HomeMy WebLinkAbout0127433-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 110 ALGOMA BLVD
CITY OF OSHKOSH
No
127433
HV AC PERMIT - APPLICATION AND RECORD
Owner ALGOMA BUILDING LLC
Create Date 10/17/2007
Contractor CONDON TOTAL COMFORT Category 512 - Ind. _~Gol11m-Bo.!b_____
Fuel l~LGas_____~ DJ:>~~ OJiectilC--J U S~?!_ I
System 0 N_~~~____.-J DJ3.ep_~a_c~________ __J
~ F~~~~9 Air=1 IT~adianC-=~~J D-=S}e~~_-~~~_~J [~[;A.7~~~=~-=~
uJ~le~tric__=J D-B.~I~aj~~_=~_, Q~~~peL' U~~n~Bil~6er_:
Chimney Type IT~l1Im ney ~~:==.~im ~~ylL~=~_~--IJJ:>J~~ct'Z~6t:==-=:::D=~s>TAef>ll~~~[~~=--~]
Heat Loss .- A~~2.rovesL-===TI- Ex1S-~ng--=:-=~_==-=~==Cn'!2fApIill~~~1~====-=] Value
BTU Rate ITAs F:er~e~6===---:::TI_ Variable ===-====:-. Q~h~i====~=~==-J Value
Plan
D:~glid ==:-===1
Other
o Y~~t __
Use/Nature !(;OMMllnstall 2-stage sealed combustion gas furnace, 2.5 tonalCsystem, 2-stage 3- zone damper system, exhaust fans and venting. Ny
of Work [prOVided by Witzke Electric.
!
I
L
_____________________________________________J
Issued By:
$13,100.00
!bnvJ
Plan Approval _______ $0.00
Permit Fee Paid _______11g,1,.,Q_Q
Date 10/23/2007
Fees: Valuation
D Perm.i!..Y~i~~
Parcelld # 0700060000
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.
" d~"
ccOCT. 23. 20071lil1: 18AMM WITZKE ELECTRIC- COMF'
~ ~:I, "., t. V U I I : ~ ~ AM In, P Ie t I Q n se r vi, u
92ai"485B304NO.435 P.1/1 t". l<I;d
No, 33~ \9. 2
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cis
ef., ot'CltU.lof~
1>>i''''ltlupftil;~ "1"jI~..
all c:IImll AYftlr&
10 ~ UJO
Ollllcea WZ J..,O>-j m
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r~a ~WtIl1"
ElectrJc InstallatiOD VerifIcation
I (WI!) _ W\~\(e. f. \edoc I\\c:
(!llil,hi~a.\ Contnctor Name)
\SS E. ?Ac.~er A~ Os'n\Losn. ,~l 54GDl.
(Address) (Cft)') (STato) (.Zip Cc~e)
bve be~D. cootracted. to ]t~fuTm 01~lric inatallll.t\Dn work fOr luc..Sf\~~ Ve.;t\ e. ,
(Namo of party contracted. to)
.'tb.efollOWgadclrecs: \ \0 A\ QOr<\Q.. 'BLvcL,l loUJeY' .lev"t.~.
CAcidm5 wh,=r; work.wiJ1 be pod'&mcd).
'The Mtwe or the wQrk consisls gEl (Cbe~k: On~ or Describe the Nature orwork)
-X- Rccozmel:tion or now Glzo\ait felr rcpla.r;emCU1 H~Ifit)8 Plant ~d1or Ale CondeJ1s~'.
- Ibconne=t!on 01' J1flW cinwt for repIac==t Electric Water Hee.tC" or power Ye<ed
'Weier h;atcr.
- ll=ODIl~;tiOl1 of the Servlclll EWAD.c1 Cable, Meter Bo~ aUe,raliODJ U) receptRDlcs
and ll,sbtins fixture, d\le to sld1l1g I loflil instillation. Note;; New Service
Entrlncc Cab10l will :equllo B lICplUaJJ:: ,permit.
- leco~>ion ~r DCW gilcuit tor the ,r=pl~cme:nt of oIlier pmna1\wt1)' wired
appUal2.1;C8 I ilxture3.
_ New r;ireu.lt tot the tdditlOfi of Ale to anlndMrJull dwllllmf u/tit (house or the
.indivl~all)'Slems m a duplex or cOl:ldQmb~.lum)~ inclt.ll1itlS required service
electrieat outlet;,
· _ Otb.e.r
The va.1ua a/this worTt.. 18 $ ~/OO .
t hereby verity this work will ~o pvrotmecl by ~ employee ot tMs compa"~ an"- &\'t1w'verifY
the r~=onneolion 1 iTlstallallon "t'ill be dQI1= i.D co~!im=. with mant.1tactu.rer and 'Sl=<<ric ~d;
tequ.ltementJ.
~~.~
{O/doD 'J
(Dat,=)
.!~2
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
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 permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor varticipating in the Permit fee Account Svstem and have adequate funds. check here
if vou want this vrocessed throuf!h vour 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 \0- \ (o-Ol
JOB ADDRESS \ \ D A \ 3 D mQ b' vel - \D '\J\Jey \eve\
OWNER LUc.h,dQ. Ve.tte.
CONTRACTOR CorrlorL T OTA L Lo\'nFor-k IN e.
CHECK It! ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
lRl'Commercial
o Industrial
FUEL
~Gas
DOil
DElectric DSolid
DSolar
SYSTEM
)i?jNew
DOther
DReplace
TYPE
ag:Porced Air DRadiant DSteam ~C DVent DE1ectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED J&1No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTURATE
DChimney A
~s Approved
DAs Per Plan
~Chimney B
DExisting
DVariable
DDirect Vent DOther
DNot Applicable
DOther Value
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
\- A\reHoc-S+UJ3e seQ,\ecL cornbUSn0(L gQS mrnQCe
\- A\'(e\='\DZYz..mn. Ale. S~8tEf\L
\- A y-, L~\re 'Z-st e 3 C(JY'e. da\"IItx:,r s 8.
'2-- \:)'{'OOS"L lo"64- ~~hOJ' SfuhS ~ \J'€..\'\nn.C) .
VALUE (Including labor and materials) $ l3 , \OO.CJO
, ~-:;u,<'~I/r OCT 1 7 2007
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) ~ . D[PARTi'vJcl~l OF
/. J ~ ~ /J COMMUNITY DEVELOPMENT
(/V1JV(fr L.V INSPECTION SERVICES DI~l~bN
~ 6Z35=-6 57;).. f'o.--v a35 _ (psga-