HomeMy WebLinkAbout0124167-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 725 W 19TH AVE
CITY OF OSHKOSH
No 124167
HV AC PER.MIT - APPLICATION AND RECORD
Fuel
UOil
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Create Date 04/09/2007
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plan
I I U Solid
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d Other
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I I U Vent
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Owner NEIL M SCHREIBER
Category 502 - Residential-Both
ITElectric I
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
~ Gas
U Solar
0~~_
U Steam ---.-J L!J AlC
~up~c=J U Con. Bumer
. Direct Vent () Not Applicable
~ Applicable Value
. Other Value
System D New
L!J Forced Air
U Electric
Chimney Type K:) Chimney A
Heat Loss KJ As Approved
BTU Rate K:) As Per Plan
U Radiant
U Hot Water
() Chimney B
. Existing
() Variable
Use/Nature DUPLEX (725-A) / REPLACE FURANCE AND 2 TON AlC SYSTEM (Electrical contractor is Van Ert Electric) I .
of Work I
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Fees: Valuation $5,194.00
Issued By: ~kAj
Plan Approval
$0.00
Permit Fee Paid
$88.00
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D Permit Voided I rarcelld # 1408840000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction. I
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform thework
described in this permit application within an easement, the City strongly urges the permit applicant to contact the ease~ent
holder(s) and to secure any necessary approvals before starting such activity. I
Signature Date
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WI ~ - ~ Telephone Numbe~ 920-982-3323
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Date 04/11/2007
Agent/Owner
Address
5165 GREEN VALLEY RD
OSHKOSH
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To schedule ;nspectlons please call thelnspeel;on Request line at 236-5128 noting the Address, pel" Numher, Type of
Inspection (Le. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), y6ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is r~ceived. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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6/(p 1-3
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HVAC PERMIT APPliCATiON
All information after bold categories must be provided. ,~
Incomplete applications will not be processed. i
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Servicesl PO Box 1128,
Oshkosh WI 54903-1128. COffi.."11encing work without permit(s) will result in fees being double~ or $100.00 plus the
normal permit fee, which ever is greater. '
OR
If ]lay are a contractor varticipating in the Permit fee Account Svstem and have adequate !funds. check .here
if vou want this processed through vour account 0 !
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DATE 3 -(p-, 0+
JOBADDRESS 125'14 W' ,q~ ~
OWNER-.N ~ S c..kr~ ~
CONTRACTOR C~~-\-" ~c~.\OV\S
CHECK 0: ALL APPLICABLE
USE CATEGORY J
~y ~uplex
FUEL
;:grGas
DOil
DElectric OSolid
DSolar
SYSTEM
ONew
o Other
OIpdustrial
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~epl~ce
OMulti-Family
o Rental
o Commercial
TYPE
~Forced Air o Radiant DSteam J{AJC DVent OElectric
IS CHIMNEY BEING LINED '~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
qCon. Burner
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DRat Water OSuppl.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
OAs Approved
DAs Per Plan
DChimney B
ilffixisting
DVariabk
~irect Vent DOthcr
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE
~ ~""o.rLj wJ70K. ~Go-oaWl~ ~
d \GY\ A Ie.... .
-iI_ d dO
VALUE (Including labor and materials) ~_ .5-1- /97, I
ELECTRICALCONTRACTOR~Ur-- . i
o For applicable projects, an Electric lnstailation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a 'f> te Electrical Permit is required. I
10/04