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OSHKOSH
ON THE WATER
Job Address 1135 ELMWOOD AVE
CITY OF OSHKOSH
No 122781
HVAC PERMIT -APPLICATION AND RECORD
VOID
Owner SEA Y REV TRUST
Create Date 12/04/2006
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant l
U . Electric ~ Hot Water I
Chimney Type U Chimney A o Chimney B
Heat Loss o As Approved . Existing
BTU Rate o As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating
Plan
U Electric
o Replace
U Steam
U Suppl.
..s>irect Vent
U Solar 0 Solid
o Other
U AlC 0 Vent
U Con. Burner
() Not Applicable
I
I
l
() Not Applicable
. Other
Value
Value
Use/Nature FRlReplace furnace, boiler & hot water heater. EIV provided by Kollman-Reilley Electric. Note: Owner listed as Mark & Tracy Kroll. .1
of Work
I
-.-J
$10,500.00
Plan Approval
$0.00
Permit Fee Paid
$165.00
Fees: Valuation
Issued By:
Date 12/04/2006
o PeITll!tyoided I JOB NOT STARTED
Parcel Id # 0506580000
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 (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 requestis received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
<O~
OSHKOSH
ON THE WATER
Job Address 1135 ELMWOOD AVE
CITY OF OSHKOSH
No
122781
HV AC PERMIT - APPLICATION AND RECORD
Owner SEA Y REV TRUST
Create Date 12/04/2006
Contractor WESLEY HEATING & COOLING INC
Fuel 1,(1 Gas UOil
System o New
~ Forced Air U Radiant
U Electric I?J Hot Water!
Chimney Type KJ Chimney A o Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate KJ As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam
U Suppl.
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Direct Vent () Not Applicable
o Not Applicable
. Other
Value
Value
Use/Nature SFRlReplace furnace, boiler & hot water heater. EIV provided by Kollman-Reilley Electric. Note: Owner listed as Mark & Tracy Kroll.
of Work
Fees: Valuation
$10,500.00
(t-nvo
Plan Approval
$0.00
Permit Fee Paid
$165.00
Issued By:
Date 12/04/2006
o Permit Voided I
Parcel Id # 0506580000
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.
f\
City of Oshkosh
Division of Inspection Services
P.O'13px.1130
OshkQsh, WI 54903.:n 30
Phone (920) 236-5050
Fax (920) 236-5084
.....~....................................................<
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OJHKOJH
.ON THE W^TER
HVAC PERMIT APpLJGATION
All information after bold categories musibe provided.
Incomplete applications willllot be ptocessed.
. 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 the
normal permit fee, which ever is greater.
OR
Ifvou are a contractor varticipating in the Permit fee Account Svstem and have adequate funds. check here
if vou want this processed throuf!h vour account n .
DATE ~C\\- ~-~
JOBADDRESS\\~~ t'~~~~~~"'"'\
~=~:~~~~~~~~~~
CHECK ttr ALL APPLICABLE
lJ~E CAI:E(;ORY
~ingle Family DDuplex DMulti-Family
o Rental
o Commercial
Dlndustrial
FUEL
l&Qas
DOi!
~Replace
DElectric DSolid
DSolar
SYSTEM
DNew
o Other
TYPE
~Forced Air DRadiant DSteam DAlC DVent DElectric ~Hot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimney B iMDirect Vent o Other
HEAT LOSS DAs Approved ~xisting DNot Applicable
BTU RATE DAs Per Plan DVari~le ,L~~Other Value ~\ ..... E
DESCRIPTION OF ALL WO;m< BEING DONE ~ ~\~\:' ~ - .~ 't \. ~~ '-~
~~~t'~ ~ \ ~~'" ~~\\ "\- ~~. h.~ 1L3". \, 'k\::l). \L~S\ ~ DEe 4 2006
DEPARTMENT OF
C()MMUNI~\~~l~M~~
\1 ',~ 't'l-
o For applicable projects, an Electric Installation Verification for 'gned by the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical J>ermit is required.
VALUE (In~luc'lg labor and materials) $ \ D ~. ~
\ i ~ ' \
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ELECTRICAL CONTRACTOR
.10/04
11/29/2006 21:35 9202737955 KULLMANN
~2EI-20e6 21i31 FRf.I'fiWESLEY'l-EATING .. (gee) e:35....S':JS1
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t-'Abt. I::1L/I::1L
TO; 19202737965 P.2
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Electr1c IDBtaI1atton VeriOa.tiu
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(Addms&) (City) (Stale) (Zip Code)
bave.Maa contnIcted Iopedbnnelec:ttic ~ work fol'~,"~~ W~~ <<)\~
. . (N8IDe of ,o,) ~
8I~touowmg~ \'~ 'X'~1'-~ ~"t".") .
(AddreuwIwR WOIk~bc pc:afo,~
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~"'rcof~WOlk c:aasisb of (CJaec:k Ou orDaai)e fbe NatllmofWmk)
~ ~<<~dn:uit fbtftlplaeemtmtHcatiog Plaat MMJIor AJC Co.oden:rar.
---- ~ Dl'~ cimlit b>~ent~ WarecHask:cor~lra1fcd
"* hmtcr.
- Recannecticm of tile Service Entrance Cable.; Mekc Box. a1taatioas to ~
_ligbting fixtun:s due to sieling, IC)ftit insttd1ation. Nor.e: New SeMce
Entnmce Cables will t<<{uilc a sc:psrate )JCDDit.
--- R.CCODJ:IC:dion grnew ~ fOT a. replaccmeut of other pcrrmaneatlY'Wiml
. appliaDces llixnns.. .
~ Now - filo:lbo addiIO>n of NCto.. iirt/i.-! tIwsIlIrtg~. .
= = in a dapborcondomiDium). indudiaa ;." ~ E IVE
_ Other
.b.....- 1
J2EC
4 2006
The value Qftbis worlc is $
g 5:'0
.
DEPARTM6NT OF l
COMMUNITY DEVELOPMENt
-1
I hereby verify this worlc will be performed by an employee of this company ancl further verii)'
the ICOOlWCClion I installati07l will be doni: in comp.liaDcewith m~ and B1eettic code
requ' erlts.
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