HomeMy WebLinkAbout0126196-HVAC (furnace; a/c)
e
OSHKOSH
ON THE WATER
Job Address 1930 SHERIDAN ST
CITY OF OSHKOSH
No
126196
HVAC PERMIT - APPLICATION AND RECORD
Owner KENNETH RlC Y BECK
Create Date 08/09/2007
Category 502 - Residential-Both
~ Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel l,tj Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate () As Per Plan D Variable
U Solar U Solid
D Other
~ AlC U Vent
I I Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR I Replace furnace and ale. EIV provided by Comfort Solutions.
of Work
Fees: Valuation
$7,000.00
~
Plan Approval
$0.00
Permit Fee Paid
$115.00
Issued By:
Date 08/09/2007
D Permit Voided I
Parcelld # 1216420000
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 (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.
c;. C)CJ500 ~I e:; r;.; /- 3
f:Jty of Oshkosh
Division of Inspeclion Sorvkc.<:
P.O. !::lox 1130
Oshkosh, WI 51190':\-1 130
PhClIlr. (nO) 23(/-505U
F;~x (no) 236-5084
;or~
~
O~ti~Qtl--l
HVAC PERMIT APPLICATION
All iufonnalion after bold categories must be provided.
f{1wmplete Rt1plications will not be processed.
"" 1\pplication(s) and fee(s) (:an be brol.lght to City Hall, Room 205 or m::\iled to Inspe(.~tion Servjces, PO Box 1128,
Oshk()~h WI 54903-1128. CQUlCIlencing work without pennit(s) wH1 result i11 fee::; being doubled 01"$100.00 plus tlAc
normal permit fee, which ever is: greater.
OR
!fJ'..Q!L.greJl cqrl(rar.IQr_JLqrtic~palinf? in t.bf Permit fe€ ACC07~flt SV.{tt!1l1 and hoY..,p. tn/equate f,m.d~, checkj1arc
!.L.'t..(J..}!_l"La n ( t 11 i .r_.PJ::i!.S.~ s s ~4 tit r u Y$.JLyo 11 r. .9 c C () 1{.!.I.!-D
JOB AnOREss_J ~ ~b,_>k , 0\0.- ~.\-:
OWNtR..-..._Kro ~_ ~~
CONTRACTOR C~~.....---L So i v-.:J.'~ ~ '" ~
OATE_.&_/nlo. 7-
CHECK 0 ALL APPLICABLE
11SE CKn:CORY
OSinglc Family ODupJex ~ulti-}'amilY
o Rental
DCOlllmercial
DIndustriaI
'FUEL .'\6a;a.s
"trOi!
~lcctriC DSQlid
DSolar
SYSTEM
ONew
o Other
~(:Place
~~PE
/SWOfC(::U Air DRacl\ant DSLea:m. ~c OVcnt DElectric DHot Water DSuppl. OCon. Burner
IS CH1MNEY lll!:ING L1NED f'lA.To DYes - LINER SIZE & MANUFACTURTIR_
Not!.:': A.ll chimneys shail he sj~cd pel7h~ BTH's heing vented. -
CHIMNEY TYPE
W~A T LOSS
R'lU RA 1'1':
OChimney A
[JA~ Approve::::d
OAs 'Per Pl<lIl
OChimney n
El'E:xi~1;ing
DVariable.
AgtJirect Vent DOtber
ONot Applicable
p:>ther Value _.
DESCRU'TlON OF AU.~ WORK BEING DON.l!~
~-r9~~~f~ Wi <t~oC~ 7Q~...d -r~
-t'3_.S ~ l:i A-/c..
~
V ALlJE (ll1ciuding labor and mlf.(eria's) $ 7 ~" -
._'.. ,
ELECTRICAL CONTRACTOR .....--G2(\f2.. +ta~ . .'___"_
rJ Fur applir.aqle pmJects, an hl.ectric Inf-il:.allation Verific;:It1on torw,signcd by the Ekctrjc"l Contractor, must be
.tr.ched. If not ."""hed or "", applicable, a sop","te Electrical Permit is rcqllort.
~,~) /16.00
b80S9~2026~:Ol 9L~~90b026 J~~ SNI1~3H ~nOH 3NO:wo~~ 8b:~~ L002-80-sn~
d-lt to}\f
( :\0/0(1
2~/S.d
~
~
CilY or o.1\.'w31i
Divrlct~ ofID9peotiOll Servi=
~lS ClulUll "'''''"uc
po llC1J1.11~U
O~(>>h WI ~'4\lOO.Il3i1
OEli~e !l21).23 G- ~1l50
Fax nO.2U-SO~4
Electric Installation VeriJication
1 (We) Q &!J~~~-_ ~oLu.f1frn:) LlC-- .
(Electrical Contra\;;<:Jr Name)
~q-(pq 0tQ~ddord WOtj ~C.ljf} ~i WI._ .o4~=1II._
(Ad~ress) (City) J (State) (Zip Code:)
have been co.o.t:rw;:.ted to perform electric jnstallatioll work for ~S?::. V'\.. ~ cJ::- .__,
(Name of p,'\rty contnu;;ttld to)
at the fonowi~e address: _.\ <1 ~ ~\J._~ ~+.
(Address where work will he performed)
-'
The na.ture ofthe work consigts ()f: (Check One or Describe the Nature ofWurk) .
...L
RecormeGtion or Tlew circuit fOT'T8Jl1acement Heatmg Plant and/or Ale Condenser.
Recounectiou Qr new circuit fOf replacement Electric Watc:r Heater or power vented
wa.ter heatClX".
Reconnection of the Service Entranc:(; Cable, MClter Box, aJterations to receptavJcs
and ligllting fixtures dUel to siding / ~()ffit installation. Note: New Service
Entrance Cables will require a separate permit.
ReconnacliQn or n~ circuit for the repll'l.ot)ment of othl::r' pe.onancntly wired
appliances /fixtures.
New circuit for the addition of Ale to ;:In indi'lJiduaJ dwelling unit (hoD8e or the
individual systems in a duple" or condominium), .including required service
el~ctrical outlets.
Other
The value of this wcnk is S ~_._O-
I hereby verify this work will be prnorrned by an employee oftbis company and :Ii)'rther verlfy
the reocmnection I jnstallation will be done in comphance with manufactUl'l;:f and Electric cj,,1de
ret[u l.!:ements.
tVlOrt' An.dJltlJt.
(Print Name ofOfficci)
(ph 7h~
I (Date)
5/07.
cn:/9' d
b80S9[2026'j: : O.L
9L['j:90b026 J~~ 8NI.L~3H ~nOH 3NO:WO~~ 8b:['j: L002-80-8n~