HomeMy WebLinkAbout0126194-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 574 OAK ST
CITY OF OSHKOSH
No
126194
HVAC PERMIT -APPLICATION AND RECORD
Owner STEVEN/KA THY FOLLETZ
Create Date 08/09/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel l.!"J Gas UOil
System D New
l.!"J Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss () As Approved () Existing
BTU Rate () As Per Plan o Variable
U Solar U Solid
D Other
l.!"J AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace and a/c. EIV provided by Comfort Solutions.
of Work
$6,900.00 Plan Approval
~
$0.00
Permit Fee Paid
$113.50
Fees: Valuation
Issued By:
Date 08/09/2007
D Permit Voided I
Parcelld # 1103730000
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 MAl N 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.
(~~/q.~ /- 3 tt,!;.;5
City ()f Oshkosh
Division ofInspection St:rvic~s
P,O. Box lJ 30
Chhkosb, WI S4903-1l30
Phooe (920) Z36-5050
Fax (920) 236,501::4
~,
~
07RR07FI
0"1 THe W^TE~
HVAC PERMIT APPLICATION
All intormation uflcr bold clucgol'jes must be provided_
Incomplete applications will nut be processed.
~ ^pplicatiot\(s) and fet:(S) can be brought to City Hall, Room 205 or mailed to Inspection Sen.'1ces, PO Box 1128,
O~hkosb WI 54903-1128. Conuncncing work without pCrmit(s) will rc:sult in fees hdug doubled or $100.00 plw; tl,c
nom'lal permit fee, which ever is greater.
OR
If..Y2.JL/1J'f!:..JLJ;...{IntraCfQr...p(JrtiC!l1atl.11.Un tht?.fermit fee Ar.r;ouJ1LSJ!..:~Jefft and.....havc arJeC{L((!,te fu_n~.lJer:J. her,'.
[L'iJl.f.' wunt (hiS.pr9..~esse.d thruugh )'l2.Hr acr.;:uunLD
DAn,; @j;t,/or
JOR ADl>RESS .s-?-~ t/a..l .....<)~
OWNER .s1-~ .Eo.w-tL+L__. ____
CONTRACl'OR~~ 'SoLu-::l- 'irmS, ____
CHECK lt1 ALL APPI.lCABLE
lJSE CA TECORY
)'tSlflglc Fam.ily DDuplex OMultj-Farnily
DRental
DCommcrciaJ
OIndustrial
FlJEI.
~Ga.~
DOi!
lJElectric D~olid
CJSolar
SYSTEM
DNew
OOther
~eplace
TYPE
~oIced Air DRadiant DSf.eam ;qA/C o Vent DElcctric DHot Water OS'UppL DCon. Burner
IS CHIMNF.V BEING J.INED j1iNo DYes - LINER SIZE & MANUF ACTURER_.
Note: All ehirr.ncys shall be :oized p~T the BTl)'s being vented.
CHIMNEY TYJ>>):
HEAT LOSS
Inn RATE
DChiml1~Y A
DAs Approved
o As Per Plan
OChimn~ B
OEx..isting
o Variable'
)fDircct. Ve.nt DOther
,:8Not Applicable
)8other Value 70 t:;... ~V'\~
3C ~_. AI (..
HESCRu"nON OF ALL WORK BEING DON(l~
. ~~ ~~~_t,.;>1 ~/~ d -- S~~~O~
-- - '.. . A lJ:. __ ~ 1 I'~ ~~L R d. '-0 tJ
V 1\ LUE (lIICludiug labor lJlId ll1at~rials) ~too ":.-- e:!!-
ftECTRICAL CONTRACTOR. _n. &1'7l!!:-:- 'IIo~ &'6. "'..__._. _'__
[1 For applic:ab1e prOJects, an EkclTi~ Installation Vcrifit:aljf~n form, s~g~led by.the I.::/.c:ctriclil Con.tractor, Jl1ll$l.h<,f), 11...
.''''''hoo. If nOt a:ed 0.. not appbcablc, a 'er"ta'e EleclncaI Pernut lS '"qUlred. l).lt t' \ 1
4 /JS $1; g. 50 lOlo< ~
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21/1"d b80S9~20261:O~
~
ror~
uN .
C iry of O~l1:<:c:ill
l)M~i~n OfImpo:~Ull Servic.c
~15 Cllurdl"~dlle
flOfl,);(IDl1
OJ!lU\",1i WI ~9DJ-11::JO
om". 920.:l)fi.SOSO
r~l\ ?Z0-236 $OA~
Electric Installation Verification
] (We) 11-em ht(,~J.u_-h frflJ '-L~
(Electrical Contrac.!or Name)
Gr~/I I!..,Q~ -.._,~ WI
(City) (State)
l1a.ve been. can'trooted to perform electric installation work for ~ Fo U.$...- + t:
(Name of party contrdcted to) .
"9 f.t, q Aoddo/'"d LQo~
(Address)
5L/~jLI
(Zip Code)
at the following address:
S 1- L( OcJ::. $"".
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work)
E
Rl!!connection or new circuit f~')r Te.e..lacement Heating Plant andlor Ale Condcns:er.
Rec0l1l!ection or new circult for rePlacement .Electric: Water Heater or power vented
water heate.l.
Reconnection of the Service EnlT;mce Cable, Meter Box, alterations to l'cl~l1ltacles
and lighting fixtures due to siding / soffit installation. Not.e: New Service
Entrance Cables wiil require a separate pemlit.
ReCI,)1UJ~ction or new circuit for the r~l::1Cerm:ul of other permanently wired
appliances I fixtures.
~ew circuit fOT the a.ddition of Ale to :m individual dwelling unit (hous~ Of the
individual systems in a duplex or oondominium), including requircrt. service
eJectl'il,;nl outlets.
Other
rvlo,~ Mnl'nlo/
(Print Naff.\l;l of Officer)
{Pf.6~? _
(D~te)
;'ifOi.
2"]:/2'd
b80S9E2026"]: : 01
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