HomeMy WebLinkAbout0124165-HVAC (furnace & A/C)
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OSHKOSH
ON THE WATER
Job Address 1206 W SOUTH PARK AVE
CITY OF OSHKOSH
No
124165
HVAC PERMIT - APPLICATION AND RECORD
Owner EILEEN SCHANI LIFE ESTATE
Create Date 03/20/2007
Plan
U Solar U Solid
o Other
~ AlC U Vent
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate o As Per Plan () Variable
Category 502 - Residential-Both
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
U Con. Burner
() No! Applicable
() Not Applicable
. Other
I
I
Value
Value
Use/Nature FR 1 Replace furnace & AlC. Electrical contractor is Van Ert Electric.
of Work
Fees: 'Valuation $4,050.00
Issued By: ~'W
Plan Approval
$0.00
Permit Fee Paid .<
$71.50 .
Date 04/11/2007
o Permit Voided I
Parcelld # 1307140101
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 nota party, if you perform the y.'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), yo'ur Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is re~eived. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~~ d~l)3~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
3(5 1-.3
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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 adequat~ funds. check here
if you want this processed throuf!h your account n
DATE 3-~-O~
JOB ADDRESS I d-OiQ W. ~e,v.-~ PQ.J-\c ~
OWNER ~~\~ S~QlM
CONTRACTOR CL)W\.~,\- S:o~~\0Y\5
CHECK 0 ALL APPLICABLE
USE CATEGORY
)isingle Family DDuplex DMulti-Family
o Rental
o Commercial
DIndustrial
FUEL
hlr:<as
~il
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
~eplace
TYPE
~orced Air DRadiant DSteam )iAJC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChirnney A DChimney B R!birect Vent DOther
HEAT LOSS DAs Approved ~Existing DNot Applicable
BTU RATE DAs Per Plan DVariable' DOther Value
DESCRIPTION OF ALL WORK BEING DONE ~\~ -CVJ"' "'G....CJL ~ ~ {~
w! (1 yoe)~CLV\ 70 K F(\- ().. ""A CL 62 'TC~ ~-J. Wt~ (:\.( e .
VALUE (Including labor and materials) $
40 S-O .
00
ELECTRICAL CONTRACTOR Vo-...V\ ~I+- ~~~v
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.
10/04