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HomeMy WebLinkAbout0125563-HVAC (furnace) G OSHKOSH ON THE WATER Job Address 1525 BURDICK ST CITY OF OSHKOSH No 125563 HVAC PERMIT - APPLICATION AND RECORD Owner JUAN AlJEANNE M COLOMBANA Create Date 06/28/2007 Contractor COMFORT SOLUTIONS LLCIONE HOUR Fuel l=::J Gas UOil System o New ~ Forced Air U Radiant U Electric U Hot Water Chimney Type KJ Chimney A () Chimney B Heat Loss o As Approved () Existing BTU Rate o As Per Plan () Variable Category 502 - Residential-Both U Electric EI Replace U Steam U Suppl. () Direct Vent Plan U Solar U Solid o Other ~ AlC U Vent U Con. Burner . Not Applicable . Not Applicable __ Other Use/Nature SFR 1 REPLACE FURNACE AND AlC UNIT, EIV SIGNED BY COMFORT SOLUTIONS of Work Value Value 70,000 Fees: Valuation $5,701.00 Issued By: Sn'l& Plan Approval $0.00 Permit Fee Paid $97.00 Date 06/28/2007 o Permit Voided I Parcelld # 1501600000 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 2230 MAl N ST GREEN BAY WI 54302 - 0 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 (Le. 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. ;2./?-do33 1-3 (pI I City of Oshkosh Division of Inspection Services P.O. Box 1130 Oshkosh, WI 54903-1130 Phone (920) 236-5050 Fax (920) 236-5084 ~:'.:. ~ OJHKOfH ON THE WATER HV AC PERMIT APPLICATION All information after bold categories must be provided. Incomplete applications will not be processed. ~:_~l .. Application(s) and fee(s) can be brought to City Rall, 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 H.e normal permit fee, which ever is greater. OR If YOU are a contractor participating in the Permit fee Account System and have adequate funds. check here if you want this processed throuf!:h your account n 'DATE Co - J -Ol JOB ADDRESS } 5 ~:;: (S'lt) reA ~ Je OWNER ~ vc..... ""-- C t} \C,^", ~""~ CONTRACTORCQv"v\.\;.~v\- <;~ \v\\~,^~ CHECK 0 ALL APPLICABLE u~ CATEGORY ,0'Sffigle Family DDuplex OMulti-Family ORental DCommercial o Industrial FUEL ~ DElectric DSolid DSolar SYSTEM DNew DOllier klace .D1PE ~ced Air DRadiant DSteam DAlC DVent DElectric IS CHIMNEY BEING LINED VO DYes - LINER SIZE N ate: All chimneys shall be sized p~( BTU' s being vented. DRot Water DSuppl. DCon. Burner & MANUFACTURER CHIMNEY TYPE REA T LOSS BTU RATE DChimney A DAs Approved DAs Per Plan DChimney B o Existing DVariable' DDirect Vent DNot Applicable DOtherValue It) (~ ~j~L~ -t-J\) L DOllier DESCRIPTION OF ALL WORK BEING DONE ~\)\6-L€ VALUE (Including labor and materials) $ 0 S \ \ D \ 00 ELECTRICAL CONTRACTOR C\Q""~.r\- Se-, \,-,Y~Q,,^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. 10/04 ';;.;;Jc::2033 6 I ~3 t..P/ ( ~ ~QtH City of Osh."{osll DivitiOll ofInsPCOtioll Semoijs 2] 5 CI11Jf~h AW"hle PO Il,);( 11:30 OS!'1k~h WI 5490J.llJO Office 92(}.235.5050 Fax nO-2,1$-50S4 Electric Installation Verification 1 (We) Cl&Yl~{:SO~t1frn3 t-lG (Electrical Contrac~or Name) 9(pQ 0oddord WOGj (Address) GrAJdJ /6Cu.j (City) WI (State) p:;:, J~ I ,..J'-I">. J (Zip Code) have been contracted to perform electric installation work for J, (Df') CO}l71Ylb4WIn. (Name of party contracted to) . at the following address: /50/.:5 &Vd/~L .s-lr~ (Address where work will be performed) The nature ofthe work consists of: (Check One or Describe the Nature QfWork) . ./ Rec.onnectlon or new circuit f(,)i Tew.acement Heating Plant and/or Ale Condenser. Reco:\mection or new circuit for rePtacement Electric Water Heater or power vented water heater. RecoIlllection of the Service Entrance Cable, Meter Box, alterations to receptacles and lighting fixtures du.e to siding /soffit installation. Note: New Service Entrance Cables will require a separate pe:rrnit. Reconnection or new circuit for the repla<;:ement of other permanently wired appliances I fixtures. New circuitJof the addition of Ale to an individual dwelling unit (house or the individual systems in a duplex or condominium), including re uked seTvice electrical outlets. I O~ ~ JUN 2 8 2007 DEPARTMENT OF COMMUNITY DEVELOPMENT INSPECTION SERVICES DIVISION The valLIe of this work is S 6. or) I hereby verify this work will be performed by an employee oftbis company and :further verify the reconnection / installation will be done in compliance with manufacturer and Electric code requirements. mOrt1 MQl'hlPI' (Print Name of Officer) 1.; - r 07 (Date) ;;/07.