HomeMy WebLinkAbout0101274-HVAC (furnace)OSHKOSH
ON THE WATER
.lob Address 1216 WISCONSIN ST
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 NYLOC INVESTMENTS LLC
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
101274
04/30/2003
Other J
Vent J
90m
Use/Nature SFR/Install gas furnace and chimney liner. *EIV form from Witzke Electric.
of Work
Fees: Valuation
Issued By:
$2,430.00 Plan Approval $0.00 Permit Fee Paid
Permit Voided J
$42.50
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
HVAC PERMIT APPLICATION
All iaformafion ~ bold categories must be provided.
lncomple~ 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-I 128. Commencing work without permit(s) will result in fees being dbubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
! " . t
ou are a contractor artici atin in the Permit ee .4ccount S stem and have ade uate und$ check here
i ou want this rocessed throu h our account
JOB ADDRESS
OWNER
CONTRACTOR
CHECK [] ALL APPLICABLE
~ CATEGORY
[~ingle Family [:]Duplex
l-}Multi-Family l-IRental
FICommercial
r']Industrial
FUEL ~as F1Electric I-1Solid SYSTEM [-1New fi~Replace
l-lOil F1Solar [3Other
ced Air lDRadiant FISteam F1A/C I"lVent F1Electric I-IHot Water FISuppl. F1Con. Burner
IS CHIMNEY BEING LINED FlNo~Ves - LINER SI7F*O~-
Note: All chinmeys shall be sized per the fi2~'U's being vented. ~ ..... o~ MANUFACTURER
CHIMNEY TYPE [Chimney A ~hirmney B []Direct Vent []Other
I[EAT LOSS I-lAs Approved F]Existing j~N°t Applicable/~
BTU RATE []-lAs Per Plan [-1Var/able [3Other Value _
DESCRIPTION OF ALL W~RK BEING DONE
VAI.II[ (Inrludin~ I~bor ~,,,t ill ,n~lerill~ indndi.g lighl fixlure~) ~~ -
EI~ECTRI('Ai, (7()N'I'RA('TOR _ ~ ~ [] El~trtc Installation Vcrlficallon form attached(IfReptacen~nt)
- .~ APR, 2~.~003 ~:38PM WITZKE ELECTRIC PX).~51 P.1/1
Electric Installation Verification
The nature of thc work consists of: (Check One or Describe cbc Nature of Work)
P,,e¢onnection or new ci~cuk for ~eplacement H~ating Plant ancot MC Condenser.
Reconnectlon or new circuit ~or replacement Elec~ Water Heater or power vented
water heater.
Reconneetion of the Servic~ t~n~ance Cable, Meter Bo~, alterations to receptacles
and ligh~hag fixtures due to s]dlng / soffit fi~stall&tion. Note,. New Service
Entrance Cables will require a separate permit.
~ Reconnee~on or new c/rcuit for the rephcement of other perm~'aently wired
appliances / fixtures.
Iqew circuit-for the addition oFMC to an ind~vtdual dweH~n~ u~it (house or the
indiv/dual sy~terns in a duplex or eondomln/um), including required service
electrical outlets.
0~her,
t hereby verify this work will be performed by an employee of this company and further verify
thc r~¢onnecti~n / installation will be done in compliance with manufacturer ~nd Electric code
requiretaents.
"i$i~ature of Coml~any Officer) (Print Name of Of~cer) ' (Elate)