HomeMy WebLinkAbout0101276-HVAC (furnace; chimney liner)OSHKOSH
ON THE WATER
.lob Address 1050 W 10TH AVE
Contractor CONDON TOTAL COMFORT
Fuel
System
Gas J ~J Oil
New ~
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORD
Forced Air I ~J Radiant
Electric I ~J Hot Water
Owner LUIS E/AMY J RAMIREZ
Category 500- Residential-Heating & Ventilating
L~ Electric
Replace
L~ Steam
L~ suppl.
Solar
A/C
Con. Burner
Chimney Type I~ ChimneyA O Chimney B
Heat Loss I~ As Approved ~ Existing
BTU Rate I~ As Per Plan ~ Variable
Direct Vent
Not Applicable
Not Applicable
Other
Value
Value
No
Create Date
Plan
L~ Solid
101276
04/30/2003
Other J
Vent J
75m
Use/Nature SFR/Install gas furnace and chimney liner.
of Work
Fees: Valuation
Issued By:
$1,880.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$33.50
Date 05/05/2003
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 - 184 Telephone Number
(920) 748-5050
Fax-¥~(920)-?.36=$084 ,*', '-*. :'~ :'.
HVAC PERMIT APPLICATION
AU im~ormadon ~d~*r bold' c~tcgories 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 dbubled or $I00.00 plus the
normal permit fee, which ever is greater.
OR t
I[ ¥ou are a contractor participating in'the Permit lee Account System and have adequate funds, check here
i[ ¥Ou want this processed through Four account []
CFW~CK [] ALL APPLICABLE
U[E CATEGORY
ingle Family FlDuplex l-IMulti-Farnily F1Rental
FICommercial
FIIndustrial
FUEL /~as V1Electric V1Solid SYSTEM F1New
FIOil V1Solar F1Other
/~Replace
ced Air U1Radiant F1Steam FIA/C F1Vent F1Electric F1Hot Water FISuppl. FICon. Burner
I.S CHIMNEY BEING LINED FINo ~es - LINER SIZE ,,~ ~'~(oP6~''/ & MANUFA~R
Mote: All chimneys shall be sized per the [JTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
IDChi.mney A
[3As Approved
FlAs Per Plan
~'~Chimney B
F1Existing
I--1Variable
DESCRIPTION OF ALL W~)RI~, B~IrNG DONE
[-IDirect Vent l-]Othcr
~ot Applicable
~Othcr Value ~G~ ~
VALIIE (ln¢ludi,,g labor and all m~,terials including light fixtures) L_/~///- --
EI.ECTRI('A,. (X)N'I'RA('T()R ~%~
OR ['1 [l~lrt¢ Installation Verification form attached(If Rcplaccn~nt)
Electr*~t'a[ tnslt~lh~tton o/'ne~./r.el,[,~ccmcnt cqutpmenl shall ~ done by hcen.t~] contractors
HRY. 1.~003 7:£6RM NZTZKE ELECTRZC. H0.435 P,2/1
Electric Installation Verification
(Sine) (Zip Code)
(Name of party con*.racted to)
(Ad,ess white work will be performed)
nature of the work consists o£: (C. he~k One or Describe the Nature oFWork)
~ecoasection or n~w circuit for replacement Heating Pl~nt ~d/or A/C Condenser.
R.econnection or new circuit for replacement Electric Water Heater or power vented
water hca, er,
R~com~ection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixt'~re~ clue to siding / soffit installation. Note: New Service
Entrance Cables will requ.i~ a separm permit.
Reconn~cli. on o: n~w ci~uit for the replacement of other pemianently w~red
appliances / fixtures,
Now circuit.for the ~clltion ofA/C ~o an i~i~id~ai dw~Ui~g ~ (house or the
~ndividual systems in a duplex or condominium), includin~ requirecl ~ervice
electrical outlets.
Othea-
The value o£this work is $
I hereby verify this work will be performed by an smployee ofthb company aad further verify
:he re~onnecti~n / installation will be done in oornpliace wi~ m~,,£aetu:er ad Ele¢~c code
requirements.
($i.~nature of COml~any Officer)
(Print N~rae of Officer)