HomeMy WebLinkAbout0156024-HVAC /�`� CITY OF OSHKOSH No 156024
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 3265 WHITE TAIL LN Owner MIDWEST GENERAL CONTRACTORS Create Date 05/15/2013
Contractor CONDON TOTAL COMFORT Category 512-Ind.&Comm-Both Plan Y6-3757-0513-H
Inspector Nicole Krahn
Fuel Gas Oil Electric Solar � Solid _J
System ✓ New � � Replace JI Other _ �
Forced Air � (— Radiant Steam A/C —'� Vent '
� �-- —J
Electric Hot Water Suppl. Con. Burner :
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable ;
HeatLoss AsApproved � Existing � NotApplicable Value __
BTU Rate As Per Plan 0 Variable � Other Value
Use/Nature ULTI-FAMILY(6 UNIT CONDO)/INSTALLATION OF NEW HVAC SYSTEM ••check#20505 i
of Work
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Fees: Valuation $46,500.00 Plan Approval $0.00 Permit Fee Paid $434.00
Issued By: �� Date 06/05/2013
❑ Permit Voided I Parcel Id#
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
AgenUOwner
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
DNISION OF INSPECTION SERVICES
PO BOX 1130 ^
OSHKOSH, WI 54903-1130 �' �
PHONE: (920)236-5050 RECEfi��1� f
FAX: (920) 236-5084 �
HVAC PERMIT APPLICATION i' J J N 4 � ��13
All information after bold categories must be provided.
Incomplete applications will not be processed. -���:�"-�•S ���
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t�.-; .�ti;l��i SER�'i�t5:..,,.,��7Y
• 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 vou are a contractor participating in the Permit fee Account Svstem and have adequate unds
check here if you want this processed throu�vour 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 3265 White Tail Ln,Oshkosh,WI 54902 DATE: 6/4/13
OWNER MIDWEST GENERAI, CONTRACTORS
CONTRACTOR CONDON TOTAL COMFORT,INC. 11 BLACKBURN ST. RIPON,WI 54971
yc� - 3�s�-os ►3 - ►�
CHECK ALL APPLICABLE
USE CATEGORY :
❑ Single Family ❑ Duplex X Multi-Familv ❑ Rental ❑ Commercial ❑Industrial
FUEL ❑ Gas ❑Electric ❑Solid SYSTEM X New o Replacement
❑Oil ❑Solar ❑Other:
TYPE :
❑Forced air oRadiant ❑Steam ❑ A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl ❑Con. Burner
IS CHIMNEY BEING LINED ❑No ❑Yes- Liner size &Manufacturer
Note: All chimneys 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
BTLJ RATE ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/ SCOPE OF ALL WORK BEING DONE: NEW INSTALLATION OF HEATING&AIlt
CONDITIONING SYSTEM
VALUE(Including labor and materials): $46,500.00 Fee: $434.00 :