HomeMy WebLinkAbout0126203-HVAC (furance; a/c)
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OSHKOSH
ON THE WATER
Job Address 1935 OSHKOSH AVE
CITY OF OSHKOSH
No
126203
HVAC PERMIT -APPLICATION AND RECORD
Owner REID PRESTON & DOUGLAS LLC
Create Date 08/10/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor COMFORT SOLUTIONS LLC/ONE HOUR
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A C) Chimney B
Heat Loss U As Approved () Existing
BTU Rate C) As Per Plan C) Variable
U Solar U Solid
o Other
~ AlC U Vent
l J Con. Burner
() Not Applicable
. Not Applicable
. Other
Value
Value
Use/Nature SFR I Replace furnace and a/c. EIV provided by Comfort Solutions. **DEBIT ACCT'*.
of Work
Fees: Valuation
$3,956.00
~
Plan Approval
$0.00
Permit Fee Paid
$70.00
Issued By:
Date 08/10/2007
o Permit Voided I
Parcelld # 1611620000
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
AgenUOwner
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.
~;).. O"iS t~
Cily uf Oshkosh
Divisiun ofln:;pcction Services
P.O. Box 1130
Oshkosh, WI 54903.1 nu
Phonc (920) 236-5050
Fax (920) 236-508<1
~
OfHKOJR
\)N It-! f WI'ITErI
HVAC PERMIT APPLICATION
All inforlllation u./kr bold categories must he provided.
Incomplete appliclltiulls will not he processed.
. Application(s) and fec(,<;) can be bJ'OlLghllo City Hall; Room 205 or mailed t.o Inspection Services, PO Box 1128.
Oshkosh WI 54903-1 128. Comrnencin~ work without permit(s) will result in fees being doublet! or $1 00.00 plus the
ilormal permit fee, which ever is greater.
OR
II" YOU are q...ct'l~lroclor pllrticipq1i/1ft in the PermirJp...f. .4c;ql,,~-!.!!.f, .')'yslem and have adefJlIuh> funds. ,'hf.:..ck heN:
It vau want tb.Lt p!.:ocessed thr"Olll(h "our account n
**.Advisoty- For applicable projects, an Electrlcallnstallation Verification (EIV) fonn, signed by th~ Electrical
Contractor: ot' Homeowner (for installations allowed to be perfomed by the homeowner) must be submitted
with the permit application. Applicatiol.lS submitted without an EJV when sum is required, will not be
procellsecJ fur Pennit Issuance and will be returned fur completion.
DATE l5' h l"J 101
JOB ADDRESS_I ~3S 0_3\'\Co-sk ~
OWNER -"DO"^-1 M\ C-~\'t-
CONTRACTOR~~""'~ S6 \.,.3-\cY'.s.
CHECK iI ALL APPLICABLE
I)SE CATEGORY
~~ingle l;amily DDuplex OMulti-Family
ORental
OCommerciaJ
Olndustrial
FUEL
JilfGa..
DOil
DElectrie DSolid
DSolar
SYSTEM
DNew
DOther
)s(Replllce
TYPE
;Qforced Air DRadi;mt DSlealll ~/C OVent OElectric DHot Water OSuppL Deon, Burner
IS CHIMNEY BEING LINED ~() DVes - LT.NER SIZE & MANUFACTURER
Note: All chimneys shall be: si:4:cd per the BTl )'1\ being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChinmcy A
DAs Approved
DAs Per Plan
DChimney n
DExisting
OVllriable
")9J)jrecl Vent DOther
~ot Applicable
pOther Value 10 K....
D'ESCRIPTION I SCOPE OF ALL WORK BEING DONE
c,\(.Sqo, 0 Fu..r f\(,\,(JL - G-o~\MaN\
Gs.c_\~3(P Arc.. ~(7lJuJ..\A^..CVA--
VALUE (Including labor andmateri:.ls) $ 3Q.sv
. ELECTRiCAL. CONTRACTOR (for proJer:t!t not req..iring An EIV FornI) G ~~i:~ . Sa ~v.:f-~' c)Y\ So
",02;> "10'
(d~
LJf: . d
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Di~idol1 (\fII16P(:1r;IiVII S\:l VI\.l4:S
,.,-< ("hutch Avenue
PO [lnx 11.10
Oehkosh WI S19o~.ll.ll1
UIl.."" Y20-2J6.50SII
fi".... 920.2.)G-,'iuR4
Electric Installation Verification
1 (We) --.1Yl1 <-,~~ VV\', \\~r . . .", ,.
(~cai'Con~r Nam~ or Homeowner's Name)
q&Ft bn.Jdttrc\, tJ1u.( G-r~ Q~
(Address) (City)
WJ:.
(State)
5''13/L
(Zip Code)
accepl thcrespol1$ibility to perform the electric work as stated below, at t.he fo\Jowing addross:
1955 O.~~k:c~k, ~~
(Address where work will be perform~d)
The nature of the work consists of: (Check One or D~scrihe the Nature of Work)
X- Recollnection or m~w circuit for replact:ment Heating Plantan9,!or A/CConth;n~cr.
Rcwnnection or new dl'cuit for replacelllcIIl Ekclrk WaLer r kater or power vented
water heater.
Reconnectioll ofthe Service Entrance Cable, Meter Box, alterations to receptacles
and lighLing fixtures due to siding I sotlJt installation. Nul~.; New S~rvic~
Entrance Cables will require a separate permit.
Reconnection or new circuit tor the replacement of other permanently wired
appliances I tixlur~s.
New circuit for the additiun ur Ale to an individual dwelling unit, including
required service electrical oullets. Note: Humeowners cun (m~}l do their own
electric on a single family owner occupi(~d IWm(1. Work on a (:ondominium,
duplex, rental, or fnu.lLi-use building would require a licensed Eleclrical
COfllrU/.:loJ"..
Other
Thtl value of this work is $ 0
I hereby verity tbi~ work will be performed in compliance with the License requirements of
Section 11-22 of the Oshkosh Municipal code and further verify the reconnection / installation
will be done in compliance with manufacturer and Electric code re4uircrncnts.
iJ~p,.rc '. ::\ 6l\.{ ~ ~~{
(1)rinl Name)
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07/07
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