HomeMy WebLinkAbout0125775-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 320 W 12TH AVE
CITY OF OSHKOSH
No
125775
HVAC PERMIT - APPLICATION AND RECORD
Owner ANN M REINKE
Create Date OS/21/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
Plan
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel l!:J Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss K ) As Approved . Existing
BTU Rate () As Per Plan () Variable
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
. Direct Vent 0 Not Applicable
C) Not Applicable Value
. Other Value
Use/Nature SFR / Replace furnace and AlC. EIV provided by Van Ert Electric.
of Work
Fees: Valuation
$5,183.00
~
Plan Approval
$0.00
Permit Fee Paid
$88.00
Issued By:
Date 07/12/2007
D Permit Voided I
Parcelld # 0903810000
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
AgenUOwner
Address
2230 MAIN ST
GREEN BAY
WI 54302 - 3714 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.
;}dl. I /q 4/9 1-3
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~t'J
~
OjHKOfH
ON THE WATER
HV AC PERMIT APPLICATION
All infonnation 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 tl,e
normal permit fee, which ever is greater.
OR
lfvou are a contractor participating in the Permit fee Account System and have adequate funds. check here
if you want this processed throuzh your account n
DATE ~-/O .-Or
JOB ADDRESS 3d 0 ~~ /c2:/-'4.4-tJ.e.
OWNER AnY'\. 'K<2l.", \:::.tL
CONTRACTOR (~~+ 50\,--1-\(:)",$
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex o Multi-Family
o Rental
o Commercial
Dlndustrial
FUEL
)g(Gas
DOH
DElectric DSolid
DSolar
SYSTEM
DNew
Dallier
)'tReplace
TYPE
;RIForced Air DRadiant OSteamJ8(A;C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED DNo DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RATE
DChirnney A
DAs Approved
DAs Per Plan
DChirnney B
):?lExisting
DVariable'
~birect Vent DOllier
DNot Applicable
jQother Value
DESCRIPTION OF ALL WORK BEING DONE"l2a.p \~ ~'" o-<..lL ~ CA.C,
~ eh({5-H\I\) S/S~I
o
ELECTRICAL. CONTRACTOR
o For applicable projects, an Electric Installation Verification form, signed by th
attached. If not attached or not applicable, a separate Electrical Permit is required.
60
-
MAY 2 1 2007
VALUE (Including labor and materials) $
DEPARTMENT OF
COMMUNITY DEVELOPMENT
Q&6?, rn,yJp!QN
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1)6
10/04
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VAN ERT~LECTRIC
I4J 002
No. 3457 P. 2
07/12/07
13:49 FAX 920 766 0883
Jun.27. 2007 1:55PM
inspection services
~
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CitY ofo!hkO!:h
[:);...io[\ of lrlllPccl;nn SIlO/lees
:!.lS Cln,rdr "V~Il\l~
~OBo:r.IUO
Osb);QSh wr 549~.1 l)C
Office ll20..;!36-5l)51)
h.. 921>-2.36-506"
Electric Installation Verification
1 (We)
Van Ert Electric ~ompanyJ Inc.
2000 pr~8 r.
(E'R8Uitifri1i, tcs )
(Address) (City) (State) (Zip Code)
have been contracted to perfonn electric installation work for Q,o IY\fi)t-r ~UDO ill5A~.~+ItU,i
(Name of party contracted to) , ~Ff-rl.~~-
~ Ck 511_, L1 .- ....- ~ ~i1\Of\llJl
at the following address: , 1fU.vv4f\O frLb . l;). - rr' . .
(Address where wor. will be performed)
The nature ofthe work consiSts of: (Check One or Describe the Nature of Work)
.
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
.... Rcconnection or new circuit for replacement Electric Water Heater or power vented
water heater. .
Reconnection of the Service Entrance Ca.ble, Meter Sox, alterations to receptacles
and lighting fuc.mres due to siding / sofnt installation. Note: New SeTYice
Entrance Cables will requite a separate permit.
Reconnection or new circuit for the replacement of other permanently w1TBd
applia..nccs / fixtures.
New circuit for tbl1l addition of Ale to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
./' electrical outlets.
" V Om~ .
- ~1.f(\J~~lJ. NUn J:(I~.4-l L VJtO.(jl\.Cr f--nR -0.J.1Li/lJ;Jd:
d- 1+ L €- CD" )()l Tf1>l1) I IU ~ U,n..c:c~
The value ofthis work is $_~ O&d-~~o.
T hereby verify this work will be performed by an employee of1'h1s company and further verify
the reconnection / installation wi done in compliance with mauufacturer and Electric code
requu:'ement5.
~ CP fU.;"'s t Q
(print Name of Officer)
~~<;;CU c: {j NVvtdt:5
Ql~/:J-fi'/ ()17
(Date)
5102
06/27/07 WED l5;14 [TX/RX NO 54741