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Home My WebLink About0144125-HVAC (furnace & a/c) 0 CITY OF OSHKOSH No 144125 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 2805 STONEY BEACH LN Owner JOEL E /LAURIE LUEPKE Create Date 11/17/2010 Contractor CONDON TOTAL COMFORT Category 502 - Residential -Both Plan Fuel U Gas Li Oil 1 _1 Electric U Solar U Solid System ® New 0 Replace ❑ Other U Forced Air u Radiant U Steam u A/C u Vent u Electric 1 j Hot Water u Suppl. Li Con. Burner Chimney Type ( ) Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss 0 As Approved O Existing • Not Applicable Value BTU Rate 10 As Per Plan O Variable • Other Value Use /Nature SFR / Replace furnace and a/c. EIV signed by homeowner. of Work Fees: Valuation $5,920.00 Plan Approval $0.00 Permit Fee Paid $100.00 Issued By: L./V2MAO. Date 11/17/2010 ❑ Permit Voided I Parcel Id # 1414800000 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 RECEIVED Division of Inspection Services NOV 17 2010 P.O. Box 1130 Oshkosh, WI 54903 -1130 DEPARTMENT OF Phone (920) 236 -5050 COMMUNITY DEVELOPMENT Fax (920) 236 -5084 INSPECTION SERVICES DIVISION 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. Ifyou 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 2805 STONEY BEACH LANE OSHKOSH, WI 54902 DATE 11/16/10 OWNER JOEL & LAURIE LUEPKE CONTRACTOR CONDON TOTAL COMFORT, INC. 11 Blackburn St. Ripon, WI 54971 748 -5050 CHECK ALL APPLICABLE USE CATEGORY X Single Family ❑Duplex ❑ Multi- Family ❑ Rental ❑ Commercial ❑Industrial FUEL XGas oElectric ❑Solid SYSTEM ❑ New X Replacement DOH oSolar Other: TYPE oForced air ❑Radiant oSteam ❑ A/C oVent oElectric ❑Hot Water oSuppl ❑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 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 material) $5920.00 Fee: $100.00 ELECTRICAL CONTRACTOR (f Or projects not requiring an EIV form: ENCLOSED City of Oshkosh Division of Inspection Services 215 Church Avenue PO Box 1130 Oshkosh WI 54903 -1130 OfH<OJH Office 920 - 236 -5050 ON THE WATER Fax 920 - 236 -5084 Electric Installation Verification I (We) Joel Luepke (Electrical Contractor Name or Homeowner's Name) 2805 Stoney Beach Lane Oshkosh WI 54902 (Address) (City) (State) (Zip Code) accept the responsibility to perform the electric work as stated below, at the following address: 2805 Stoney Beach Lane Oshkosh, WI 54902 (Address where work will be performed) The nature of the work consists of: (Check One or Describe the Nature of Work) X 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 anee ales 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 $ 100 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 eomplian e with manufacturer and Electric code requirements. / A . J ,� �� /� Joel "Luepke 11 /10/10 (Sly • lire of C. .1 y • Ic or Homeowner) (Print Name) (Date) 07/07