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� CITY OF OSHKOSH No 158327 ;
OSHKOSH HVAC PERMIT -APPLICATION AND RECORD
ON THE WATER
Job Address 1210-1226 S KOELLER ST Owner DOT PROPERTY LLC Create Date 10/18/2013
Contractor CONDON TOTAL COMFORT Category 512-Ind.&Comm-Both Plan B61-3866-0813-
Inspector Nicole Krahn _
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Fuel Gas �I Oil Electric Solar Solid
System ✓ New � Replace _ �� � Other `
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✓ Forced Air ; Radiant _Steam ✓ A/C —,'�� Vent ;
Electric I Hot Water Suppl. � Con. Burner
Chimney Type ChimneyA � Chimney B � Direct Vent � NotApplicable �
HeatLoss AsApproved _ 0 Existing � NotApplicable� Value
BTU Rate As Per Plan � Variable � Other � Value _
Use/Nature OMM(JONES FAMILY CHIROPRACTIC-1210)/INSTALL NEW HVAC SYSTEM FOR NEW TENANT *"check#20651 �
of Work
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Fees: Valuation $13,200.00 Plan Approval $0.00 Permit Fee Paid $214.00
Issued By: j��(� Date 10/18/2013
�Y-r�-r
❑ Permit Voided I Parcel Id#1308480403
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 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
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 ar 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 adeguate 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 perforxned 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.
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id 1 O �i�I '3�Lo(� -n�I �--l-� .
JOB ADDRESS S.KOELLER RD. OSHKOSH,WI DATE: 10/16/13 �
OWNER JONES CHIROPRACTIC
CONTRACTOR CONDON TOTAL COMFORT,INC. 11 BLACKBURN ST. RIPON,WI���+ �VED
OCT 18 2013
CHECK ALL APPLICABLE
�£PART�7E1T OF
USE CATEGORY COJ9�1U1iTX DEVELOPb1ENT
❑ Single Family ❑ Duplex ❑Multi-Family ❑ Rental X Commercial ❑InUU�CCj�ti SERVrces nn•�s�ox
FUEL ❑ Gas ❑Electric ❑Solid SYSTEM X New ❑ Replacement
❑Qil ❑Solar ❑O±her:
TYPE
❑Forced air ❑Radiant ❑Steam o A/C ❑Vent oElectric ❑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 ❑As Per Plan ❑Variable ❑Other Value
DESCRIPTION/SCOPE OF ALL WORK BEING DONE: NEW INSTALL OF HEATING&AC
VALiJE(Including labor and materials): $13,200.00 Fee: $214.00