HomeMy WebLinkAbout0123076-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1221 EASTMAN ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
123076
Owner RICHARD A MONTANO/BRIANNA M OBRlt
Create Date 01/04/2007
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type . Chimney A () Chimney B
Heat Loss . As Approved () Existing
BTU Rate . As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
() Direct Vent
L J Solar U Solid
D Other
U AlC U Vent
U Con. Burner
o Not Applicable
() Not Applicable
o Other
Value
Value
Use/Nature SFRlReplace fumace. EIV provided by Dan Seiler.
of Work
Fees: Valuation
$2,650.00
(2-ptx:;
Plan Approval
$0.00
Permit Fee Paid
$50.50
Issued By:
Date 01/04/2007
D Permit Voided I
Parcel Id # 1506830000
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
AgenUOwner
Address
5165 GREEN VALLEY RD
OSHKOSH
WI 54904 - 9794 Telephone Number 920-982-3323
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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.
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~
OJHKOfH
ON THE WATER
City of Oshkosh
Division oflnspection Services
215 Church Avenue
PO Box 1130
Oshkosh WI 54903-1130
Office 920-236-5050
FaJ< 920-236-5084
I (We)
J)WJ\
Electric Installation Verification
i
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. 01 ip</
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(Electrical Contractor Name)
have been contracted to perform electric installation work for
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(State) (Zip Code)
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(Name ofparty contracted to) ()
at the following address: l d ~ \ ~~-\-lM.00-v'.. ~+ .
(Address where work will be performed)
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(Address)
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(City)
The nature ofthe work consists of: (Check One or Describe the Nature ofW ork)
1 Reconnection or new circuit for replacement Heating Plant and/or AlC Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the 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 / fixtures.
New circuit for the addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex Of condominium), including required service
electrical outlets.
Other
The value of this work is $ t o.s-
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.
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(Signature of Company Officer)
CM.~J W~.Jvl.
(Print Name of Officer)
~2- IY -0(,0
(Date)
5/02