HomeMy WebLinkAbout0122853-HVAC (furnace)
e
OSHKOSH
ON THE WATER
Job Address 422 BOYD ST
CITY OF OSHKOSH
No
122853
HVAC PERMIT ..APPLICATION AND RECORD
Owner SCOTT A BREHMER
Create Date 12/01/2006
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric O-Hot Water
Chimney Type K:) Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
C) Not Applicable
() Other
Value
Value
Use/Nature SFRI Replace furnace. EIV provided by Dan Seiler.
of Work
Issued By:
$4,612.00
(~ A()
Plan Approval
$0.00
Permit Fee Paid
$80.50
Fees: Valuation
Date 12/12/2006
o Permit Voided I
Parcelld # 1100280000
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.
12/01/2006 01:01
'3202'34611 7
MCCONNELLS
PAGE 02
Rd.t.S
City of OShkosh
0Division of Inspection Services
P-O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236.5084
~.
~J8
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete a~lications 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 penn.it(s) will result in fees being doubled or $100.00 plus e
nonnal permit fee, which ever is greater.
OR
OWNER
DATE
114~
r
CHECK Ii11 ALL APPLICABLE
rUSE CATEGORY
fi'JSingle Family DDuplex DMulti-Family
DRenta]
o Commercial
Drndustrial
FUEL
@3Gas
DOn
DElectric DSolid
OSolar
SYSTEM
DNew
DOmer
r;iReplace
TYPE
mForced Air DRadiant OSteam DAle DVent OElectric DHotWater DSuppl. DCon. Burner
IS CHIMNEY aEING LINED lJNo DYes - LINER SIZE & MANUFACTURER
NQte: All chimneys shall b~ sized pbili~ BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ;(Direct Vent DOmer
HEAT LOSS liAs Approved DExisting DNot Applicable
BTU RATE ri!lAs Per Plan DVariable DOther Value
DESCRlPTlONOFALLWORKBEINGDONE repJAre ~Q&e
VALUE (Including Jabor and materials) 1-. L/ (..p I cQ-W
. ~.~~.
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11~
ELECTRICAL CONTRACTOR
r 0 For applicable projects, an Electric Installation Verification form, ;igned by the Electrical Contractor, must be
attached, If not attached or not applicable, a separate Electrical Permit is required.
~Ol
!
12/01/2005 04:14
"
920294511 7
MCCONNELLS
P~GE 01
~
~
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City of Oshkosh
Divisioll IlfI~tioD Servic~
215 Churc:h Avenue:
f'OBoll.1l30
Osblrosh WI S;1903.l130
Oft!" 920.1.36-5050
F"al\: 920-236-$084
r (We)
Electric Installation Verification
j)CU~ Set fer
~
(Electrical Contractor Name)
i'J~Q.,~'\Q\-~
(City)
\ ^ \;
V~
'VD. fuK ~6
(Address)
(State)
5L(.91.f1
(Zip C~de)
at the following address:
~ ~h~work will be performed)
I -KV'
(Name of party contracted to)
have been contracted to perfonn electric installation work for
the nature of the work consists of: (Check One or Describe the Nature of Work)
'>!
Reconnection or new circuit for replacement Heating Plant and/()T NC Condenser.
Reconnectionor new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofllie 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 replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value of this work is $~
I nereby verify this work will be performed. by an employee of this company and further verify
the reconnection / installation will be done in compliance with manufacturer ~d Electric code
req uirements.
-JY\~~~
(Slgnature of Company Officer)
(/X4J . BJSfIt~
(PrintNarne of Officer)
/!-q-ao
(Date)
."i/02