HomeMy WebLinkAbout0127617-HVAC (furnace & a/c)
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OSHKOSH
ON THE WATER
Job Address 758 W 18TH AVE
CITY OF OSHKOSH
No
127617
HV AC PERMIT - APPLICATION AND RECORD
Owner RONALD D/JENNIFER M KENDALL
Create Date 10/30/2007
--
Contractor
COMFORT SOLUTIONS LLC/ONE HOUR
Category 502 - Residential-Both
Plan
Fuel l!J Gas U Oil ~ l!J Electric -.J U Solar _==:1
System 0 New ~ 0 Replace__.--J
l!J ForcedAlfl ITRadiant _I Osteaiil----:J ~__~~=~_=--J
U~i~~J D~~~-J U_s~Pl:=-=--=::] D=~gn:-$-ur6eTJ
Chimney Type O::~him n_~~t\_____O Chimn_ey~___:::::::::::::.j)lr~~fY~~C:::::::::::-:D::~oTApJilj~a~I~::::-:]
Heat Loss D::~s Appr~v~_~::::::::::=::=-::TI::EXlsJlr19:::::-----=::::=-:-I[E~rA:ep:H~~~[Ei::=-::-=] Value
BTU Rate D~A~::pii:Pia~::::=:::::=:::D-varia5fe::_::::::_::::==::::.--QIE~i=:::::::::::-===== Value
D-sOl~=
Other
O'?~~t--~:::_:=:-:i
_________~Q,QQO
Use/Nature !Replace Furnace and NC--:* Late Permit, Contractor has Master Electrician employed MiChael Miller.state Ma-ster-S-6309"6:
of Work i
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I
I
,
_.___.__,..____.~__._. _______,~___._..:..___.__J
Issued By:
$6,000.00
t2nvo
Plan Approval
$0.00
Permit Fee Paid ________ $1()O:QQ
Date 11/02/2007
Fees: Valuation
0_ Permit Voided I
Parcelld # 1405870100
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
________ <:>~E:E:_I'!~~______IJIJI_ ?~;3,o.~ - 3714 Telephone Number
(9~()) 982~3~?~_
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.
City of Oshkosh
Division of Inspection Services
P.O. Box 1 ~~
Oshkosh, VVI54903-1~
Phone (920) 236-5050 II ;;J,B
Fax (920) 236-5084
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O fHYIO n-j
'J N u !, !
ON THE WATER
HvAc PERMIT APPLICATION
All information after bold categories must be provided.
Inco~plete applications will not be processed.
@ Application(s) and fee(s) can be brought'to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus tLe
normal permit fee, which ever is greater.:
OR . ,
Ifvou are a contractor lJarticipating in the Permit fee Account System and have adequate (l{nds. check here
DOU want this vrocessed throurzh your account n
JOB ADDRESS ISg W 16 t'- Ave
OWNER~~V\,.. ,?t~J.{
CONTRACTOR C~~~r\- (~\ ,-,\-i~,^s
DATE
CHECK 0 ALL APPLICABLE
USE CATEGORY
ffilsingle Family DDuplex DMulti;.Family
o Rental
o Commercial
Dlndustrial
FUEL
~as
DOil
OElectric DSolid
OSolar
SYSTEM
ONew
o Other
OReplace
TVPE
ia1~rced Air o Radiant DSteam ~,k DVent o Electric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEiNG LINED~o DYes i-LINER SIZE
Note: All chimneys shall be sized per the BTU's ~eing vented.
& MAl\TUF ACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChilTh'1ey A
OAs Approved
OAs Per Plan
l:pChimney B
o Existing
OVariable'
pl6Direct Vent o Other
ONot Applicable
DOther Value rD e-&D
DESCRIPTION OF ALL WOR!CBEING DONEle~\4,v-{ Vvr_~..,~ 4- A--)(
VALlIE (Im~luding lahor and materials) $ GD 0 0 ~
ELECTRICAL CONTRACTOR JYJ., C-"'l'I.l l Ml (,,-
rJ For applicable projects, an Electric Installation Verification form, signed by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
10/04
~
~Q{H
C jry of Osh.'<osll
Div[siOI1 ofInspcction Services
215 Chlll"dl Ave,hle
PO B')JlllJO
Qsh];o"h WI 5490J.\ U()
Office 92[}-2J6-5050
FSlt 920-236-5Qa4
Electric Installation Verification
I (We) (!8V't1~+'~o~-Nfn1:S LLC-- .
(Electrical Contractor Name)
q (pq GC>.dc!cvd WOf4 br.€.U1 ~ WI 5L/~~ II
(Address) . (City) (State) (Zip Code)
have been contracted to perform electric installation work for f!....o ~ lL.e ~ t\
(Name of party contracted to) .
at the fonowing address: 75 ~ ~ L.). I <6f-L... A ,,<-
(Address where work will be perfonned)
The nature ofthe work consists of: (Check One or Describe the Nature of Work) .
~
RBconnection or new circuit for Te:a1acement Heating Plant and/or Ale Condenser.
ReCOlmection or new circuit for reP'tacement Electric Water Heater or power vented
water heater.
Reconnection of the Service Entrance Cable, Meter Box. alterations to receptacles
and lighting fixtures due to siding I ~offit installation. Note: New Service
Entrance Cables will require a separate pennit.
Reconnection or new circuit fOf the replacement of other permanently wired
appliances I fixtures,
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrical outlets.
Other
The value ofthis work is S 0
I hereby verify this work will be perfo:r.med by an employee oftbis company and further verify
the reconnectiolJ: / installation will be done in complianc~ with manufacturer and Electric code
requirements.
tVlOrtl Mev.b(f)1'
(Print Name of Officer)
ID/ 3u/ (}7
(Date)
5102