HomeMy WebLinkAbout0082712-HVAC (furnace) 0 CITY OF OSHKOSH No 0082712
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1826 MINNESOTA ST Owner HAROLD / BERNICE B SUESS LIFE ES Create Date 11/06/2000
Contractor CONDON TOTAL COMFORT Category 500 - Residential- Heating & Ventilating Plan
Fuel Gas ✓ Oil Electric Solar Solid
System New ✓ Replace Other
✓I Forced Air LJ Radiant Steam _i NC Vent
Electric I Hot Water Suppl. Con. Burner
Chimney Type 0 Chimney A ( ) Chimney B () Direct Vent ( ) Not Applicable
Heat Loss () As Approved ( ) Existing • Not Applicable Value
BTU Rate ) As Per Plan ( ) Variable • Other Value 105,000
Use /Nature SFR / REPLACE OIL FURNACE AND CHIMNEY LINER
of Work
Fees: Valuation $3,042.00 Plan Approval $0.00 Permit Fee Paid $50.50
Issued By: `
C � ) Date 11/06/2000
Permit Voided
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
Signature Date
Agent/Owner
Address 11 BLACKBURN ST RIPON WI 54971 -0 Telephone Number 1- 800 - 416 -4282
Division of Inspection Services
215 Church Avenue
P.O. Box 1130
Oshkosh, WI 54903 -1130
Fax # (920) 236 -5084
M A Phone (920) 236 -5048
HVAC PERMIT APPLICATION
All fields /information after bold categories must be provided.
Incomplete applications will not be processed.
DATE // -6-026 L, b
JOB ADDRESS // 22h
OWNER ..Q / "- AAQ,,Q '
CONTRACTOR (4 (4 - ,,_, 'r. 1 , 0 ,�4,. _
CIRCLE ALL APPLICABLE
USE CATEGORY �EN FAMILY DUPLEX MULTI- FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW REPLACE OTHER
TYPE FORCED AIR ) RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED `---- LINER SIZE. 4 )(. / MANUFACTURER
Note: All chimneys shall be sized per the BTU's being-vented. -- AD CHIMNEY TYPE CHIMNEY CHIMNEY B DTPRCT VENT OTHER
HEAT LOSS AS APPROVED EXISTING (Ti(T APPLICABL
BTU RATE AS PER PLAN VARIABLE OTHER VALUE
NATURE OF WORK: , �� et---"..11. VALUE (Including labor and materials) $ .'6 ' 7. —
ELECTRICAL CONTRACTOR
Electrical installation of new /replacement equipment shall be done by licensed
contractors.
Valuation Fees
$0 to $1,000.00 ..... ...... ........... ._. ......... ......... ...... ..............._._.... ...... ..._......_.... ... ... ... ...... ......... ............. $20.00
$1,000.01 to $10,000 00.....- .................-.-. ...- .- .. ......_._. »._. ...- ._. ..._. ..._.....................$20.00 for first
$1,000.00 plus $1.50 per $100.00 valuation or part thereof
$10,000.01 to $25,000.00 ........... ......... ............ »............._ . ...... _. ... ......... ...... ...... ............ ...... .......$155.00 for first
$10,000.00 plus $1.00 per $100.00 valuation or part thereof
Over $25,000.00 $305.00 plus $0.50
per $100.00 valuation or part thereof
• Submit payment with application. Failure to pay within 30 days will result in
fees being doubled or $100.00 plus the normal permit fee, which ever is
greater.
DEC -26 -2000 13:44 P. 02/03
•
p c pl or Oshkosh
2, 5 Church Y Scrv�ccs F ^
213 CArrcA AvcnYC 1
PO pox WO
Of �/'� <cl / Oshkosh WI54902.1130
- f H ! Office 420. 2364050
O. ME "ATM Fa 4m0- 236-30H
•
Electric Installation Verification
• (I) (We) CUMINGS ELECTRIC INC.
(Electrical Contractor Name)
1414 COUNTY RD J J, NEENAH, WI 54956 ,
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for CONDON' S TOTAL COMFORT
(Name of party contracted to)
•
at the following address: 1826 MINNESOTA
(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.
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 other permanently -wired appliances / fixtures.
Other
The value of this work is $ 60.00
I hereby verilfy this work will be performed by an employeeof:this:cornpanyand further verify the
reconnectiort / installation will be done in compliance with manufacturer and. Electric code
requirements.
RICHARD J WENZEL- 12/26/00
(Signature E Pompany Officer) (Print Name of Officer) • (Date)