HomeMy WebLinkAbout0123091-HVAC (furnace)
--.-
OSHKOSH
ON THE WATER
Job Address 800 MONROE ST
CITY OF OSHKOSH
No
123091
HVAC PERMIT -APPLICATION AND.RECORD
Owner ANDREW Z MABRY
Create Date 01/05/2007
Contractor WESLEY HEATING & COOLING INC
Fuel l!:.I Gas UOil
System D New
l!:.I Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate o As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
~ Replace
U Steam ~ U AlC
U~~==:J U Con. Burner
. Direct Vent () Not Applicable
U Solar
U Solid
D Other
U Vent
() Not Applicable
. Other
Value
Value
50,000 BTU
Use/Nature SFRI Replace furnace. EIV provided by Kollman-Reilley.
of Work
Fees: Valuation
$2,310.00
~
Plan Approval
$0.00
Permit Fee Paid
$46.00
Issued By:
Date 01/05/2007
D Permit Voided I
Parcelld # 1107520000
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.
szs "` �.s., Up
x
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903 -1130
Phone (920) 236 -5050
Fax (920) 236 -5084
ON HE /ATER
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
} Incomplete applications will not be processed.
,ti
• 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
If you are a contractor participating in the Permit fee Account System and have adequate funds, check here
if you want this processed through your account fl
DATE k 1 \A't\N
JOB ADDRESS Y> kJ..NcN. �`)--,
f �-- `
OWNER r<�3 VJ.oL YZ
CONTRACTOR \+ - a>.>. k . A � - `,11KAAWN
1, ; CHECK ® ALL APPLICABLE
z
USE CATEGORY
ItkSingle Family ❑Duplex DMulti DRental DCommercial ❑Industrial
FUEL IGas ❑Electric ❑Solid SYSTEM ❑New Replace
❑Oil DSolar ❑Other
TYPE
Forced Air DRadiant ❑Steam ❑A/C ❑Vent ❑Electric ❑Hot Water ❑Suppl. ❑Con. Burner
IS CHIMNEY BEING LINED *Jo ❑Yes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE ❑Chimney A ❑Chimney B Direct Vent ❑Other
HEAT LOSS DAs Approved KExisting DNot Applicable
BTU RATE DAs Per Plan ❑Variable (Other Value M), C,T_S iz,X\_,..
DESCRIPTION OF ALL WORK BEING DONE Ikt_t,. _ % 'n 40 li-I■ 1
— JAN 0 5 2007
VALUE (Including tabor aat! materials) ', „. , DEPARTMENT OF
!UNITY DEVELOPMENT
ELECTRICAL CONTRACTOR��,�� -� _ 4 . ����
- ---- , c , „ C For applicable projects, an Electric Installation Verification form, si le by the Electrical Contractor, thus b
attached. If not attached or not applicable, a separate Electrical Permit is required. /'\ /JP
1\
l a
10/04
niC2}2~~~b 02;~ 07FROM:~~i:~~7i:TINGl~)~~~~r~~
.,~~~ .:Jl.\Ut ...,Lllm IIt~~~I..lltlt lof;trn.l::l
"
t-'Al.::lt:. tlll t11
, 'miI~TI7965' P.4
It"'. ".t..,.~ ~t 1~'
0&
~ttarlbi$
~lII'~&h
1Jl~-,,_
I'OBlnt U~
0IItiIaI WI SftIOJ-llJIl
(li!Ib ......JJIISO
I... ~
Electric IDstaDaUOD VeriOcatlon
I(W.L ~'~":"'~j.~~~~ ,
. " (BIeerricat ContractfJ[' .
. t~"'\.Jd'l~~'~ot~ ~~~ o'\.....\~~, h' &\3f)'L.
(Ad~) {City} (State) (Zip Code)
'~~~~~~~_for\~~~~~
at file foJJoMng addtess:",,~ \~"A~<n ~ 1 ~. ,
... ""'?':;; , .' .... (.AddresS wltere WGlt1ritl he pr.dbJmcd)
,',' ~..~,C)tflJeltOltctJOSiStlC)f (Qed One or DacrWe Ibe NstDmofWort)
..sb... he~oraewcircuif fbr repJaccmeac Heatins Plaut amdIor AJC ~.
_R~ orne.w circuit for ~Btecmo Water B.cataror p<rwg-vc:ntad
water hMler.
- ReconnectioD oftbc Service P.ntranceCabJe, Meter Box, a1tcraliom to ~1ea
and lighting ~ dut f9 sidingl soffit imtaUation~ Nom: New Service
En~ Cables will reqvilo a .$CpIIDQ permit
- Rcconneaion or new circuit for the replacement of ot1wr pcananently'wiraJ
appliaau:e& I fu:tlna..
- New cin:uit tOrtbe Addition of NC to an ilultvil/uQ/ ~gU1fi1 (house or the
iodi'riduaJ I)'Itans in a duplex. or ~).. inducJing required remee
electrical outlets.
___ Other
J.. . J
...
The value oftbis \VQtt is S i &0 . 6 f
I hl:Ieby verify this VfGlt will be performed by an empktyee of this compmj'" mld :funherverify
the. (t>>)nncc:tion l.imta11alion will be doni: in comp1faneewith mannfocturer and. Eleetdc oodt
raqu:-/~t~ ~/
U . .~ f:Jt{, _ -R?I/N-
(51 OfCOfi Y Oftie!r) (Prjnt N"m1eofOlficer-) (Date)
U
, I
,
,
~
.,