HomeMy WebLinkAbout0123541-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 1671 S OAKWOOD RD
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
Owner ROBERT J/GERI L LANGENFELD
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A C) Chimney B
Heat Loss K:) As Approved o Existing
BTU Rate () As Per Plan o Variable
Category 502 - Residential-Both
U Solar
U Electric
o Replace
U Steam
U Suppl.
o Direct Vent
. Not Applicable
. Other
I
~
=:J
I
~ AlC
U Con. Burner
_ . Not Applicable
Use/Nature ISFR I REPLACE FURNACE AND AlC
of Work
Fees: Valuatio~ _ ~o.oo
Issued By: ~_.
Plan Approval
o Permit Voided I
$0.00
Permit Fee Paid
No
123541
Create Date 02/01/2007
Plan
o Solid
o Other
o Vent
Value
Value
70,000
. $73.00
Date 02116/2007
Parcelld # 1331330000
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
/
Address 5165 GREEN VALLEY RD
Agent/Owner
OSHKOSH
Date
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.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, VVI54903-ll30
Phone (920) 236-5050
Fax (920) 236-5084
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, - OfHK01D
DEPARTMENT OF ON THE WATER
HVAC PERMIT AP~~Q1CJDEVELOPMENT
All information 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, POBox 1128,
OshkoslLWL~190371128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, whICh ever is greater. "-~---
OR '
If yOU are a contractor particivating in the Permit fee Acco,unt System and have adequate funds, check here
if you want this processed through your account n"
JOB ADDRESS 1&7/ S. Oa-kwooJ R.~ -
OWNER~br-t h<lA\5QH\.~~
CONTRACTOR Co<<\~>r Scs\J-t (5V\5
DATE l}2.:2-/0 1-
CHECK IiI ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
o Rental
o Commercial
DIndustrial
FUEL
\XfGas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
~eplace
TYPE
~orced Air o Radiant DSteam ~A1C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo fiyes - LINER SIZE ZS' & MANUFACTURER ~W\~
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B DDirect Vent DOther
HEAT LOSS DAs Approved o Existing 9'Not Applicable
BTU RATE DAs Per Plan DVariable ~Other Value 70, C$:X)
DESCRIPTION OF ALL WORK BEING DONE~\t1.f"O ~'f\.o.LQ / A-C-
~ I - 70 t:. - qS-ok> A'f:.\)€- CAAl\A.. Ot ~ At c..-
<ili
-',
~"~- ........-- .
VALUE (Including labor and materials) $ ~ ~a> . . 4'C
ELECT~CAL CONTRACTOR t~'\"',1 ~,~ ~ t \j 0.(\ E:. (' -\ t-I €c.+-r--; c
o For applicable proje~ts, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
1tJ:: 5 YLj Y
$12>'06
10/04
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