HomeMy WebLinkAbout0124164-HVAC (furnace & A/C)
e
OSHKOSH
ON THE WATER
Job Address 724 MONROE ST
CITY OF OSHKOSH
No
124164
HVAC PERMIT -APPLICATION AND RECORD
Owner LAWRENCE J BEALS
Create Date 03/20/2007
i
Plan
Contractor COMFORT SOLUTIONS LLCIONE HOUR
Fuel l.!1Qas IJ Oil
System o New
l!J Forced Air U Radiant---.J
U Electric I j Hot Water I
Chimney Type o Chimney A () Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate o As Per Plan . Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
.. Direct Vent
U Solar U Solid ~
o Other j
I
l!J AlC I U Vent __~
U Con. Burner
o Not Applicable
() Not Applicable
() Other
Value
Value
UselNature FR 1 Replace furnace & AlC. Electrical contractor is Van Ert Electric.
of Work
1
I
I
I
I
I
J
Fees: Valuation $3,909.00
Issued By: ~\,.,)
Plan Approval
$0.00
Permit Fee Paid,-
$70.00
Date 04/11/2007
o P~_~i~ Voided I
I
parcelld # 1107600000
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
Agent/Owner
Address 5165 GREEN VALLEY RD
OSHKOSH
WI 54904 - 9794 Telephone Numbe~ 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.
(7S1,~
City of Oshkosh
Division ofInspection Services
P.o. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
cf2.;;1 Dd.-q 5
3/5
(~3
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
.,
t) Application(s) and fee(s) can be brought to City HaH, 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 TJarticipatingJJ:LllJe Permit fee Account System and have adequate.;junds,.J;)L~k hers..
if you want this processed through your account 0
DATE
3-s--b'+
JOB ADDRESS 7dlf fflCJYlr~ s-f
OWNE~b...rr~ 8~oSS IpCLlrn
CONTRACTOR CDV"YI~ rt-- $o\~\dY\S
CHECK 0: ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
o Rental
o Commercial
o Ipdustrial
FUEL
)!QGas
DOil
OElectric DSolid
DSolar
SYSTEM
DNew
DOther
X'Repl~ce
TYPE
~Forced Air DRadiant DSteam pqAlC OVent DElectric DRat Water DSuppl. peon, Bumer
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MA1'{lJF ACTURER
CHIMNEY TYPE
IlEA T LOSS
BTU RATE
DChimney A
DAs Approved
DAs Per-Plan
DChimney B
~xisting
,.gVariable'
)3Direct Vent OOther
DNot Applicable
DOther Value
DESCRIPTION OF ALL WORK BEING DONE ;;; 'TDA ~VV\CLY\. \3 ~~ At ~
70K ~~ ~{',^a..0L- qs-"~
VALUE (Including labor and materials) $ Sq Q_~. EE2-
ELECTRICAL CONTRACTOR Vo.-M\ & 1- ~cJ-r-~ C- __
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. Ifnot attached or not applicable, a separate Electrical Permit is required.
A
/10. ()o
10/04