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HomeMy WebLinkAbout0156508-HVAC (a/c) i: � CITY OF OSHKOSH No 156508 OSHKOSH HVAC PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 1566 W 9TH AVE Owner ROGER D/ALEGRA A LAPOINT REV TRU; Create Date 07/02/2013 Contractor CONDON TOTAL COMFORT Category 501 -Residential-Air Conditioning Plan Inspector Nicole Krahn Fuel Gas Oil ✓ Electric Solar Solid � System �✓ New I � Replace i � Other � ✓ Forced Air Radiant Steam -I ✓ A/C � Vent Electric Hot Water Suppl. Con. Burner Chimney Type Chimney A � Chimney B � Direct Vent � Not Applicable Heat Loss As Approved 0 Existing � Not Applicable Value BTU Rate As Per Plan � Variable � Other Value Use/Nature SFR\Install new central air system � of Work � i � � -� Fees: Valuation $8,735.00 Plan Approval $0.00 Permit Fee Paid $158.00 Issued By: L��'���• Date 07/02/2013 � Permit Voided I Parcel Id#0610600000 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 specifed 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 RECEIVEID PHONE: (920)236-5050 FAX: (920)236-5084 JUL 012013 � HVAC PERMIT APPLICATION All information after bold categories must be provided. DEP�RT��E�r oF C0�1JTU\i7'V DEVELOP�1EVT Incomplete applications will not be processed. rvsrernox sea�7CES DR')S10N • 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. �vou are a contractor participating, in the Permit fee Account Svstem and have adequate funds, check here i�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 EN when such is required, will not be processed for Permit Issuance and will be returned for completion. JC►B ADDRESS 1566 W.9TH ST. OSHKOSH,WI 54902 DATE: 6/28/13 OWNER ROGER LA POINT CONT'RACTOR CONDON TOTAL COMFORT,INC. 11 BLACKBURN ST. RIPON,WI 54971 CHECK ALL APPLICABLE USE CATEGORY X Sin�le Family o Duplex ❑ Multi-Family o Rental ❑ Commercial ❑Industrial FUEL ❑ Gas ❑Electric ❑Solid SYSTEM X New ❑ 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 chimneys shall be sized per the BTU's being vented. CHIMNEY TYPE ❑Chimney A ❑Chimney B ❑Direct Vent ❑Other HEAT LOSS ❑As Approved ❑Existing oNot Applicable BTU RATE, , oAs Per Pla�. ❑Variable oOther Value : . . . . _ . � .- DESCRIPTION/ SCOPE OF ALL WORK BEING DONE: NEW INSTALLATION OF CENTRAL AIR SYSTEM - VALUE(Including labor and materials): $8735.00 Fee: $158.00 F RECEIVED JUL 0 5 2013 � CiryofOshkosh DEPART�IE�'TOF � Division oflnspec6on Services C0�4�tU\ITY'DE�'ELOP�fEYT 213 Church Avauue PO Box 1130 iNSPECTfON SER�'ICES DIti'ISIOY Ochkosh WI 54903-1130 � OtSce 920.236-5050 „ ' ;�.,, F�x 920-236-5084 Electric Installation Verification HfATLEY ELECTRIC ' I �e� 611 N '$TANT�N (Electrica ontracto Name or Homeowner's Name) (Address) (City) (State) (Zip Code) accept the responsibility to erform the lectric work as stated o , at the following ad ess: �� � ��' ��t 0 t�1 (Address where work will be per ed The nature of the work consists of: (Check One or Describe the Nature of Work) Reconnection or new circuit for replacement Heating Plant andlor A/C Condenser, � Reconneetion 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 installation. Note: New Service Entrance Cables will require a separate permit. Reconnection or new circuit for the replaeement 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 Electrical Contractor. Other �k-(�—1 C /l ' W-�" • �Q C' �C''_ 0`e C�r�nP ��� � The value of this work i $�� I hereby verify this work will be performed in compliance with the License requirements of Section 11-22 of the Oshkosh Municipal code and further verify the reconnection/installation will be done in compliance with manufacturer and Electric code requirements. �� S (�f&�-�� �-Z/3 �S� of Company Officer or o eowner� (Print Name� �D�� 07/07