HomeMy WebLinkAbout0124170-HVAC (furnace & A/C)
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OSHKOSH
ON THE WATER
Job Address 715 MONROE ST
CITY OF OSHKOSH
No 124170
HVAC PERMIT -APPLICATION AND RECORD
Owner PATRICK N/MARGARET T BURNS
Create Date 04/09/2007
Filan
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
L J Electric ~tW~
Chimney Type D Chimney A o Chimney B
Heat Loss D As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
~ AlC []Vent
l J Con. Burner
C) Not Applicable
C) Not Applicable
. Other
Value
Value
Use/Nature ~FR / REPLACE FURNACE AND 2-1/2 TON AlC SYSTEM (Electrical work being done by Van Ert Electric)
of Work
Fees: . Valuation $5,950.00
Issued By: %mLAJ
Plan Approval
. $0.00
Permit Fee Paid
$100.00
Date 04/11/2007
o Permit Voided I
Parcelld # 1107750000
In the performance of this work, I agree to perform all work pursuanHo 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 '{1Iork
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), yo:ur 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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Cit'j of Oshkosh
~)' . - f' . S .
J. IV1S1on 0 lnspect',oD 'e:\-'ices
PO. Box 1130
Oshkosh, WI 54903- j 1:'0
Phone (920) 236.5050
1 ax (920) 236-50:H
'H' ~.,,\.,r. ""\'--C!;M~T APP' ICA"~'1""l.ii,,"
-I;. ?"'ji:::X,,,d Ll i HJI'ol
All infcm,at;on 3fter bold categories must be provided.
Incon]plet"{: applications will not be processed.
if) /\pplication(s) 8nd fee(s) can be brollgbt to City' }]all, Room 205 or rnailed to Inspection Sef"vices~ PC) Box 1128,
()shkosb Vll .-~4903""] 1. 2JL ~licr\~ "'),.:--i>~hout permit(s) vvill result in feef3 being d()u.b~(:d Gr $1,')0 .00 th~"
Donnal permit fee~ \vhich ever is greater.
OR
l.f'_~!"'QJLJ! r r-;..J!._J;J2/Lt..I!:J:_rtQLJ2grtJ_~_iJ2fLU!Jgj.J1.__Lhf_P e_[JJ7jJ~ ceo u n t S v S t e 1/1-IIl1 d h () v e ad e a UIJ t e , r VJ1.d.l,.,__C-tUL(k__f~L~
/ri.'. QJL_'~~:!ltl.1._Lhj{';.._.p.!J! _(fJ"~'..5Jlq[_{hLO u ..~~lL..yg]L[ :2 .~LCQJ!~~l_.D
DATE _____ 3_lc2_'iLQ _7:____
JOn. ADDRESS
.. 7~~ 1l'19~'t-'-",_Q_~_
O"'NER..___ 'nt~j:___~=:B_~~_~H_?___H____-
~h ~ S~'
~.~ ...~.--,..... r.'"T'"'':.:'1> 1
',.(;!, tRAc.O;,,_ ___~_______~ 0 ~O"'Y\. ~_
s+.
CHECK S21 /'l.LL A..PPLIC/\BLE
TJSE CATEGORY
F~- < :110'1", r;~m,;-j'"
,_+^ } J;;..., ~',,-,- ,.... ';.1 ~ _~ 1 .;
........ ..J
LJDuplex
Drvfulti-F'arnily+
ORental
D Comrnercial
[]Jndustria t
VUEL
~-~,~"
[JOil
[J}.:lectric C1So}jd
SYSTEM
o Nc\v
O()rher
((1) "nl","''''
~'\."-'i:~~'-'''''''
OSolar
TYPE
~rced Air
iJRadiant
OSteam ~/C
o Electric
DRat \!i/ater OSuppl. OCon. I3urn.er
.!S CIHMNE'{ BEING
[JNo DYes -- LINER SIZE
&
Note: A.ll chirnneys shall be sized peT the BTlj's be!t"J.g +~:ented.
CHIMNEY TYPE
BEAT LOSS
BTlJ RATE
DChimney A
o As Approved
LJf'\.s Per Plan
OChimney B
~Exi:~ting
O"/artz,-ble"
)Sbirect Veut
DOther
ONot A.ppJicable
~Other Value ____9...~L \::..
DESCRIPTIO"'; O:F ALL WORK BEE";G DG7\:~ _ ____ ____ ____ ------ --1---- --- ----"
____D- "l~~"'~ ~__A{~~=__~~-~"LC?~--1 90 K::. ,
.~ - I
VALUE (Illcluding labor ;md materjals)
S9SO
0'0
-
ELECTRICAL CONTRACTOR V ~ ~r
'J For arplicab1e projects, an Electric InstaHation Verification form.. sig~;ed by-th~El;;;';~~d:Contractor, meist be
" >- h d ,- " ~1' 1"'" '. . .' d .
attacnen. 11. not 8.rtac, c", or not appilcaL"i=::. a separate tlectrlca refilL IS requ1Pc -
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