HomeMy WebLinkAbout000892515 - HVAC (furnace) CI CITY OF OSHKOSH No 0082515
OSHKOSH HVAC PERMIT - APPLICATION AND RECORD
ON THE WATER
Job Address 1813 MT VERNON ST Owner JANINE R MUTZ Create Date 10/26/2000
Contractor CONDON TOTAL COMFORT Category 500-Residential-Heating&Ventilating Plan
Fuel h/1 Gas b Oil Electric I Solar 1 1 Solid
System I New -- ep ace rjOther
✓I Force it Radiant I Steam � NC ' Vent
-J
Electric Q Hot Water Suppl. Con. Burner
Chimney Type Chimney A AID—Chimney B ( ( Direct Vent ) Not Applicable
Heat Loss ( As Approved ( `, Existing 4110 Not Applicable Value
BTU Rate j As Per Plan ( j Variable O, Other Value 70,000
Use/Nature I. - - -WA I-1ACE
of Work
1
■
1
Fees: Valuation $2,296.00 Plan Approval $0.00 Permit Fee Paid $39.50
Issued By: 3r(-5 Date 10/26/2000
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
Oct 25 00 12: 49p Code Enforcement 920-236-5084 p. 4
re Division of Inspection Services
215 Church Avenue
J P.O. Box 1130
Oshkosh, WI 54903-1130
Fax # (920) 236-5084
er Phone (920) 236-5048
HVAC PERMIT APPLICATION
All fields/information after bold categories must be provided.
Incomplete applications will not be processed.
DATE /&,/io?G.4.--O
JOB ADDRESS ///3 t .4-n.,n
OWNER :.0.?,-L...`�. /L.U7
CONTRACTOR l *. r 1. D C- •
CIRCLE ALL APPLICABLE
USE CATEGORY , SINGLE FAMILY 1 DUPLEX MULTI-FAMILY COMMERCIAL INDUSTRIAL
FUEL GAS OIL ELECTRIC SOLAR SOLID
SYSTEM NEW CR� LACE g, OTHER
TYPE (-FORCED AIR. - RADIANT STEAM A/C VENT
ELECTRIC HOT WATER SUPPL. CON. BURNER
IS CHIMNEY BEING LINED LINER SIZEo2 AQ2J MANUFACTURER
Note: All chimneys shall be sized per the BTU' s being vented.
CHIMNEY TYPE CHIMNEY A CHIMNEY B H DIRECT VENT OTHER
HEAT LOSS AS APPROVED EXISTING NOT APPLICABLE )
BTU RATE AS PER PLAN VARIABLE OTHER VALUE �`, -i)
/NATURE OF WORK:
i
VALUE (Including labor and materials) $ ._�96. -
(ELECTRICAL CONTRACTOR_,-•-(t_,k A 1,..,.,1
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 $100.00 plus the normal permit fee, which ever is
greater.
nFr-,A-20@0 07:57 F@1
10) Cory of OskS*SR
Owsston of lnipecoon lemcei
i i>Church Avenue
Os Boa 1130
n�� � /7 �'
Oshkosh WI 54902-113o
i i'v0' 1-i office 92-ii 236.5050
o.'we wntfu Faa 920-Z34-3O84
Electric Installation Verification
(1)(We) _ CLTMINGS ELECTRIC INC.
(Electrical Contractor Name)
1414 COUNTY RD J J, NEENAH, WI 54956
(Address) (City) (State) (Zip Code)
have been contracted to perform electric installation work for CONDON TOTAL COMFORT
(Name of party contracted to)
at the following address' 1813 MNT. VERNON ST.
•
(Address where work wilt be performed)
The nature of the work consists of: (Check One or Describe the Nature of Work)
x Reconnection or new circuit for replacement Heating Plant and/or A/C Condenser.
Reconnection or new circuit for replacement Electric Water Heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles and
lighting fixtures due to siding/soffit installation. Note: New Service Entrance
Cables will require a separate permit.
Reconnection or new circuit for other permanently wired appliances / fixtures.
Other
The value of this work is$ 55.00
I hereby verify this work will be performed by an employee.of this.company and further veri fy the
reconnection/installation will be done in compliance with manufacturer and Electric code
requirement.S.
•
i RICHARD J WENZEL 12/28/00
(Signature •'F'ompany Officer) (Print Name of Officer) (Date)
TOTAL P.01