HomeMy WebLinkAbout0134080-HVAC (furnace)/~'~ CITY OF OSHKOSH
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 52 EVELINE ST Owner RONALD D HANSCHE
Solid __ _ J
^ Vent
Contractor CONDON TOTAL COMFORT Category 500 -Residential-Heating & Ventilating Plan
Fuel / Gas Oil Electric Solar __
System ^ New / Replace ' ^ Other
/ Forced Air Radiant team '; Q A/C
Electric Hot Water ~ Suppl 1 ^ Con. Burner '
Chimney Type Chimney A Chimney B Direct Vent ~ Not Applicable
Heat Loss
As Approved
Existing --- _
mot Applicable _ _ _ _
Value
BTU Rate As Per Plan Variable Other ___ _ j Value
Use/Nature
of Work
mace.
Fees: Valuation $2.775.00
Issued By:
Plan Approval $0.00 Permit Fee Paid $52.00
Date 11/18/2008
No 134080
Create Date 11/18/2008
^ Permit Voided
Parcel Id # 0803510000
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 _
Address PO BOX 184
AgenUOwner
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.
OO~HKOlH
ON THE WATER
• 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.
DATE ~ ~- I3~(ig
JOB ADDRESS S~ ~VP_.I lYl(_ ~St a'- ~Sh~pSl~
OWNER ~~'n//;;~~^` C1.1"1SC~E?
CONTRACTOR U;.JI' '~
T~r~ L ~ti-^n~'~rt I~sc
CHECK E( ALL APPLICABLE
USE CATEGORY
Single Family ^Duplex ^Multi-Family
FUEL Gas ^Electric ^Solid
^Oil ^Solar
TYPE
^Forced Air ^Radiant
c_
^Rental ^Commercial ^Industrial
SYSTEM ^New ^Replace
~lOther ~~4YY-AY-1 KU I~o17~CtCC~ 1'Y~t,l l~,
^Steam ^A/C OVent ^Electric ^Hot 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 OChimney A ^Chimney B ^Direct Vent ^Other
HEAT LOSS ^As Approved ^Existing ^Not Applicable
BTU RATE DAs Per Plan ^Variable Other Value _~(~~ OQ~ ~fi~
DESCRIPTION /SCOPE OF ALL WORK BEING DONE
~ ' ~~U'1YlUk, 2 S+CI~e ~VQ~iQh1E' ~h~~PrF r-~r;c ~
r, 1rV1 n('~
VALUE (Including labor and materials) $ 2-~~5~c~0
ELECTRICAL CONTRACTOR (for projects not requiring an EIV Form) V~! 1 ~"z ~e ~.`eC~C ~}~;C
o~~o~
NoNOV.17.~008~~ B~37AMM WITZKE ELECTRIC• CDMF[7RT
du~~tl, !UV! f~9~AM i~iptat~On saiuices
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sza-esaaaa4 N0.738 P. 1 r. ors
Ne! 9311 F~ Z
~l~ctrlc Iniots<pagoa verlllca~loa
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15~ E~C~Ccr' ~4v~ 0 ~h~.o Slti ~ I , 54~-Q
~~ ~ !fir ^~I~~~~~~~~I~P! Y~I
(Jldde~eeR) tCiiY} (9tak} ~ Cade)
have been eoeteested to getfottn el#etrlo iad:tlatian work i'br ~~~
(Neva af'et~t~r co~atrabted tv)
~t the>b~wis~ add~ew: r.7' ~ ~V~t ti~~~~' ~~.~~....~.. ------~'
t'e!~ wJ3at wont w'ist be peeS~aod)
'rie eta of work eor~eiate a~ (Choolc Otiv a Deeciibe the Neple~e olworb~
AemnmRCtioa~ or now dt+cait fvi replacetgept Keeiia6 ~3a~nt and/or 1 iJC Coadeaset!
Aeeor~naatiaa or new ef~lt for Jvp~:a Sleottia Wier ~ivatc a ~ol~
w~~c ]teeter.
._ R~eadou othhe 1lerrlce mce Ceblo,ltGrta $ow utt~f~ to =o~ptmloe
erid li~-ting i~totea dna to etdlr~! +al~lt ioemat~ttiuw Nvtvt Nsw ~en+ioe
Starvraoo Cebtee wiu ngtifre a wpaaoe ~e~it.
_.~ Aeovonestlao ar ne+w o$oatt ~e tba raglaacspptt of 0lh0~ pe~eatly wired
.,ppf3uua 1 ~arltwea•
.~ New oits~lt it the rddietoti a!'1dC to m L~dQa1 ~+e1~ Mwtr {,GOt1N ~>'ho
iadlv3dnst aysto-ae in a du~c or eondomiai~ ttsetydis~ regti3t'ed siNiaa
eleattiad outles!
',~___ other
~.~.~.
~ vahto o>f th:s wor7c is ~,,,a.~
.._.,.~,
T ha~by vrrily ~~ w~c wilt ba per6om~d by sa employee of this oompony mid i4n~r vodt}-
the le10'hnrelior ! iaatal~aiiauo +wlu be dote !~ CO~tplimee with at~rrr and Black code
~equiriemat~b.
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(~iiwturr of an D~lc ~ ~ '.. ! - ~ ~
~ y ~ (,fit 1~ta~e of Ot~tteq Q~t~)
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