HomeMy WebLinkAbout0113064-HVAC (furnace)
e
OSHKOSH
ON THE WATER
CITY OF OSHKOSH
No
113064
HVAC PERMIT - APPLICATION AND RECORD
Job Address
1147 CENTRAL ST
Owner
ROBERT N GILL
Create Date 03/17/2005
Contractor WESLEY HEATING & COOLING INC
1,(1 Gas 1 1 Oil
Fuel
1 1 New 1
System
l..j U
Forced Air 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
75000
Use/Nature SFR/ Replace furnace - EIV provided by Seckar Elect. - No Chimney Liner being installed ----Where an appliance is permanently disconnected
of Work from an existing chimney or vent (CN), the CN shall be resized as necessary to control flue gas condensation in the interior of the CN and to
provide the appliance or appliances served with the req. draft.
Fees: Valuation
$2,300.00
Plan Approval
$0.00
Permit Fee Paid
$39.50
Issued By:
Date 03/17/2005
U Permit Voided 1
Parcelld # 1 008000000
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.
MAR-I-2005 23:41 FROM:WESLEY HEATING (920) 235-6951
FRJM : F~ i'U. :9205824909
1'1';R-1-æ¡S Ð4.aÐ 1'I'!CM:1Æ5LE1f ~UG (920) 235-6951
TO: 19204680645 P.2
So!p. 'Z? 2004 03:36AM Pi
TO:~'t~ . .-
~ CIIt..- ,
~~ "'-""-"'-
'.oil.. )""""'-
""""30
_WI_"'"
~R :" ~::: Q
Electric Installation Verification
Í (We)
,J'e:~¡t. fEt..Gu-;¿1 c.-
(EICCIri=1 Contractor Name)
!f'lJ.() t!(Mertif,'f PI.1IMIYlM, RÞ t,tJ,¡.J¡t!f:.C()NNl:, Wt S..¡<!t'h
(t\cfdm,) (City) (SIIIte) (Zip Coot)
have been COIl1r&cled to pcdo>:m e1eclric installation woñ: for WU UY 11 E if-n oJ 6 + a.c ()¿."J6
(Hilmi' DCputy c:oalr8dCd to)
attl1efoUowiø&~: M 7 C~L Si-.
. (Addrcs5wh.c:Rworkwillbcpdmned)
The llaIUriI of the wvrk collSÍSls of; (Chec:k One or Dcsc:ñbe w N.., ..rWork)
~ R-eetjon Ot new eìreuit for wlacemenl Hug Plant and/or AlC Condl:mW.
- ReconneQtiort or new ci1C1li; fur rqllacemenl Electric Water Heller or power vented
waterile1ter.
- Reconnection of the SCl'Iii:e :entrarn:e Cable, Meter Box, altGrations to receplades
and li¡bling fixtures due to síding IlIOffit ÏIImllation. Note: New Service
E:1tnnu CaMet ""ill œquire a ae )8!'aIe PI\11IÛf.
- Re<:onnection or- cireuit IOrlhc n:pbK;ement orotherpQIMl1ontywiRG
ap~lianœ~ I tildurcs.
- New cIrcuit for lite! addition orAlC 10 an ¡lIdMJIUII dweilillg ullft (hoIIie orlhe
indívidualsystMl$ in a duplex or condominiwn), Øeluding required serolÌce
electrical outlets.
- Other
The value of this work is $ rz- ç 0 ?
I ".......byveri!y tbi. work wi!! be performeä by an employee: ()rtbi5 çOmpanYand tUrtherverify
Ihe _oaneotíon I in<1O.ll&ion will be doM in CQl1I )liance with manuf¡¡çtun:r end E1ec:trie coót
requirem..,ts.
D\roVË S€tF-¥-
(Print "Name of Officer)
~zœS
(Date)
..."