HomeMy WebLinkAbout0126195-HVAC (furnace)
to
OSHKOSH
ON THE WATER
Job Address 1952 HUBBARD ST
CITY OF OSHKOSH
No
126195
HV AC PERMIT - APPLICATION AND RECORD
Owner GARY D WALTON
Create Date 08/09/2007
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A C) Chimney B
Heat Loss KJ As Approved () Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
C) Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR 1 Replace furnace. EIV provided by Comfort Solutions.
of Work
Fees: Valuation
$3,450.00
~~
Plan Approval
$0.00
Permit Fee Paid
$62.50
Issued By:
Date 08/09/2007
o Permit Voided I
Parcelld # 1409200000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
2230 MAIN ST
GREEN BAY
WI 54302 - 3714 Telephone Number (920) 982-3323
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
~,;n.d-A g /... 3 ~II~-
City of O!>hkosh
Divj~j(ln oflnspeclion Servicc~
P.O.. Box 1130
n~hko$h, W15tJ90~-1~30
rholJ~ (no) 236-5050
FtlX. (1)20) 136-5084
.~
~
O~~21~
HVAC PERMIT APPLICATION
A.U illfonnation afler buld categories must be provided.
rncomplele applications will nul be pfOces:led.
lIIl !\rphcation(s) and fee(s) e~n be brought to City Hall, Roo111205 or mailed to lnspectiQn Services, PO Box 1128,
Oshkosh Vi I 54903-1128. Conunendng work: without pcnnil(s) will rcsult in fces being doubled w- $ J 00.00 pillS ll..
normal pcnnit fee, which ever is grcnteL
OR
rf YOU areJLg?.tJl.LPr.tQLJtJ!.LU.~i"'a{lnJ: in rhLfermil fee Accol!nt s.ystem c{l.1J:l.have. 'ldegJ~g~J1(b. r~hp.r.k here
iLY/2!!-WPI'I( this o.,'.'ocessed_lbrour<h YP!-ll'-9Lt,",y.unt n .
DATE_~JS--O!.._ '_
JOBAnDRl~ss_J' 'S' ~. \~~'o.~~ $\,- ".
OWNER c,~. '^-.k-\t-~,-
-'. ~ _. ~--- '-"'-
CONT:lL\CTOR_...C~~...+ '~\'-'~~'1
CHECK [0 ALL APPLICABL:E
i J~ cA'n:GORY
~jngle family ODU1)lex DMulti-FamiIy
ORental
OCommcIcial
OIndustriaI
FUEL ~s
tlOil
OEkctric OSolid
OSolar
SYSTEM
ONew
OOther
i!Replacc
!}'pg
InN~H;ed Air DRadiant DSteam. ONe OVent OElectric DHot Water DSnppl. I.JCon. Burner
IS CHIlI1NEY BEING LlNED ""0 OVos - LINER. SIZE & MANUF ALIURER
Note:: All chimneys shaH be sized ;l{;;h: BTU's being vented.
CfHlV{NEY TVP:E OChimney A DChimney H ~irc.:ct Vent DOther
HEAT LOSS LJA~ Appl"oYed DExisling CJNot Applicable
Inu RATE OAs Per Plan DVariablc" DOllier Value
DJi;~CR.lPTION OF ALL WORK BEING DON}: i?~~,-ce.. ~'-J-.r'0-~\..'\.
-.--...
-"--,
---"".
---"-
---
'--~
VALUE (Including labor and nla(~ria)s) $_ ~\ \..-\ cs-a
..-..-.-.....
~LECT.RrCAL CONTRACTOR '". _ __ .
o For appli~able projec.ts, at.' Electnc Installation VCriflcation form, signcd by Ihe Electrical Contractor, must h'i
" It,ch'<l- It not ""ached or no' "I'phcable, a ,eparat. Elcctncal Pe","t" requn-cd_ '::>
t).l{ (~
f ~;2 ~50
.10/04
2l:/E"d
b80S9E2026 l: : 01
9LEl:90b026 J~~ 8Nll~3H ~nOH 3NO:wo~~ 8b:El: L002-80-8n~
~
.~
C it)' of O~l(<oSh
Division (Irrrs~ S~t~
.1' r.llllreb Avedut:
PO llo" JIJO
Ool1l:.",h WI 5d9l)J -I I:l0
Of!i<" 9211.231;.SOSo
:Fax !)~O.nlS-50ij4
Rlectric Installation Verification
1 (We) (2 em{(l(~ ~oLuiJ;Y1~ .LLQ.,
(Electrical Contra~!Or Name)
9(,,(i 0cxic1ord WD'-j 0r~/l. ~ WI. :J'l;'; II
(A.ddress) . (CLty) (State) (ZIp Code.)
have been contracted to performe1t;/;,1ric installation wUJ;k for a-~~L..) J ~ .
(N~.Ille of party contracted to) .
~t the following address: _, q ~'J- %v-.b 'b ~r.d.. St-.
(Address where work will he performed)
The nature of the work consists of: (Check One or Describe the Nature of , Work) .
-Js2. l{e:conneclion or new circuit fC)'l'"TeJllacement Heating Plant and/or NC CondenE:er.
Recol1nection or new circuit for repiacement Elcetric Water Healer or power vented
wnter heatc;lr.
RecoIlllect;on of the Servioe Entta:rl(;C Cable, Moter Box~ alterations to receptacll'~~
and lighting fixtu{es due to siding IlilotJjtio::ltallation. Note: New Service
Entrance Cables will rE:!qu.ire a separate permit.
Reconnt:cti')n Qr new circuit fot"' th~ rep!i:1c~~t of othcr pcrmanC1.ltly wired
appliances I fixtures.
New circ'tlit for the addition of Ale to an individual dwelfJllg u.11.it (house OT the
individual systems in a dupleK Qf conuominium.), incluuing .rr.quired set \lice
eJectri.;;aloutlets.
Other
The valueofthi, wo,k i:~~. .0
r hF.T~by verify this work will be perfonnoo by 117\ employee of this company and further verify
the reC01.1Il(:;utjoa / ioS"talb.tlon will be done 1n compliance \\I1tb manufacturer and El<ectric codt:
.requirements.
_rYlorc Ao/'nuJJ!'
(Print Name of Officer)
-{PI,skr
(Date)
:I'{Q2
2l:/f7"d
b80S9f:2026 l: : 01
9Ln90b026 01::1'8 8NIlI::I:3H ClnOH :3NO:wO-l.:l 8b:n L002-80-8n1::l