HomeMy WebLinkAbout0126989-HVAC (a/c)
o
OSHKOSH
ON THE WATER
Job Address 1840 EVANS ST
CITY OF OSHKOSH
No
126989
HV AC PERMIT - APPLICATION AND RECORD
Owner DR MITCHEll R TULIP
Create Date 09/17/2007
Plan
Contractor
CONDON TOTAL COMFORT
Category 501 - Residential-Air Conditioning
Fuel U Gas ~ UOil ~
System UNew ~
U Forced Air I D Radiant
Wlectric I LJ Hot Water ~
Chimney Type o Chimney A () Chimney B
Heat loss IT As Approved () Existing
BTU Rate D As Per Plan ==rrVariable
U Electric --::::J U Solar U S_o~__~
o Replace ________~ Other
ITsieain=:=] ~ A/C___J U V~~!__~
OS~=:J DCor;:-BUrileD
O~~\,I~L___==-=. Not Applicable ~
. Not ApplicabIEl_____~ Value
. Other Value
Use/Nature cOM~XTReplace a/c system. EIV provided by Heatley Electric.
of Work
Fees: Valuation ________ $2,12~,gg
Issued By: a~
Plan Approval _________1Q:99
Permit Fee Paid
_____~_~l.~Q
Date 09/28/2007
o Permit Voided I
Parcelld # 1519400200
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.
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 perrnit(s) will result in fees being doubled or $100.00 plus the
nonnal pennit fee, which ever is greater.
OR
If yOU are a contractor participating in the Permit fee Account System and have adequate funds, check here
if yOU want this orocessed throuf!h your account n
** Advisory - For applicable projects, an Electrical Installation Verification (EIV) form, signed by the Electrical
Contractor or Homeowner (for installations allowed to be performed 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- \4-01
JOB ADDRESS 1<64 b EVAns 5,
OWNER DY,R\chQrcl..1uL\p
CONTRACTOR c.ordOrL TOTAL to\"Yltor-k INQ.
CHECK 0' ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex o Multi-Family
o Rental
~Commercial
o Industrial
FUEL
DGas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
~Replace
TYPE
DForced Air DRadiant DSteamJ(AlC DVent DE1ectrlc DRot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED }QNo DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTIJ's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
D Chimney B
DExisting
DVariable
DDirect Vent
DNot Applicable
DOther Value
DO~EC I
SEP 1 7 ZOOI
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
\- A\reflo Ale sys+el'YL
DEPARI Mt:N I Or
COm1UNITY DEVELOPMENT
INSPECTIOl\J SERVICES DIVISION
d1~q
I~\li
\-\eQr\e' ~ IT-tr I c.. .
~ (fOlm-tD \::ef~ed b\11ien.tk'j)
, . ... ,. . ..;, 06'
VALUE (Including labor and materials) $ 2. \ 2.5.
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
07/07
I
-ep-2B-07 05:31A HEATLEY E~ECTR~C
JU',29, 2001 f.,(16AM ,"IO,dlO' \Om",
"~.2074B7900 P. 01
):,', . N\i.35i(l R~ 11
",~,."...",...'~
~
C21"!.9/H
City ofOibkosb
tlivUICII\ Or~t1Dll Sa.v"''''
21~ C1l=lI AvellllC
l'Olltl~ 1130
U&..~".h Wl ~~~u~.\110
Offi.. ~Z(l.Z36.}UjO
fu 92/).23MOBd
I (We)"
Electric Installation Verification.
HEA.TLEY ELECTRIC
611 N STANTON
RIPO~tor Name)
(Address) (City) (State) (Zip Code)
ha,,,, been con1nlcted to porto"" eJeeme installation work for D ( RI'c~ C( ref 1U (if?
. , (Name Ofpw:ly contracted lQ)
at the following address: (740 [ \If) jv S S T"
(Address where work will be performed)
ork consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or NC Condenser.
Reconnection. or new circuit forreplacement Electric Waler Heater or power vented
wa.ter heater.
Reconncction ofllie Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation_ Note: New Service
Entrance Cables win require a sepantepermit
Reconnection or new circuit for the replacement of other permanently wired
appliances j fixtures.
New circuit for the addition of Ale to an individual dwelling unzt (hollse OT the
individual systems in a duplex 01 c;ondominium), including r~uired service
electrical outlets.
Other
The value of this work is $ L
Vu
3JJ, .
I hereby verify this work will be perfonned by an employee o[this company and further verify
the reconnection I ins lation wilJ be done in compliance with manufacturer and Electric code
emer1t!;. i
(S""UI\/ s lfE/t7L"-E- r
(print Narne of Officer)
?r2fOZ
(Date)
Sln2