HomeMy WebLinkAbout0126805-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 822 E NEW YORK AVE
CITY OF OSHKOSH
No
126805
HV AC PERMIT - APPLICATION AND RECORD
Owner ALEXANDER A MERTEN
Create Date 0.9/14/20.0.7
Contractor
CONDON TOTAL COMFORT
Category 50.0. -_ Re~idential-He~ting & Ventilating
Plan
Fuel ~ Gas U Oil U Electric~:::=J U Solar =:J U Solid __.J
System D New 0 Replace D Other J
lti!orced Air I U Radiant ~ IT~___J ~___~J ~~!___J
ITElectric ~ U Hot Water ~pJ~_~=-:=J ITC_on.Burner]
Chimney Type D_Qhimney A ___. Chimn~y B ___~_-=O: Dir~~t Vent___ ~=__O_f\Jc)i]\Ppli:C.a.EI_~__~=J
Heat Loss a~i:~~~(~===-TI_~~t!Il.L==-_~===~=='--N::Oi 6p'pii~a~T~- Value ___ ______.
BTU Rate UAs Per 'plal1===-.o~\@ri~J?~===._===~==_=~.=oth~T= . Value __ __._________.~.?,QQ.Q
Use/Nature [SFR I Rep.lace furnace. EIV provided by Heatley Electr~~----_.~-
of Work:
-- -----------1
I
____.J
I
l__
Fees: Valuation ..___ $2,49Q.OQ
Issued By: (}-nA'?
Plan Approval _~Q.:.~Q
Permit Fee Paid________!~X:5Q
Date 0.9/17/20.0.7
o Permit Voided I
Parcelld # 150.9810.0.0.0.
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.-748-50.50.
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.
FA'l-d. 4/1 L\ lo-r
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HV AC 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If yOU are a contractor particivatinf! in the Permit fee Account System and have adeauate funds. check here
if yOU want this vrocessed throuf!h your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) fonn, signed by the Electrical
Contractor or Homeowner (for installations allowed to be perfonned by the homeowner) must be submitted
with the permit application. Applications submitted without an EIV when such is required, will not be
processed for Permit Issuance and will be returned for completion.
DATE Q!\\/07
JOB ADDRESS ~ 22 E \\S ew Yo r \(,
OWNER A\ex ,Merten..
CONTRACTOR CorilOrL lOTA L wrnFork. IN e.
CHECK 0' ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
DRental
DCommercial
Dlndustrial
FUEL
~Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~Replace
TYPE
~Forced Air DRadiant DSteam DAlC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
lS{Chimney B
DExisting
DVariable
DDirect Vent DOther
~ot Applicable.
~OtherValue <.06,000
D
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
\ - Lenl'lox- <jQS-hJmuce
VALUE (Including labor and materials) $ 2.L\qO.CiO
SEP 1 7 2007
lIEPLlPTMENT OF
COMMUNITY DEVELOPMENT
INsPEcnor~ SERVICES DIVISION
\-\eAt\elJ E\ecmc.
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
~ep-14-07 05:12A HEATLEY ELECTRIC
::: '" \ IllU/IU:24AM in",ction "''''''
P.Ol
P. 1/2
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PO 9Cll IllO
O'l~ll\ WI ~190)-1I JO
om... 9:Z0.23~SOjO
f~", !f2o..ll6..s084
I (We)
Electric Installation Verification
HEATLEY ELECTRIC
611 N STANTON
(Address)
(City)
(Zip Code)
(State)
accept the responsibility to perfoTlTl the electric work as l)la~d belowt at the fol1owing
~~
The nature o~WOtk. consists of: (Check One or Describe the Na.ture of Work)
~ RecoTmcction or new circuit for replacement Hee.ting Planl and/or Ale Condenser.
Recormection or new circuit for replacement .Electric Water Heater or power verned
water heater.
Recon.nection oithe Service Entrance Cable, Meter Box, a.lterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit. .
RecolUlection or new circuit for the replacement of other permanently wired
applianc.es I fixtules.
New circuit for the addition of Ale to an individual dwelling un iI, induding
required service ~lectrical outlets. Note: H()meowners can only do their awn
electric an a singlefamily owner occupied harne. Work em a condominium,
dlopJe.x, rtmtal, or multi-use building 'WQuld require a licensed Electrical
ConTractor.
Other
The value of this work. is S L...
"
100 q.;.--
1 hereby verify this work will be performod in complia.nce with the License requirements of
Section 11-22 ofLhe shkosh Municipal code and funher verify the reconnection I installation
. e done i co liance with manufactUrer and ElecLric code requirements.
If"-e]v (' /..v-/Wr
...Jl 4( fD.,'~ [b'-
1''-r'y d7
(Darc)
(Plit\[ Nalns)
07/07