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.