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HomeMy WebLinkAbout0128393-HVAC (furnace; chimney liner)CITY OF OSHKOSH No 128393 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER. Job Address 1711 MICHIGAN ST Owner JAMES BALDA - , Create Date 01!0812008 Contractor CONDON TOTAL COMF ORT Category 500 - Residehtial-Heating & Ventilating Plan Fuel / Gas--~ Oil Electric ^ Solar Solid System ^ New ~ ^/ Replace _~ ^ Other / Forced Air Radiant Steam ~ A/C Vent Electric --~ Hot Water Suppl. ^ Con. Burner Chimney Type ~) Chimney A ~ ~mmney es ~~cc~ vC~~~ ~ ~ wv~,~,NN~wa.,,G , i Heat Loss As Approved Existing Not Applicable Value BTU Rate As Per Plan Variable Other ~ Value 70,000 Use/Nature SFR! REPLACE FURANCE AND INSTALL STAINLESS STEEL CHIMENY' LINER, EIV SIGNED BY HEATLEY ELECTRIC `check of Work #18421 Fees: Valuation $3,950.00 Plan Approval $0.00 Permit Fee Paid $70.00 Issued By: (~~_~- Date 01/08!2008 ^ Permit Voided Parcel Id # 1404240000 In the performance of this work, I agree to perform an worK pursuant to rules governing ine aescnuCU w~wuucu~ii. 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 _ Address PO BOX 184 Agent/Owner 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 of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 HVAC 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 If you are a contractor participating in the Permit fee Account System and have adequate funds check here if you want this processed through your account [] ** 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 ~ ~-~ ~~ -~ 7 JOB ADDRESS ~ -7 t 1 iu` 1 ~ ch i G C~i2 ~~ OWNER ~-~ :A(Yl~ I3 C~1 C~Q. _ , CONTRACTOR ~~~~ T~ I A~ ~4~1~c~r~. -~ ~- CHECK E/1 ALL APPLICABLE USE CATEGORY Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial FUEL ^Gas ^Electric ^Solid i~0i1 ^Solar SYSTEM ^New ^Other Replace TYPE ^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electi-ic ^Hot Water ^Suppl. ^Con. Burner IS CHIMNEY BEING LINED ^No I~Yes -LINER. SIZE ~'~ X Za' & MANUFACTURER Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ^Chimney A .Chimney B ^Direct Vent ^Other HEAT LOSS ~'AS Approved ^Existing ^Not Applicable BTU RATE ^As Per Plan ^Variable ~OtYier Value ' Z©, QGC DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~ ~s __._~ ~ 1- L~r~v~c~ C~~ ~ ~~~i~c~C;~ !- ~tr~~,~,1~~..~~~~~1 Ctn~-~r~, ~.~t1~t- DEC 31 207 VALUE (Including laborand materials) $ ~q~~~~ ~OO r~~Sr~6.; ~ TO?~? S `~",~:'~~ r- k~ ~tiS?O;V ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) r1f.',~~'X~,~ ~~k,C~~~:. o~~o~ Ci*y uCOshkosR Division oC I ttspection Services 215 L:hw~cD Avenge PO Anr 11x0 ptAkosA WS 54907-1170 OfSce 920-2365030 N wn~cr FaF 920.236-5084 Electric l.nstallation Verification HEATLEY EI.ECTi~IC I (We) 611 N STANTON electrical Contractor: Name) (Address) (City}' (State) (Zip Codej have been contracted to perform electric installation wdrk for y,~ Y'~,~~ ~)(:~ C~ A~~Q~v (4~/K- c~ ~%r- ~7~`~ (Name of party contracted to) at the following address: (Address where work will be performed) The nature of the work consists of: (Check One or X?eSCribe the Nature of Work) ,~,~Reconnection or new circuit for rerlacernent Heating Plant and/or AJC Condenser. Reconnection or new circuit for replacement Electric Water Keater or power vented water heater. Reconnection of the Service Entrance Cable, McEer Box, alterations to receptacles and lighting fixiwes due to siding / soffit installation. Note: New Service Entrance Cables will require a separ2.te perrrtit. Reconnection or new circuit for the replacement of other permanently wired appliances /fixtures. New circuit for the addition of A/C to an individual dwelling unit {house or the individual systems in a duplex or condominium), including required service electrical outlets. ~~ Uther /~i The value of this work is ~ I hereby verify this work will be performed by an ernployee vfthis company and further- verify the rc~~nneetion ! lust llation will be done in compliar-ce with manufacturer and Electric code FCauirem~nts. of Company O ZO"ci 006L8bLOZ6 . ,'. , /~ 7,,~ W (Print Name of Officer) (Date) ~IZ11~373 Jl3-I.Lt1~H 1160= tt 80-LO-u~