HomeMy WebLinkAbout0122856-HVAC (furnace)
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.
OSHKOSH
ON THE WATER
Job Address 1230 WISCONSIN ST
CITY OF OSHKOSH
No 122856
HV AC PERMIT .. APPLICATION AND RECORD
Owner MITCHELL PILORI L NEHRING
Create Date 12/01/2006
Fuel
COMFORT SOLUTIONS LL~NE HOUR
~ Gas I I Oil
[] New I
Category 500 - Residential-Heating & Ventilating
Plan
Contractor
U Solar
U Solid
[] Other
U Vent
U Electric
o Replace
U Steam
U Suppl.
System
~ Forced Air
U Electric
Chimney Type . Chimney A
BTU Rate
. As Approved
. As Per Plan
U Radiant
U Hot Water ~
C) Chimney B
() Existing
() Variable
U AlC
U Con. Burner
Heat Loss
() Direct Vent () Not Applicable
C) Not Applicable Value
() Other Value
Use/Nature SFRI Replace furnace. EIV provided by Dan Seiler.
of Work
$5,231.00
a~
Plan Approval
$0.00
Permit Fee Paid
Fees: Valuation
$89.50
Issued By:
Date 12/12/2006
[] Permit Voided I
Parcelld # 1203100000
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
tvlCCONNELLS
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City of Oshkosh
Division of Inspection Sexvices
P.O. eo" 1130
Oshkosh, VVI54903~1130
Phone (920) 236-5050
Fax (920) 236-5084
~
~Q{H
HVAC PERMIT APPLICATION
All infonnation 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 or mailed to Inspection Services, PO Box 1128,
Oshkosh Wl 54903-1128. Coxnmencing work without permit(s) will result in fees being doubled or $100.00 pI
normal permit fee, which ever is greater.
OR
I u are nlracto rtici at' in the P mil e ccou t S sf
/i ~~u. want' /hts tJrocesse4 through YQur accourzt 0
DATE IO~L5 '(J(o
JOB ADDRESS /d3o W,Sc.Ot>stfl ,SC a:n ~'5'11()1
OWNER1!)i~tt I~
CONTRACTOR .~ -,t. .' _ f_
CHECK li?I ALL APPLIC4.BLE
r\ ~ CATEGORY
ingle Family ODuplex. OMulti-Family DRental DCommercial OlndustTial
FUEL ~as OElectric o Solid SYSTEM DNew Weplace
~ pSolar OOther
TYPE
'fJ,Forced Air ORadiant DStcam DAle OVent DElectric DHot Water DSuppl. Deon. Burner
IS CHIMNEY BEING LINED ltrNo DYes ~ LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized pefthe BTU's being vented.
CHIMNEY TYPE 'SIthirnney A DChimney B DDirc:ct Vent DOther
HEAT LOSS g4.s Approved DExisting DNot Applicable
BTU RATE GVAs Per Plan o Variable DOther Value
DESCRIPTION OF ALL WO~ BEING DONE~ ~UJ nALe. {rppIALen1r!J2
VALUE (Including labor and materials) $ \~ I. t'r)
r
ELECTRJCAl. CONTRACTOR
o For a.pplicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, m
attached. If not attacbed or not applicable, a separate Electrical Permit is required.
10/04
12/01/~006 01:01
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920294611 7
MCCONNELLS
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City of Osblc;osh
O\vil;io" ofll18pec:t.cm S"rvic~
ZIS Chur<:b Avenue
POBox 1130
Oshkosh WI. 54903-1130
Offi<:c 920.~.s..5050
Pax 920-236.5084
Electric Installation Verification
I (We) J) Al\ S(l.\ \er
PO {!)fyt ~ S
(Address)
(Electrical Contractor Name)
rYJ~i&JJ9
(City) ..
w;J:
(State)
..&q~
(Zip Code)
have been contracted to perform electric installation work for I
~~eofp~ycontracte
at the following address: /~10 WIS{M.~/i1 g+, D~d? Wt~f./QOI
(Address where work will be performed)
The 1 of the work consists of: (Check One <>r Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection ofthe 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 pennit.
Reconnection Or new circuit for the replacement of other permanently wired
appliances / 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 hereby 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 and Electric code
requirements.
fkMltL
(Signature of Comp~y Officer)
./lJ!;~f)!e WOL
(Print Name of Officer)
/o~ 5 -0&
(Date)
$/02