205 or mailed to Inspection Somees, PO Box 1128,
Oshkosh WI 5490J.1128. Commencing work without pcnnit(,) will result in fees being doubled or S 100.00 plus the
normal permil fcc, which eYer is greater.
OR
.' 0" ,,; 0 eo""octo, orllei olio 0 the P"mi~" A eeou", S
.you want (his processed (hrouph your account
"
check here
>B ADDRESS //// 0A ~ o~~
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')NTRACTO~~ tl/:-"j,,, ,-:k:"".JI i.u~~ 1: ?2qy
DATE 3/6~7
:mCK 0 ALL APPLICABLE
,E CATEGORY
l;inglc Family ODuplcx
OMul(j-Family
OR~nla)
OCommcrcial
OLndustnal
EL
/1Gas
DOil
OElectric OSolld
OSo]ar
SYSTEM
ONew
OOther
,kf'Replace
PE
;Xo"" A,; OR,',,,>! DS"'m DNC DVent DElwn, DHot W"" DSupplOCon 8~"
. '/ , "'/
; 'ffTh1NEY 13EING LINED ONoMl'es . UNER SIZE L/ X..:J", & MANUFACTURER
. AI] chlnU1e)'> >l1all be >lzed per the G-nys beln.s \'enled
I !\1NEY TYI' F
\ T LOSS
:'[~;\TF
OClwnne)' A
U/\s Appro\'ed
D!\s Per PIJIl
Bchlf1lT1I')' B
O[\lsling
o Vanablc
O[MLI \'enl lJOlhu
B1'Tol Appllc<lblc
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.ReG-E.IVED
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