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Home My WebLink About2010-HVAC ll CITY OF OSHKOSH No 144087 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 441 N MAIN ST Owner BARBARA K KIFLE Create Date 11/15/2010 Contractor CONDON TOTAL COMFORT Category 500 - Residential- Heating & Ventilating Plan Fuel U Gas U Oil Li Electric u Solar j Solid System 0 New ❑ Replace ❑ Other u Forced Air ❑ Radiant ❑ Steam J NC J Vent J Electric J Hot Water ❑ Suppl. Li Con. Burner Chimney Type ` ) Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss 0 As Approved 0 Existing • Not Applicable Value BTU Rate ') As Per Plan 0 Variable • Other Value Use /Nature NSFR / Install furnace and a/c for new Single Family Residence above store. of Work Fees: Valuation $11,600.00 Plan Approval $0.00 Permit Fee Paid $176.00 Issued By: 29'2(4 / Date 11/15/2010 ❑ Permit Voided Parcel Id # 0700170000 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 441 N. MAIN ST. OSHKOSH, WI 54901 DATE 11 /11 /10 OWNER DAN V. BINDER CONSTRUCTION OSHKOSH, WI 54901 CONTRACTOR CONDON TOTAL COMFORT, INC. 11 Blackburn St. Ripon, WI 54971 748 -5050 CHECK ALL APPLICABLE USE CATEGORY X Single Family oDuplex ❑ Multi- Family ❑ Rental ❑ Commercial ❑Industrial FUEL XGas ❑Electric ❑Solid SYSTEM ❑ New X Replacement ❑Oil ❑ Solar Other: TYPE oForced air ❑Radiant oSteam ❑ A/C oVent ❑Electric ❑Hot Water oSuppl oCon. Burner IS CHIMNEY BEING LINED ❑No oYes - Liner size & Manufacturer Note: All chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE oChimney A oChimney B ❑Direct 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 FURNACE AND AIR CONDITIONER VALUE (Including labor and materials) $11,600.00 Fee: $176.00 ELECTRICAL CONTRACTOR (for projects not requiring an EIV form: WI tiVED E. PACKER AVE. OSHKOSH, WI 54901 NOV 1 5 2010 DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION