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Home My WebLink About2010-HVAC (a/c) C i) CITY OF OSHKOSH No 142031 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 420 430 N SAWYER ST Owner ZION EVAN LUTH CHURCH Create Date 07/14/2010 Contractor CONDON TOTAL COMFORT Category 511 - Ind. & Comm -Air Conditioning Plan Fuel [J Gas Li Oil U Electric 1_1 Solar U Solid System n New 0 Replace I J Other Li Forced Air J Radiant L Steam u A/C J Vent Lf Electric I Hot Water U Suppl. U Con. Burner Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss K) As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable 0 Other Value Use /Nature 420 N Sawyer #214 / Replace a/c. EIV signed by Solar Electric. of Work Fees: Valuation $2,225.00 Plan Approval $0.00 Permit Fee Paid $44.50 Issued By: 0/k21./2. Date 07/14/2010 ❑ Permit Voided Parcel Id # 1608860000 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 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, whichever is greater. 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. Application submitted without an EIV when such is required, will not be processed for Permit Issuance and will be returned for completion. JOB ADDRESS 420 N. SAWYER ST. APT #214 OSHKOSH, WI 54901 DATE 7/8/10 OWNER ZION CHURCH APARTMENTS CONTRACTOR CONDON TOTAL COMFORT, INC. 11 Blackburn St. Ripon, WI 54971 748 -5050 CHECK ALL APPLICABLE USE CATEGORY ❑ Single Family oDuplex X Multi - Family X Rental ❑ Commercial ❑Industrial FUEL oGas oElectric oSolid SYSTEM ❑ New X Replacement ❑Oil ❑Solar Other: TYPE oForced air ❑Radiant oSteam ❑ A/C oVent oElectric ❑Hot Water oSuppl oCon. Burner IS CHIMNEY BEING LINED oNo oYes - Liner size & Manufacturer Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A oChimney B oDirect Vent ❑Other HEAT LOSS oAs Approved oExisting oNot Applicable BTU RATE oAs Per Plan oVariable ❑Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE: REPLACEMENT OF AIR CONDITIONER VALUE (Including labor and materials) $2,225.00 Fee: $44.50 ELECTRICAL CONTRACTOR (for projects not requiring an EIV form) SOLAR ELECTRIC 3443 BROOKS RD, OSHKOSH WI 54901 231 -39 E JUL 12 2010 DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION City of Oshkosh Diviaioo of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903-1130 Office 920. 236 -5050 "' rw Fax 920-236 -5084 /� �^' 746 —Z54 ~ 5 O o 4 Electric Installation. Verification I (We) 0)O r je (Electrical Contractor Name or Homeowner's Name) (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 6,71,3 4 1a4 (V �� / (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser. Reconnection or new circuit for replacement Electric Water Heater or power vented water heater. Reconnection. of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures due to siding / soffit installation. Note: New Service • Entrance Cables will require a separate permit. 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, including required service electrical outlets. Note: Homeowners can only do their own electric on a single family owner occupied home. Work on a condominium, duplex, rental, or multi -use building would require a licensed Electrical Contractor. Other The value of this work is $ j ( - I hereby verify this work will be performed in compliance with the License requirements of' Section 11 -22 of the Oshkosh Municipal code and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. 4 — "t"" �P y r f 1. d t�«tG ��- - 7 1 ( 1.6 ( ignature of /ortmpany Of!iccr or Homeowner) (Print Name) (bate) Received Time Jul. 14. 2010 1:08PM No. 1929 07/07