HomeMy WebLinkAbout0112597 H
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
112597
HVAC PERMIT - APPLICATION AND RECORD
Job Address 3050 LAKE REST LN
Owner
LYLE G/ROGENE GABRIELSON
Create Date 02/07/2005
Contractor WESLEY HEATING & COOLING INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j Forced Air U Radiant
1 1 Electric 1 1 Hot Water
Chimney Type () Chimney A 0 Chimney B
Heat Loss 10 As Approved . Existing
BTU Rate 10 As Per Plan 0 Variable
Category 500 - Residential-Heating & Ventilating
Plan
1 1 Electric
1,(1 Replace
1
1 1 Other
1 U Vent
1
1 1 Solar
1 1 Solid
U Steam
1 1 Suppl.
. Direct Vent
U A/C
1 1 Con. Burner
0 Not Applicable
0 Not Applicable
. Other
Value
0
Value
30000
Use/Nature SFR/ Replace unit heater with cozy unit heater w/ fan - Eiv provided by Seckar Elect. No chimney liner being installaed
of Work
Fees: Valuation
$1,900.00
Plan Approval
$0.00
Permit Fee Paid
$33.50
Issued By:
Date 02/07/2005
U Permit Voided 1
Parcelld # 1415640000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
3220 BASLER LN
OSHKOSH
WI 54901 -0
Telephone Number
920-235-6951
---
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
FROM: FAX NO. :9205824909
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Electric Installation Verification
J(We)
..sE UIl-/è. E L. €if/¿¡ ¿...
. (ETeçtric~t Conttaclor N¡¡¡'¡\e)
!í9u; t!(Jt.lÆf',Jf)f P/../IMtYll£ i?Þ WtN¡.Jf:.t,()ttfAlE;. WI S.¡ 9i'IP
(Addrc:&s) (City) ($tate) (Zip Code)
have been con!tacfed tQ perform electric fustallalÌon work for Wt::Úth' !lE,IJ¡¡.)6 ~ é-bot..{.-t6
~'I¿'¡¡ {;H-òRJt;t-SO,J (NllIlleofp;lrtycon!tacleCÍto)
at the following a~: -805 ci /.A1t: b. l?f:$ r LIIl
(Addrass where work: will be perfonned)
Thð nature of the wolk c<>nSÎsts of: (Check One or Describe tbet Nature of Work)
~ Rcconncction or new círc:uit for r~llICemc:!lt Heatin¡t PlantandJor AlC Condenser.
- Recoonectíon or 111;:\'1 circuit for replacement Electric Wale<- Heater or power vented
warer heater.
- Reconnection of the Service Entrance Cable, Meter Box, aUeralicns tv receptacles
$Ild lighting fixture$ d\le to siding / soffit installation. Note: New Service
Entrance Cables will require a separate pernùt.
- RecolU\ection or new circuit for the replacement of other permanently wired
appliances I fixtures.
- New «Ìn:uil for the addition of NC to an ináividUilI dweDing will (house or the
individual systems in a duplex or condominium), icc!uding required service
electrical outJ.!.>,
- Other
The value of this work is $ l2.c;Öð
I hereby verify this work will be performed by an employee or IbIs company and further verify
the reconnoction I installation will be done in compliance with mal1ufw:uret Md Electric code
l'equlrernents,
,h?~Offi~'
j>lf>Gv'E ~. óè7þAJe
(Print Name of Officer)
dJltJ 2- 1/ 2'Dð 5
(Date)
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