HomeMy WebLinkAbout0126197-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1521 COLUMBIA AVE
CITY OF OSHKOSH
No
126197
HVAC PERMIT -APPLICATION AND RECORD
Owner LINDA K PAGE
Create Date 08/09/2007
Category 502 - Residential-Both
~ Electric
~ Replace
U Steam
U Suppl.
e Direct Vent
Plan
Contractor COMFORT SOLUTIONS LLCIONE HOUR
Fuel ~ Gas UOH
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A o Chimney B
Heat Loss D As Approved () Existing
BTU Rate 10 As Per Plan o Variable
I J Solar U Solid
o Other
~ NC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
e Other
Value
Value
Use/Nature SFR I Replace furnace and ale. EIV provided by Comfort Solutions.
of Work
Issued By:
$5,500.00
~
Plan Approval
$0.00
Permit Fee Paid
$92.50
Fees: Valuation
Date 08/09/2007
o Permit Voided I
Parcelld # 1217330000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
2230 MAIN ST
GREEN BAY
WI 54302 - 3714 Telephone Number (920) 982-3323
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
z.;,zeJ. 5'1 ( I.. 3 ~!;;yf
Cir.y uf Oshkosh
DIVisIOl~ of [nspr::clion Services
P.O. Be;;: ! 130
OShkr.)::;h, WI 54903-1130
Phone (920) 236-5050
Fux (92Q)236-50R4
HVAC PERMIT APPLICATION
All infonnnlion afr.cr bold categories mU$t 01; provided.
Incomplete a.pplicalions will not be pTocesllcd.
~
QrHl\C2Lt-J
ON TH~ WJ\TF.11
fit> ^pphC3tion(s) ~nd fee(r:;) can be brought to City Hall, R~orn 205 or mailed to Jn~pection Sp.rvices, PO Box] 1211,
Oshk()~h WI 54903-1128. Commencing work without pl.:rmit(s) will result in fees being doubled Qr $100.00 pIllS tl.c;
D.ormaI pl.'\nnit fee, whic.h eVel' is greater.
O~ .
Z(...J!.!2.J!..o..re a.....f2Jl.J.!:OclUF..../l....a':Lit'illflli!!.tin tft..P. Pe,U!Jit r{1J<.~hsrem and haw~ adeq7J..<.l{.t'-.&J:).ds.........i~f!J!.J;j01r:rc;.
{[.-:tit N wa .!11.....tIJ, !!L.lJ.1:..qf~.f sed i h r 0 11 e h Yfl u r a f C () ~-~_L1J
,H.mAnnH.ESS ,IS-d.' ~~~a...,__~..
OWNER_i;-.J~ ~~3~ ...
CONTRAC1'OR. ~~ Sc\h~'~~ I LLC
DA'rE_~ - .;l8"" .=E.~
CHECK 0 A7LL APPI,ICAEl,Je
USE CATEGORY
~mg1c Farnily [JDuplex OMttlti-Family
DRental
DCommercial
OIndustriaJ
FUJli:JL
"obClS
[JOil
~lectric DSolirl
DSolar
SYST~M
ONew
DOther
~cplar:e
TYPE .
J'lFon:ed Air DRadiant DSkam~A1C OVe.nt DElcctric OHm :Water DSuppt DeoR BurnEr
lS ClHMNEY R.~IiNG 'LlNED ;{No DYes' - LINER SJ7.E__. & MANU1<ACTURER__.
No(c: Ai! chimneys Hh:~1i be ::li7.ed per the .011']':01 being veOleu.
CH1MN ~~y TYJrl.~':
REA T LOSS
PoTU n A 1'l!:
DChimney A
llAs Approved
OAs Per Plan
DCblmney B
OTIxisting
DVariable'
)ODircct Vent OOthe..r
l5INot Applicable
~)th(.r Valuc_/Q ~
.-....'~-_6 _
DJli:SCRll'TION OF ALL WORKnE1NG DON!<~
~:r,u~~~~- ;;,)1 ~ ~~~1~~-- _ ~_..
---'-.0'.._- ,
--...--..-..- - -
._~ co
VAI;UE Oncludbug labor !l!nd Mater-iaBs) $ -oS ~ C>'O . :--
EU~(:TRlcALcONn~AcTon_a~.~~ . L~C ...
[I For ::IppU~able projct:ts, all Elr.:ctr~btion Verlficatjon form, signed by the Ekcttical Contraclor, musi be
"taGh.d. I [no' ""',"hed 0' noL applicabl., a 'cpora'. E!L~lrical Permit i. requ.tnod. 0(1
9.:2-50 I~{P I .
1010~
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C2rl!QfR
Ciry or O$li<IJSb
IJivision cr1m~ction Servlo~.
;ns Cbllre.bA~II>Ie
POll.)" 11JO
O~\",I, WI S4I>OJ-11JO
Office nrl.2J&-5050
, JI~x !n0-236.We4
Electric Installation 'Verification
1 (We) ~Q. &Yt~~.{ ,~o Lu.ft frt~G LLC-- ,
(Electrical Contra~!or Name)
.9f.Dq 86ddard bJo~ e~c.u/J .{!JQ'-I _,__, WI " 5'-b3J1
(Address) (City) I (State) . (Zip Code)
have been coritmcted to pcrfon:u electric il1sta11ation work for ~4y(7e .I/7".cutS~ ,
(Name of party contracted to)
atthe following address: _.IS-,;tl r'4L<"':n~ ~..
(Adilicss where work will be perfOm1ed)
The natUte ofthe work: ccrnsistG. of: (Check One or Describe the Nature f.lfWork)
-K2 'Recon.neGtiou or flew circuit fur Te.R.lacement Heating Plant and/or NC Condenser.
RecOlmectiou Qr new circuit for Teplacernent Eh:;ctric W ateI' H~ater or power veI1t~d
water h~Clter.
Reconrlection of the Service Entrance Cable, Meter Box, alterations to receptacles
and lighting fixtures due to siding I lSooffit installation. Note: New Service
Entrance Cables will requIre a. separate permit.
:R.,econn(l(,)tion or new circuit for thf:! replaceUll;:ntof other permancn.tly wired
ap'pliance.~ I fixtures.
New circuit for the addition of Ale to an individual dwelling ull.it(hou.se or the
individual systems in a duplex Qr condominium), including required ~eTvice
electrical outle'ts.
Other
--- ..- -~-. - .-.-
The val'ue of this W(>,'k is S G;>-
r hereby verify this work will be perfQ'nned by m\ employee of this company and further verify
the reconnection / ins1aJlation will be done in complinnM with manufacturer and Ek~ctric code
rcq lliremen!5,
LnOyC Ao~".btil/'
(Print Name of Offioel")
_d?~~/ '
(Date)
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9LE1:90b026 J~~ 9Nll~3H ~nOH 3NO:wo~~ 6b:E1: L002-80-9n~