HomeMy WebLinkAbout0124166-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 830 GREENFIELD TRL
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
124166
Owner SCOT W/KELLY S STANDKE
Create Date 04/09/2007
,
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel l!J Gas LlQiI
System o New
~ Forced Air URadiant I
U Electric U Hot \^Jater
Chimney Type K.J Chimney A o Chimne~ B
Heat Loss KJ As Approved C) Existing
BTU Rate C) As Per Plan () Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
U Solar I, U Solid
q Other
~ AlC I; U Vent
U Con. Burner I
. Direct Vent 0 Not Applicable
. Not Applicable Value
. Other Value
Use/Nature SFR 1 REPLACE FURNACE AND 3 TON AlC SYST-EM (Electrical contractor is Van Ert Electric)
of Work .
Fees: Valuation $6,520.00
Issued By: . ~W
Plan Approval
$0.00
Permit Fee Paid
$109.00 c
Date 04/11/2007
o Permit Voided I
,Parcelld # 0613992900
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
i
Agent/Owner
Address 5165 GREEN VALLEY RD
OSHKOSH
WI ~ - ~ Telephone Number 920-982-3323
!
To schedule inspections please call the Inspection Request line at 236.5128 noting the Address, Per~it 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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City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
1.'1'>
~
01HKOfH
ON THE WATER
HV AC 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 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 varticipating in the Permit fee Account System and have adequate funds. check here
if you want this processed throuf!:h your account n
DATE 2. - Z(p- 0-=1-
JOB ADDRESS ~ GreAX\.c,e.,\d -rr~\ \
OWNER Sc.o~ S~~~~~
CONTRACTOR C-o,",~r-f. CSo\v-~\~'S.
CHECK 0' ALL APPLICABLE
USE CATEGORY
AfSingle Family ODuplex OMulti-Family
ORental
OCommercial
OIndustrial
FUEL
pcGas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
>>eplace
TYPE
~Forced Air DRadiant DSteam)iA;C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED)CINo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable'
)Wirect Vent DOther
JlNot Applicable
1iitOther Value eyo ~
f"u("i\ a.aa../a TCJf1 Alc.,
, .
~IPTION OF ALL WORK BEING DONE
r;\o...~ ~ ~'6~\"'~ S'1S-~S.
VALUE (Including labor and materials) $ b,S02.0. ~
ELECTRICAL CONTRACTOR V().JI\. ~+ E \.4Lc,..-\ r,c- ,
o For applicable projects, 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. I
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10/04
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