HomeMy WebLinkAbout0122857-HVAC (A/C)
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OSHKOSH
ON THE WATER
Job Address 442 W 19TH AVE
CITY OF OSHKOSH
No
122857
HVAC PERMIT -APPLICATION AND RECORD
Owner TARA WICK
Create Date 12/01/2006
Contractor
COMFORT SOLUTIONS LLC/ONE HOUR
Category 501 - Residential-Air Conditioning
Plan
l.!:J Gas
D New
U Forced Air
U Electric ~
Chimney Type . Chimney A
UOil
U Electric
o Replace
U Steam
U Suppl.
U Solar U Solid
o Other
l!J AlC U Vent
U Con. Burner
Fuel
System
BTU Rate
. As Approved
. As Per Plan
U Radiant
U Hot Water
() Chimney B
() Existing
() Variable
Heat Loss
(), Direct Vent () Not Applicable ~
() Not Applicable Value
C) Other
Value
Use/Nature FRI Replace AlC. Electrical work to be done by Wall to Wall Electric.
of Work
Fees: Valuation
$1,200.00
tJ4?t~
Plan Approval
$0.00
Permit Fee Paid
$28.00
Issued By:
Date 12/12/2006
D Permit Voided I
Parcelld # 1405700000
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
5165 GREEN VALLEY RD
OSHKOSH
WI 54904 - 9794 Telephone Number 920-982-3323
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.
12/01/2005 01:01
920294511 7
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City of Oshkosh
DMslon of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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HVAC PERMIT APPLICATION
All infoxmation after bold categories must be provided.
rncomplete 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 pennit(s) will result in fees being doubled or $100.00 plu the
no~aI permit fee, which ever is greater.
OR
nd have tide I
ere
JOB ADDRESS 'It!;)., tJ. I? It. sf.
OWNER -r-a..r-t::L ?<-;J/'~ .
CONTRACTOR '~k>r+ S,/t-dto-n. S J LLL / O~ f/ou.,-,
DATE
)~-23-0~
CHECK 2f ALL APPLICABLE
f"', USE CATEGORY
}(single Family ODuplex o Multi-Family
o Rental
DCommercial
DIndustrial
FUEL
DOas
DOn
OElectric DSolid
DSoLar
SYSTEM
DNew
, DOther
~eplace
TYPE
DForced Air o Radiant DSteam ~C DVent DElectric DHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED )4.No DYes - LINER SIZE
Note: All chimneys shall be sized. per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE ~Chirnney A OChimney B DDirect Vent
REA T LOSS .liAs Approved DExisting ONot Applicable
BTU RATE _As Per Plan DVariable DOther Value
DESCRIPTION OF ALL WORK BEING DONE~O.l...,.. ~l e..-
- ~
DOther
VALUE (lnc:ludlnglab()1;" a.~d materials) $ 1,;;"'(1). ~
ELECTRJCAL CONTRACTOR ~ - Wt\..\\ t:ttJ. ~~L
o For applicable projects, an Electric Installation Verification fonn, signed by the Electrical Contractor, must e
attached. If not attached or not applicable, a separate Electrical Pennit is required.
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