HomeMy WebLinkAbout2007-HVAC (boiler; a/c)
o
OSHKOSH
ON THE WATER
Job Address 731 PROSPECT AVE
CITY OF OSHKOSH
No
125561
HVAC PERMIT - APPLICATION AND RECORD
Owner DARYL KRAUSE
Create Date 06/28/2007
Contractor
COMFORT SOLUTIONS LLC/ONE HOUR
l:J Gas
o New
U Forced Air
I I Electric
Chimney Type . Chimney A
UOil
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
() Direct Vent
Plan
L J Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
Fuel
System
Heat Loss
() As Approved
KJ As Per Plan
~. Radiant
U Hot Water
C) Chimney B
. Existing
C) Variable
o Not Applicable
BTU Rate
() Not Applicable
. Other
Value
Value
96,000
Use/Nature SFR /INSTALL BOILER AND AlC UNIT, EIV SIGNED BY COMFORT SOLUTIONS
of Work
Fe..' Valuation ~'1.685.00
Issued By: .3:Yrl '
Plan Approval
$0.00
Permit Fee Paid
$177.00
Date 06/28/2007
o Permit Voided I
Parcelld # 0504020000
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 MAIN 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.
~~~7
(-3 (Pll cl
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
HVAC PERMIT APPLICATION
An information after bold categories must be provided.
Incomplete applications will not be processed.
@l 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 tlle
nonnal permit fee, which ever is greater.
OR
! au are a contractor artici atin in the Permit ee Account S stem and have ade uate .('unds check here
if you want this processed throuzh your account rl
JOB ADDRESS I:> \ ~~b~l\- lt~
OWNER ~r~\ }~~~<:'<L_
CONTRACTOR L ~v-\-"se \ _~o,""~
DATE ~ - \ \.,\ -0)_
CHECK Ii?! ALL APPLICABLE
USE CATEGORY
~gle Family DDuplex DMulti-Farnily
o Rental
o Commercial
Dlndustrial
FUEL
mr.as
'DOil
OElectric OSolid
DSolar
SYSTEM
ONew
DOther
OReplace
TYPE dr>. &{;
OF arced Air JU1lf0dia.nt DSteam ^A/CDV ent DElectric
IS CHIMNEY BEING LINED ~TO DYes - LINER SIZE
Note: All chimneys shall be sized pli;: BTU's being vented.
DHot Water DSuppl. DCon. Burner
& MA1\TUF ACTURER
CHIMNEY TYPE ~ilTh'1ey A oChimney B DDirect Vent o Other
IlEA T LOSS OAs Approved ~isting oNot Applicable
BTU RATE DAs Per Plan oVariable' oOther Value C{ l..t2 .~
.
DESCRIPTION OF ALL WORK BEING DON~ V\S\r.\\ b0~\ ~ v- ~ > C~v,,~\ !-) I
VALUE (Including labor and materials) $ , ) \ ~ <c>S--
ELECTRICAL CONTRACTOR ~ -; ~~ \ M :\ \ ~r-
o For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. 1fnot attached or not applicable, a separate Electrical Permit is required.
10/04
,un.27. 2007 9:33AM
cJ.;).t);J.61 1- ~ (P! 1c:J
irspect ion services
~o. 3433 P. 1
~
~QIH
City ofO~h.<.ooJ!
Divi5ioll ofIIlspcction SeMc~s
ZIS Chmch AvellllC
PO !'lOA lIJO
Oshl:ooh WI ,4903-1130
Offi<. 920.236-5050
Fax: 920-236-$QS4
Electric Installation Verification
1 (We) OOfVl{oyf SoLu:h~s LL(l,
(Electrical Contractor Name)
9(D9 Gondr1v--d J.JJl)L{
(Address)
(Jr.(!.ev'I I3n'j
(City)
WI
(State)
,?)t/Sll
(Zip Code)
have been contracted to perform electric installation work for ,7)0(''1' K r~ ~ ~
(Name of party contracted to) .
at the following address: 7.3/ ? rcJ'SfJ.e.d ~.
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
. / Reconnection or new C1Tcuit ft)T ren..lacement Heating Plant and/or Ale Condenser.
_ Reco~mection or new circuit for re:p\acement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding / soffit installation. Note: New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit fOf the replacement of other permanently wired
appliances I fixtures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
JUN 2 8 2007
DEPARTIV1ENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
I hereby verify this work will be performed by an employee oftms company and further verify
the reconnectlon / installation will be done in compliance with manufacturer and Electric code
requirements.
The value of this work is S O.o-Q
mnrc 6()fhi~,r
(Print Name of Officer)
I n ~ I L/:~ D 7
(Date)
5/02