HomeMy WebLinkAbout2012-HVAC (replace furnace) (9 CITY OF OSHKOSH No 152591
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1661 RIVER MILL RD Owner TIMOTHY R/JUDY A YOUNG Create Date 09/26/2012
Contractor CONDON TOTAL COMFORT Category 500-Residential-Heating&Ventilating Plan
Inspector John Zarate
Fuel Gas ❑ Oil 0—Electric i Li Solar 1 Solid _ J
System ❑ New 1 Q Replace ❑�O-ther
✓Forced Air J ❑ Radiant J Steam __I A/C Vent
❑ Electric ❑I ❑-Hot Water ❑ Suppl. _] Li Con. Burner
Chimney Type 0 Chimney O Chimney B O Direct Vent • Not Applicable
Heat Loss l As Approved O Existing • Not Applicable ] Value
BTU Rate As Per Plan Variable I Value
____- 0 • Other
Use/Nature SFR/REpLACE FURNACE **check#20266
of Work
Fees: Valuation $2,675.00 Plan Approval $0.00 Permit Fee Paid $50.50
Issued By: Date 09/26/2012
❑ Permit Voided Parcel Id#1224340000
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 -2401 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 1661 RIVERMILL RD.., OSHKOSH,WI 54901 DATE: 9/24/12
OWNER TIM& JUDY YOUNG
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 ❑Solar Other:
TYPE
❑Forced air ❑Radiant ❑Steam ❑ A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes - Liner size &Manufacturer
Note: All chinmeys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other
HEAT LOSS ❑As Approved ❑Existing ❑Not Applicable
BTU RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE: REPLACEMENT OF FURNACE
VALUE (Including labor and materials): $2675.00 Fee: $50.50