HomeMy WebLinkAbout0131547-HVAC (furnace)/~"~ ', CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 516 W 16TH AVE Owner JACK USHELLY L FARVOUR JR
No 131547
Create Date 07/11/2008
Contractor CONDON TOTAL COMFORT Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar ~ Solid
System ^ New ~ ~, ^/ Replace ~ Q Other
/ Forced Air Radiant ' Steam A/C Venf
Electric Hot Water ' Suppl. Con_ Burner !.
Chimney Type Chimney A Chimney B Direct Vent Not Applicable
Heat Loss As Approved Existing ' Not Applicable Value
BTU Rate As Per Plan Variable ' Other Value
Use/Nature
of Work
furnace (flood damage). EIV sib
Fees: Valuation $2,580.00 Plan Approval ~U.ou Permit Fee Paia ~4a.uu
Issued By: ~~p '' Date 07/15/2008
l ^ Permit Voided Parcel Id # 1301330000
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 speci••ied 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
OHKOH
ON THE WATER
HVAC PERMIT APPLICATION
' All information after bold categories must be provided.
Incomplete applications will not be processed.
I
• 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 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 ~ - ~ C ~ ~g
JOB
51(0 ~,~,~ l (oth !,, 5~,. ~ sh~LuSl
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~~
JUL 1 1 2008
t~E:~~~ E tse~ca~ +~~
CHECK 8 ALL APPLICABLE ' COMMU~II~ ®E~JE~.O{~v;bNT
~~~ INSR~CTIOCI ;ERVICES DIVISION
USE CATEGORY
Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL 1~1Gas ^Electric ^Solid SYSTEM ^New ~1Replace ~~(~~ ~~mq~z
^Oil ^SolarI ^Other
TYPE ~
^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTCT'S being vented.
CHIMNEY TYPE ^Chimney A Ij ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved I, ^Existing ^Not Applicable
BTU RATE ^As Per Plan it ^Variable Other Value (ow ~ I~C~CU ~~u.1n
DESCRIPTION /SCOPE OF ALL WORK BEING DONE ~ - 1/E'-~(1Y1C~. rl A k U.\~A L CAS
VALUE (Including labor and materials)
ELECTRICAL CONTRACTOR (for projects not requiring an E1V Form) 1 l~~tl-~ C.~C~1 C ~ ~~~(~,
Sao - 7 S/~-7900 o7io~
$QyOCG
u1-15-08 1Ot37A HEATLEY ELECTRIC 9207487900
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Eltctric IpstAUs+tioA'Veriflcation
HEATLEY ELECTRIC
611 N STANTO~y
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(I'Jettriczt Convacrot Natae of Homeowner's Name)
(Address) (City) (Slats;) (Zip Cods)
accept t?+c responsibility to pesforn+ the electric werk as stated bcfow, at the follctiwiaQ ad~drCSS:
(Addrcs~ w~ wodc will be perfarrned)
"fb<: ostut+e o wort cagsists of: (Check Uwe or Describe the Natwe of Work)
R~econtwction or ntm- oirctiit fix teplaccmast Hestiuus Ptaat and/or NC Cood+ettser.
Recoe~t+~rion er acw circuit for r~lscemeat Clecttic Weer NEatcr or power ~•cacrd
vrater heater.
Rreccrrtnectipi ofthe $ervica Enoanoc Cable, Meoor Box, alta~at~ to ~ceptzck,
and lighting 8xtutea dur to siding ! solBt instal~aia+. NaRC: New Service
Enaas~ee tables silt reQenire a aeparaie permit,
Reootaectiott or clew circuit for the replacemcac of other Pctmanagtiy wired
appliawces / ttfctwres.
New circuit for the addition of A/C m an i-,rlivid,~o/ dwelli~ w~, inctud;,gg
regained service ekcoricsl ondets, Kota: Ho,~uownert can only do NKir own
elecrr/e o-r o ~f+~eJaa~uy owner occsgalsd 1rvArr. WawX on o rof~da,~riiiw,r,
~hpfe~, -ental, or,e„Jri-we bai~dNtg,w~~r~ai~e a llce~sed Eltcrricol
Coraiactor.
Qthcr
r
Tbt value of this wank is S ~ ' a
t hercbr rerify tbir work will be pafoarited iA compli~+ce with the License =equi:aneats of
5cetion I I-2'_' of Oshkpsh 1lduaicipu cede ~ ~~ verifjr the rtcotrnrcei~ / ~~tlsa~
/ ~ ~ ~l~e~vhtb ttsznutacaurr and Electric code rtquitements.
ORar a ) (/tire Nae+r)
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