HomeMy WebLinkAbout0152987 - HVAC (replace furnace and humidifier) 01 CITY OF OSHKOSH No 152987
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1672 BERNHEIM ST Owner RICHARD/THERESA SCHLACK _ Create Date 10/1.6/2012
Contractor CONDON TOTAL COMFORT - Category 500-Residential-Heating&Ventilating Plan
Inspector Nicole Krahn
Fuel 0—Gas j Oil 1 [ij Electric Li Solar J D Solid
System 0 New Q Replace H Other
0 Forced Air Radiant
Q Steam 7 EFA/C i Li Vent 1
Electric Hot Water 1 Jj Suppl. 1
1 E Con. Burner
Chimney T yp e Chimney O Chimney B - - — -
0 Direct Vent • Not Applicable
Heat Loss I0 As Approved 0 Existing • Not Applicable Value
BTU Rate 0 As Per Plan O Variable • Other Value
Use/Nature SFR/REPLACE FURNACE AND HUMIDIFIER **check#20285
of Work
Fees: Valuation
on $3,365.00 Plan Approval $0.00 Permit Fee Paid $61.00
Issued By: 2-71/7ttJ Date 10/16/2012
E Permit Voidell Parcel Id#1331970000
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
PO 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 1672 BERNHEIM ST., OSHKOSH,WI 54904 DATE: 10/11/12
OWNER RICH&TERRY SCHLACK
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 oVent ❑Electric ❑Hot Water ❑Suppl ❑Con.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 ❑Direct Vent oOther
HEAT LOSS oAs Approved ❑Existing oNot Applicable
BTU RATE oAs Per Plan oVariable oOther Value
DESCRIPTION/ SCOPE OF ALL WORK BEING DONE: REPLACEMENT OF FURNACE&
HUMIDIFIER
VALUE (Including labor and materials): $3365.00 Fee: $61.00