HomeMy WebLinkAbout0128118-HVAC
G
OSHKOSH
ON THE WATER
Job Address 5 E WAUKAU AVE
CITY OF OSHKOSH
No
128118
HVAC PERMIT -APPLICATION AND RECORD
Owner KURT A KOEPPLER
Create Date 12/10/2007
Plan Z7-2147-1007H
Contractor
CONDON TOTAL COMFORT
Category 500 - Residential-Heating & Ventilating
Fuel
UOil
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Not Applicable
~ Gas
~ New
U Forced Air
U Electric
Chimney Type 0 Chimney A
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
System
Heat Loss
o As Approved
D As Per Plan
~ Radiant
U Hot Water
() Chimney B
() Existing
o Variable
BTU Rate
. Not Applicable
. Other
Value
Value
Use/Nature OMMI 6-Unit Multifamily building. Installation of a crown sealed combustion gas boiler and a domestic hot water tank, pump and piping.
of Work
Fees: Valuation
Issued By: ~ V-
$25,900.00
Plan Approval
$0.00
Permit Fee Paid
$314.50
Date 12/10/2007
o Permit Voided I
Parcel Id # 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 (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.
-# \ \ 52.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903~1130
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 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 participating in the Permit fee Account System and have adequate funds. check here
ifvou want this processed throuzh 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, willnot be
processed for Permit Issuance and will be returned for completion.
DATE \2-I-Ol
JOB ADDRESS 5 E \vJ AU to,LL A \}e
OWNER\~UY-T k.Depp\er
CONTRACTOR Corc\OrL TOTA L Lo\'Y)Fort. IN e.
rF\~
- \;\. ... ~
1..,..\ V(
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CHECK iii ALL APPLICABLE
USE CATEGORY
DSingle Family DDuplex l){Multi-Family
DRental
DCommercial
Dlndustrial
FUEL
~Gas
DOil
DElectric DSo1id
DSa1ar
SYSTEM
~New
DOther
DReplace
TYPE
DForced Air ~Radiant DSteam DAlC DVent DElectric DHot Water DSuppl. DCan. Burner
IS CHIMNEY BEING LINEDi'1No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CIDMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
lstAs Approved
DAs Per Plan
DChimney B
o Existing
DVariab1e
~irect Vent DOther
DNot Applicable
DSotherVa1ue \<=\3; 000 '\Stu\'1-
VALUE (Including labor and materials) $ 25...Y CJO . ()t)
DEe 1 0 2007
DEPARTfvlENT OF
COMi"lUNITY DtVtLUi.J\vIENT
INSPECTION SERVICES DIVIS19~7
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form)