HomeMy WebLinkAbout0133634-HVAC (furnace)I~ CITY OF OSHKOSH No 133634
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1595 BRENTWOOD CIR Owner MR/MRS DENNIS O ZORN Create Date 10/22/2008
Contractor CONDON TOTAL COMFORT Category 500 -Residential-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. Bumer
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 66,000
Use/Nature
of Work
Fees: Valuation $3,560.00 Plan Approval $0,00
Issued By:
Permit Voided
Permit Fee Paid $64.p0
Date 10/22/2008
Parcelld # 1321880000
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 pertormed 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 O HKO.IH
ON THE WATER
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
d
** 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 ~ (~ - ~ ~- Q~
JOB ADDRESS ~ 5q 5 ~3fer~ttivoocl C~ ~.~e
OWNER ~Cfl 1~1 ~ S ZU r'(1..
CONTRACTOR l_1.31'1C~ "3 I i.~ Ti~1 L ~.i~m~'~rt ~~
CHECK 0 ALL APPLICABLE
USE CATEGORY
[(Single Family ^Duplex ^Multi-Family ^Rental ^Commercial ^Industrial
FUEL BOG Is ^Electric ^Solid SYSTEM ^New ~ p
^Solar a lace
^Other
TYPE
^Forced Air ^Radiant ^Steam ^A/C ^Vent ^Electric OHot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No ^Yes -LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS DAs Approved ^Existing ^Not Applicable
BTU RATE OAs Per Plan ^Variable ~lOther Value _ (~(o, O UU g~~~-1
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
~t'1YZG~ C ~~ MI~V -~~~~- f11 I ono .~ , ~_.,, ~ ,.,-.
VALUE (Including labor and materials) ~ ^, S(v ~. U~
ELECTRICAL CONTRACTOR (for projects not requiring an EN Form) _ HeCL~~ ~ 1
~ ec~r=-c - I~~c~tt
o~~o~
ct-21-08 04:27A HEATLEY ELECTRIC
OCT-i7-08 09:'.S6 AM CONDON TOTAL COMPORT
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