HomeMy WebLinkAbout0133787-HVAC (furnace & a/c)OSHKOSH
ON THE WATER
Job Address 1225 N EAGLE ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner EVERGREEN MANOR INC
No 133787
Create Date 11/03/2008
Contractor CONDON TOTAL COMFORT Category 512 -Ind. & Comm-Both Plan
Fuel / Gas Oil Electric Solar Solid i
System Q New ~ ~/ Replace ~ ~ Other
/ Forced Air Radiant Steam / A/C Vent
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 45
000
,
Use/Nature FR /REPLACE FURNACE AND A/C, EIV SIGNED BY BEEZ ELECTRIC **check #18749
of Work , ~
Fees: Valuation
Issued By:
Plan Approval $0.00
Permit Fee Paid
$89.50
Date 11/03/2008
Permit Voided ~ Parcel Id # 1608640000
In the pertormance 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
Address PO BOX 184
AgenUOwner
RIPON
WI 54971 -184 Telephone Number 920-748-5050
To schedule inspections please call the Inspection Request line at 238-5128 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 NOV 0 3 2008
P.O. Box 1130
Oshkosh, WI54903-1130
Phone (920) 236-5050 COMNlu~~ ~ ~- , ,
Fax (920) 236-5084 INSi'tC~Th:~,. ~s~:.,
O HKQf H
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
** 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.
JOB ADDRESS ~ Z Z 5 I~ ~C;t (1 ~-~ ~+
OWNER_ ~V E'_rG (-2 P-1'L R e1-i re ~.l'lt
_ ~ C~rnmul~`i~.~
~~,,~~~
CONTRACTOR UJl`Y~('~ (i.3Tf1L ~YYl~~rt. ..~v~C ti
DATE I C~ ~ ~6 ~(~~
CHECK 8 ALL APPLICABLE
USE CATEGORY
^Single Family ^Duplex OMulti-Family
FUEL I~(Gas ^Electric ^Solid
^Oil OSolar
^Rental ]Commercial
SYSTEM ^New
^Other
^Industrial
Replace
TYPE
^Forced Air ^Radiant ^Steam ~A/C ^Vent ^Electric ^Hot Water ^Suppl. ^Con. Burner
IS CHIMNEY BEING LINED ^No es -LINER SIZE ~3" & MANUFACTURER
Note: All chimneys shall be sized per the B 's being vented. ~~r N.~4 ~'
CHIMNEY TYPE ^Chimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ~81As Approved ^Existing ^Not Applicable
BTU RATE DAs Per Plan ^Variable ~IOther Valu __ 45 , U00 13t ~.~
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
l' Lenr~x, GGs ~nA~
-_~Lenr~x. I ~fz-~tdn ~~ 5 u s }~r~t 13 O 0 S ear
VALUE (Including labor and materials) $ ~, ZJ (~,~
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) gE-'CZ ~~2~'~1` jC
o~io~
10/30/2008 15:17 9202317255 BEEZ ELECTRIC
Cityoi'Oshkosh
Dlvitipn oflnspection 3e~vias
215 Ciwch Avcnoe
~ Ij(IK 1190
Oehkq~h Wl 54901 L30
Oflice 9Y0-2?~SOSO
wn~ew FRX 9Z0-J36-SO(W
Electric Installation Verification
(n (We) 13eez Ele<;_tnic, lnc.
2 5_9 1 S. Oakwood Rd. Osl~osh VVZ 54904
have been contractr;~, to perform electric installation work for Condon Total Comfort Inc.
at the following address: 1225 N. Eagle Street
~'he nature of the work consists of
PAGE 01
® ReconnE:,ction or new circuit for replacement Heating Plant and/or A/C Coz~denscr.
^ Reconn<:~tion or new circuit for replacement Elecbnic Water Neater.
^ Reconne:ction of the Service Entrance Cable, Meter $ox, alterations to receptacles aid
lighting :fixtures due to siding / soffit installation. Note: New Service Entrance
Cables v-ill require a separate permit.
^ ReconnF:ction or new circuit for other permanently wired appliances /fixtures.
^ Other
The value of this work is $200.00
I hereby verify this ~cvork will be performed by as employee of this company and further verify
the reconnection / iristallatioz~ will be done in compliance with manufacturer and Electric code
requirements.
1 ~: /
~~ Gaty Biesin~er 10/30/08
(Signature Coznp;:my f6cer) -