HomeMy WebLinkAbout0124169-HVAC (furnace)
e
OSHKOSH
ON THE WATER
Job Address 534 EVANS ST
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
CITY OF OSHKOSH
No 124169
HVAC PERMIT -APPLICATION AND RECORD
Owner JOYCE SUNDQUIST
Create Date 04/09/2007
Category 502 - Residential-Both
Plan
UOil
U Electric
o Replace
U Steam ~ AlC --=:J
U Suppl. US~!ner]
. Direct Vent () Not Applicable]
() Not Applicable Value
. Other Value
Fuel ~~___-.J
System D New
~ Forced Air J
U Electric =:J
Chimney Type () Chimney A=~___~_ _.
Heat Loss (L..As Approved__
BTU Rate D As Per Pla-ri-- -
U Radiant
U Hot Water
() Chimney B
. Existing
() Variable
Use/Nature FR / REPLACE FURNACE AND AlC SYSTEM (Electrical work being done by Van Ert Electric)
of Work
Fees: Valuation $4,632.00
Issued By: ~\AJ
Plan Approval
$0.00
Permit Fee Paid
$80.50
Date 04/11/2007
D Permit Voided I
parcelld # 1103280000
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 ,<<ork
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.
,-------
~f;)-ey/7d_ .319 /-3
City of Oshkosh
Division ofInspection Services
P.o. Box 1130
Oshkosh, VVI54903-1130
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.
'~ ~
· Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing 'Nork 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 varticipating in the Permit fee Account System and have adequate funds, chfSk here
if you want this processed through your accoun{-D i
DATE_.~-3_- q - 0 ~_._
JOBADDRESS 53H ~0(l,V\~ S~___
OWNER :S-()~UL SWf\& ~w~_-t
CONTRACTOR C~VV\.~;-- ~w.\d'Y\s.
CHECK 10 ALL APPLICABLE
USE CATEGORY
;SSingle Family DDuplex DMuIti-Family
DRental
o Commercial
o Industrial
FUEL
:rlGas
oOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
)&Replace
TYPE
~Forced Air DRadiant DSteam ~C DVent DElectric DRat Water DSuppl. DCan. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MAt"I\Jl:JF ACTURER_.
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChinmey A
DAs Approved
DAs Per Plan
OChimney B
~xisting
DVariabk
~Direct Vent o Other
DNot Applicableq
1)gOther Value () K
DESCRIPTION OF ALL WORK BEING DONE
~l~ +v....r-V\ Q...C- ~ 0uAJ.. o.../C.
VALUE (Including labor and materials) $_.t.t~_~~_. oQ
ELECTRICAL CONTRACTOR \/0...;/\ ~t- ______ ,
o For applicable projects, an Electric Installation Verification form, signed by the EleCtrical qontractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required. .
1.0/04