HomeMy WebLinkAbout0125774-HVAC (a/c)
e
OSHKOSH
ON THE WATER
Job Address 617 SHAWANO AVE
CITY OF OSHKOSH
No
125774
HVAC PERMIT - APPLICATION AND RECORD
Owner JAMES RJDIANE L SODA
Create Date 05/21/2007
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel I J Gas UOil
System o New
U Forced Air U Radiant
I J Electric U Hot Water
Chimney Type D Chimney A o Chimney B
Heat Loss ~) As Approved C) Existing
BTU Rate o As Per Plan C) Variable
Category 501 - Residential-Air Conditioning
Plan
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
. Not Applicable
~ Electric
o Replace
U Steam
U Suppl.
o Direct Vent
. Not Applicable
. Other
Value
Value
Use/Nature SFR I Replace alc system. EIV provided by Van Ert Electric.
of Work
$2,741.00
~
Plan Approval
$0.00
Permit Fee Paid
$52.00
Fees: Valuation
Issued By:
Date 07/12/2007
o Permit Voided I
Parcelld # 0201500000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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 - 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 (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.
fAd [) 'tl.t> 3
L//G.
/~3
~~~
(/(/' rJ _ t S;;&
,;;~ 3a 7?7~
~ t>>;r 5Y 3 <1 "-
cJ~
~
~
OfHKOfH
ON THE WATER
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh,WI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
(1\
. 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. ,9oIDJ;llencing work without permit(s) will result in fees being doubled or $100.00 plus the
. normal permit fee, which ever is greater.
OR
Ifvou 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 3-C)'1- OOT
JOBADDRESS (.(2\1- Shcu0~l) ~
OWNER ::S-, VV\ Sad 0.-
CONTRACTOR G'N\.. ~ T So \ ~ '\ CV\ 'S
t?do- Cj>f;<- :5 "5 Ol. 3
CHECK 0' ALL APPLICABLE
USE CATEGORY
~ingle Family o Duplex o Multi-Family
o Rental
o Commercial
o Industrial
FUEL
DGas
DOil
~lectric DSolid
DSolar
SYSTEM
DNew
DOther
~)/R. eplace
{l, ~ .
TYPE
DForced Air DRadiant DSteam)lih;c DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChirnney A
DAs Approved
DAs Per Plan
DChimney B
DExisting
DVariable'
DDirect Vent DOther
DNot Applicable
If)Other Value ..::;Jo K
DESCRIPTION OF ALL WORK BEING DONE
b.CJL d'S. 'ThN ~ S
\~ S~L
MAY .2 I 2007
VALUE (Including labor and materials) $ d 7'11,
CtO
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
ELECTRICAL CONTRACTOR V ~ {;,---t--
o For applicable projects, an Electric Installation Verification form, signed by the EleCtrical Contractor, must ,bF
attached. If not attached or not applicable, a separate Electrical Permit is required. 0111
~~ I~
10/04
, V I ("'''''_1 V I
....v..~v 4,~:"~~ v.v IVV vvvv
~ AJ.' - .u"''\._~.,,~.u~V.L_U..L V
.-.--...............---
~vv..
--.. -' --
-' - --'-.-
Jun,27, 2007
1 :55 PM
I
inspection services
No. 3457
P. 2
~
~Q!.R
<;ity of Oshkosh
Divi.~iQn of hllll'ccl;an f;gl<llce!l
215 C\J..~1r A"cuI'"
l'O Bo," I UP
Osbkx7.lh WI 5490;1-1 DO
OJfue 926-:136-5050
f'u 91D-Z36-50e~
Electric Installation Verification
1 (We)
Van Ert Electric Company, Inc. .
2000 pr~s w~
(EKiHiralfriif. fCS41 )
(Address) (City) (State) (Zip Code)
h~ve b~ contracted to perfOIlP e.lectric installation work for Q,OlflfQtr fuLtTIO t'\.~~tRbii
0.'1.".,.""','....,,\.,"',.+''';;1;,3.,;,'''..\.,,....\,.. (Name ofparty contracted to) , I tsPt:r( ~~..
at the following address: M~W4f\6':f~ ' . 1;)- ^,,~j1\tlIIlUl:
(Address wht::re wor will be performed)
The nature of the 'work consists of: (Check One or Describe the Nature of Work)
Reconnection or new circuit for replacement Heating Plant andlor Ale Condenser.
.....Rcconnection or new circuit for replacement Electric Water Heater or power vente;d
, water heater. .
--'- Reconnection of the Service Entrance Cable~ Meter :Sox, alterations to receptacles
2nd lighting fixtures due to siding I soffit installation. Note: New Service
Entrance Cables will require a separate permit.
--,- Reconnection or new circuit for the replacement of other pennanentlYwlTElU
appliances / fix:rorcs.. . .
New circUit for thl1l addition of Ale to an individual dwelling unil (house or the
individual systems in a duplex or condominium), including required service
./ electrical outlets. .
~ V Other . .
- 5t1.fi'J~6.'-'-NUO J:tl~A-lL \jJtO $&' f--n(2 -0..d2.ffiJ.AeE:
d-- 1+ I ~ '- Ci;)J1 )(}L Tlt)!1) I IU ~ f..1ll11:c;
The value of thi~ work is $_" Og;~ ~,;'}~
, ' . I
1: hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation wi done in compliance with manufacturer and Electric code.
Tc:1qurr.ements.
~.p~.5LQ
(print Name ofQffi.cer)
~~s;e;U c:f1/V\NLdGS
&) &/~'?/ [)f1
(Date)
5/02
06/27/07 WED :15;14 [TX/RX NO 54741