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Home My WebLink About0146416-HVAC (a/c) CD CITY OF OSHKOSH No 146416 OSHKOSH HVAC PERMIT - APPLICATION AND RECORD ON THE WATER Job Address 300 GRACELAND DR Owner MATTHEW D /SANDRA J JAMESON Create Date 06/17/2011 Contractor CONDON TOTAL COMFORT Category 501 - Residential -Air Conditioning Plan Inspector Nicole Krahn Fuel I f Gas U Oil 1 1 Electric Li Solar Li Solid System ❑ New 0 Replace n Other j U Forced Air U Radiant u Steam a NC L Vent Li Electric U Hot Water U Suppl. 1 f Con. Burner Chimney Type 0 Chimney A 0 Chimney B 0 Direct Vent • Not Applicable Heat Loss As Approved 0 Existing • Not Applicable Value BTU Rate 0 As Per Plan 0 Variable • Other Value Use /Nature SFR / REPLACE NC, EIV SIGNED BY THE HOMEOWNER (Sandy Jameson) * *check #19724 of Work Fees: Valuation $2,917.00 Plan Approval $0.00 Permit Fee Paid $55.00 Issued By: 3M1 Date 06/17/2011 ❑ Permit Voided I Parcel Id # 0618350000 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 11 BLACKBURN ST RIPON WI 54971 - 0 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 300 GRACELAND DR.. OSHKOSH, WI 54904 DATE 6/15/11 OWNER MATTHEW & SANDRA JAMESON CONTRACTOR CONDON TOTAL COMFORT, INC. 11 BLACKBURN ST. RIPON, WI 54971 CHECK ALL APPLICABLE • USE CATEGORY X Single Family ❑ Duplex ❑ Multi - Family ❑ Rental ❑ Commercial ❑Industrial FUEL ❑ Gas ❑Electric ❑Solid SYSTEM ❑ New X Replacement ❑Oil oSolar Other: ADDITION TYPE oForced air oRadiant oSteam ❑ A/C oVent oElectric oHot Water ❑Suppl 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 oChimney A oChimney B oDirect Vent ❑Other HEAT LOSS oAs Approved ❑Existing oNot Applicable BTU RATE oAs Per Plan oVariable ❑Other Value DESCRIPTION / SCOPE OF ALL WORK BEING DONE: REPLACE AIR CONDITIONER VALUE (Including labor and materials) $2917.00 Fee: $55.00 ELECTRICAL CONTRACTOR (for projects not requiring an EIV form: EIV FORM ENCLOSED FOR QUESTIONS CONTACT DENNIS WERCH (x1920- 229 -6972 vun, L• !VV 1 :70HIVl inspect on serve ces .do. 3351 P. 3 City nf Oaf ika a 1 /i∎kid d on' Iuseclitsn Servicee 215 Clurth Avenue 1'01341x. 1130 Oxhluth W1 S49Q7-I M O17ree 9 20.2365050 ON T Nx 930- 276.5084 Electric Installation Verification (print homeowner(s) name) the homeowner(s) of 6 O . o _` and 0,7 Dal (address where work is to be performed) oew ..,,, accept the responsibility for performing the electrical work as stated blow for the property listed above. 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 instillation. 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 muster electrician. Other The value of this work is $ "150 . 1 hereby verily this work will be performed by me and further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. (s) Signature (Date) 5102