HomeMy WebLinkAbout0124171-HVAC (furnace & A/C)
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OSHKOSH
ON THE WATER
Job Address 407 W 18TH AVE
CITY OF OSHKOSH
No
124171
HVAC PERMIT -APPLICATION AND RECORD
Category 502 - Residential-Both
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Create Date 04/09/2007
plan
LJ So~'~::=J d Otho, [ [Sol~
I..... U Vent
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Owner
JOSEPH J/BARBARA LUTZ
Contractor
COMFORT SOLUTIONS LLC/ONE HOUR
UOil
U Electric
o Replace
U Steam l!'J AlC
U_Suppl. U Con. Bumer
. Direct VenT () Not Applicable
() Not Applicable
. Other
BTU Rate
l!:J Gai._~
~w
l!'J Fo~ej Air .-J
U~lecb:ic =:J
~ney A
~t\pproved
() As.Per Plan
Fuel
System
Heat Loss
U Radiant
U Hot Water
() Chimney B
. Existing
C) Variable
Chimney Type
Value
Value
Use/Nature SFR / REPLACE FURNACE AND 2 TON AlC SYSTEM (Electrical contractor is Van Ert Electric)
of Work
Fees: Valuation _____~4,2L1.00
Issued By: ?s-YY\Q
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I Date 04/11/2007
o Po",," V"dedJ ~''''''lld "406'40000
In the performance of this work, I agree to perform all work pursuant to rules governing 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 theJ.,ork
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easerrlent
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holder(s) and to secure any necessary approvals before starting such activity. I
Signature Date
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WI 54904 - 9794 Telephone Number: 920-982-3323
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Plan Approval
$0.00
Permit Fee Paid
$74.50
Agent/Owner
Address
5165 GREEN VALLEY RD
OSHKOSH
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), ydur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is rebeived. Work may
continue if the inspection is not performed within two business days from the time the project is ready."
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H~\n'q'" !'.j/f:::RMlT APPLI--A'~Ol1.5
.l!'WJ;s.;,,~'} !r""'~;!~J g l!~ i~ I~
All infcrmation gfter bold categories must be provided_
Incomp !ete applications will not be processed_
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'-j ,1IOshkosh
[llVislOD of Inspection SCrY'ices
PO. Box 1130
Oshkosh, WI 549(n-1130
Ph-:JrlC (920) 236-5050
I:ax (920) 236-5084
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@ AppJicaticn(~;) and fee(s) can be brought to City HaU, Room 205 or mailed to Inspection Services~ PO Box 1128,
();shJCOSh \\/1 54903- .1128. \'vcr_i<~ '\iv1thout permit(s) v'fill rest11t ;,n fees being ckn;~b~e~,. cor $1 ne_oo plus Tn::
normal permit fec, '.vhich cover is grea~~cr.
OR
ILX91L J2.L~JLr;,gJUIJ:jr;~(Q1:"2.!Zr. tic iJ2'Z.tiilgJ n _liz.f.? e r rrl)J..ll. e Ace 0 U n (,-,-"i.J.!j~t e rrL2Jl!Lh a Jc:..e a d e2.Jd.Q.!3J/]JJl:i~"_ cite cJs__/i.fJiL
~ lJLQJ:L,,_~~'gll.L,.l.bj_.:~~_.P'}~{!..Cf:.~'-:~!}Ji__tjl r Q.l~gA.JLQH__C..!lJ;J;2}LUi~ I
DATE___:3 L~-~l~f::!------
JOB ADDRESS____~q=L_ w:...__l~_~_
O'VN.ER____~Q!?__ ....__h v..- '\- ~._____n________________
C'('N"'R' ("-'OD /I _ ("'- ~ c \ \, C'"t
,_ .}, . i ^ p\._ 1"__j,,,,..,,,-.:~;:~::~,,~:..J____...2 <:. \..\..- "-T"\.dV\. ~
~
nSE CATEGORY
~iDgle Family LJDupJex
D.rvIultj -I:" arnil y
ORental
DCommcrcial
CHECK EZl A.'Ll, APPLICABLE
~i"tTEI..J
~",,-
~~c...y
OOd
[JT~lectric []Soiid
SYSTEM
r-'-,. 'f
Ui~e\V
lc-4r-'T\1~,.p
"Ffl"- '..Jr~ --f"'-'"
OSolar
LJOther
TYPE
~t;orced Air
Ol{adiant
OSteam PjC
[J\lent
o Electrjc
Dliot 1.7'/ater OSllppl.
ITJCon. T:3urner
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~ ,.,.---,.... "P" .. c"--i
1< ~ i ,:J f>.<: ~ ";, ; <\,,1"" ) i'~ 0.""'
;;.-,_",-;'lA:..i~ .',t 1\.)""""" "",0::\ -
-Note: /~Jl chimnC'.y-s shaH be s~.7.ed pc;- the B'TlJJs
rs CHFv1NE~,<,'
,
SIZE ____. & IvlJ\l'JLr ~4. CTUlZF,I-(_~__~.I.___._~~____~___.._
\: f~ntf-d.
CHJMNEY TYPE
HE/\. T LOSS
BTa! R;\TF
UChimneyA
CAs Approved
OAs Pcr Plan
OCbimney B
~:xi~)tiDg
O'/ariaiJle'
~ircct V cnt DOther
oNo, A.pplicahJe .
;zether Value ____r...'O!::=------------- -----~
HESCRIP'TION OF ALL ViORK BEU-TG DO'''~C
______- __~p\~----~~-- f;-i..Tc-~~=:,i)~t~-"
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-.-.'.-.. -,.----....-..~..--...-.---....--"'-..--.,--.--.,~-.-._r--~..............----.----..-~_.--~-
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VAI,DE (Incbcing!abor and materials) 'j;______q.,;l,_2L..:.~
ELECTRICAL CONTRACTOR \I c1.Nt ~r-..r-
____ _____________________________________.1'
[=1 For applicable projects, an Electric lnst:;JJation Verification form, signed by the Electrica!!Ccntractor, must be
attached. If not attached or not applicabl~. a separate Electrical Permit. is required.
10/04