HomeMy WebLinkAbout0128117-HVAC
o
OSHKOSH
ON THE WATER
Job Address 25 E WAUKAU AVE
CITY OF OSHKOSH
No
128117
HVAC PERMIT -APPLICATION AND RECORD
Owner KURT & JUDITH KOEPPLER
Create Date 10/16/2007
Plan Z7-2147-1007H
Contractor CONDON TOTAL COMFORT
Fuel ~ Gas UOil
System ~ New
U Forced Air ~ Radiant
U Electric l J Hot Water
Chimney Type [) Chimney A [) Chimney B
Heat Loss () As Approved C) Existing
BTU Rate () As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
U Electric
o Replace
U Steam
U Suppl.
C) Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature COMMI 6 unit multifamily building. Installation of a crown sealed combustion gas boiler and a domestic water tank, pump and piping.
of Work
$25,900.00
Plan Approval
$0.00.
Permit Fee Paid
Fees: Valuation
$314.50
Issued By:
}~
Date 12/10/2007
o Permit Voided I
Parcelld # 1416400000
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 (howdo 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.
*\\S3
.~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903~1130
Phone (920) 236-5050
Fax (920) 236-5084
ON THE WATER
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
normal permit fee, which ever is greater.
OR
Ifvou are a contractor participating in the Permit fee Account Svstem and have adequate funds, check here
if vou want this processed through vour 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 EN when such is required, will not be
processed for Permit Issuance and will be returned for completion.
I
DATE \2-1-01
JOB ADDRESS 2.f3 E WAu\(aLL A\.}€.
OWNER ku vi Koe. f2P \e y-
CONTRACTOR CordorLTOTri\ L Lo\llfort. INc..
CHECK 0 ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex ~u1ti-Family
o Rental
o Commercial
o Industrial
FUEL
'RlGas
DOil
DElectric DSolid
DSolar
SYSTEM
~ew
o Other
DReplace
TYPE tsi~
DForced Air ,~diant DSt~am DAlC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED~NO DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
m.s Approved
DAs Per Plan
DChimney B
o Existing
DVariab1e
'[x)irect Vent o Other
DNot Applicable
~OtherValue \q3 ,()OO ~~UL
DESCRIPTION / SCOPE OF ALL WORK BEING DONE
\- Lfl)WVL sen\ed_ c..\.)m~usn~(L SO-S bCJ\\er
\ - C.Xl) ill'(L d () fY\Q..S,-n Co h\:) \ U0A'\.ex -f-A \\ \L I P \HY\ ~ / P\~ 1'\\ ~ .
,Ij c:oDO,oO
VALUE (Including labor and materials) C-:..J-'
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)
DEe 1 0 2007
DEPARTMENT OF
COMMur~ITY DEVELOH1ENT
INSPECTION SERVICES DIVISION
07/07