HomeMy WebLinkAbout0124172-HVAC (furnace & A/C)
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OSHKOSH
ON THE WATER
Job Address 1110 MOUNT VERNON ST
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
CITY OF OSHKOSH
No
124172
HVAC PERMIT - APPLICATION AND RECORD
Owner AMY J KAUFMAN
Create Date 04/09/2007
U~~ant
IT Hot Water
O~tiimney B
. Existing
o Variable
Category 502 - Residential-Both
U Electric
[?] Replace
U Steam
U Suppl.
. Direct Vent
Plan
I
System
~ Gas
o New
~ Forced Air
U Electric
Chimney Type () Chimney A
IT Oil
Fuel
U Solar U Solid
q Other
~ AlC U Vent
U Con. Burner
o Not Applicable
BTU Rate
D As Approved
D As Per Plan
o Not Applicable
. Other
Value
Heat Loss
Value
Use/Nature FR / REPLACE FURNACE AND AlC SYSTEM (Electrical contractor is Van Ert Electric)
of Work
Fees:. Valuation $4,271.00
Issued By: ~~.
Plan Approval
$0.00
Permit Fee Paid;
$74.50
Date 04/11/2007
o Permit Voided I
parcelld # 1003380000
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 contacUhe 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.
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3/.;}.-;3
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Cit'/ofOsbkosn
L'hvislon of Inspec:ion Se:.vices
po. Box] 130
Oshkosh, WI 54901- ] 130
Pbne (920) 2365050
Fax (920) 236-5084
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HV
iT APPUCA TiON
All information 3!t1:[ bold categories must be ]J!Ovided.
Incomplete applications will not be processed..
$
Apphcatlon(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Se;,;ices, PO Box j 128,
(Jshk~y~h V/I )4903-- j 17:8.
ViCT~< \;,/i{hcut permit(s) "'~"/in resuJ!~ it: fees being d01.:d:;;-::~ <>7" S 1 \')(;'.00 plue; Th~~
nomlal pennit fee; \;vhich ever is greflter.
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L.JOtrier ~__-~___-..--.-~_---
TYPE
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o Radiant
OSteam ~\/C
CJV'ent
OElcctric
"y'{ater
;---s <1 l
t-l~UPPL
OCon, Burner
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Note: /\H chiron::,; S Shan be sized per th(~~ JJTlJ' s
~.. ent<2;cL
(~Ht;\lNEY TVPE
HEAT LOSS
131'1) RATE
[]C:hi;nney .~
Of\S Appr()ved
[]As Pcr Plan
O(~hiIDney B
SlEx::..;ting
D'\/at~nb}e'
~.)irect Vent
01~ot
f::1I().1..",_" ^ l ,
~ ' U:...A. va.,dIe
O()ther
I;
_..__"79_~____,_._,_______
f~F:~~~~~:_~~k:~:r~~~~-=~~-!=~...-.--A7G----~,=@i-~~.~~jii.-\~~~~.J~~-~~~':--~-
~'~-.T-."----'
V/"LlJE (Inducing labor 2nd materials)
4;271
0<:::.
EL.ECTRICAL CO'iTRACTOR __v...~ 2.-r~______-
lJ F or applicable projects, an Electric In:,t?Uation Verification signed by th~-El~~t;';;~1:C:mtractor, ,,:.ust be
attached. If not ?ttac,hed or not appljc T"' t ectd,cal Permit is req'uired.
10/C-4