HomeMy WebLinkAbout0123415-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 660 GRAND ST
CITY OF OSHKOSH
No
123415
HVAC PERMIT - APPLICATION AND RECORD
Owner MARK W/SUZAN A ERICKSON
Create Date 02105/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type () Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate K:.) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
. 0 Replace.
U Steam
U Suppl.
. Direct Vent
U Solar Ci Solid
D Other
U NC U Vent
U Con, Burner
o Not Applicable
() Not Applicable
. Other
Value
Value
50,000
Use/Nature SFRI Replace furnace. EIV provided by Kollman-Reilley Electric.
of Work
$4,635.00
Plan Approval
$0.00
Permit Fee Paid
$80.50
Fees: Valuation
Issued By:
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Date 02/05/2007
D Permit Voided I
Parcel Id # 0405300000
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.
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
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OfHKOfH
ON THE Wf,TER
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete 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 the
normal permit fee, which ever is greater.
OR
If you are a contractor oartici'oating in the Permit fee Account System and have adequate funds. check here
if you want this orocessed throuf!h your account n
DATE \ - \~-~~
JOB ADDRESS \:si~) Q~~CL~ ~->
OWNER \..)n.~ Y) t' r~,~
CONTRACfOR \ ,,, ~~~~~ ~ l.:\!;:i\.~~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
DCommercial
Dlndustrial
FUEL
180 as
DOil
SYSTEM
DNew
DOther
~Replace
DElectric DSolid
DSolar
TYPE
~orced Air DRadiant DSteam DA/Cc DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINEDNNo DYes - LINER SIZE
Note: All chimneys shall be sized pe~ ~e BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimney B ~irect Vent DOther
HEAT LOSS DAs Approved ~xisting DNot Applicable
BTU RATE DAs Per Plan DVariable ld..Other Value Z:c.', ~~
DESCRIPTION OF ALL WORK BEING DONE '\~ DJ.::. i.1 ~ . -S -~t"'-~': 'i~
'~"-''0....~C:::-~3 _
. \~\O~~ \~
~ 01 0Ll
\ fJ. ,,_>,
VALUE C eluding labor and mareriaLi $ ~\...'j:~~ " ,
'-,..
'---.
ELECTRICAL CONTRACTOR l~)
C For applicable projects, an Electric Installation Verification form, sigR~d 'the Electrical Contractor, must be
attached. I f not attached or not applicable, a separate Electrical Perm it is reg ired.
10/04
01/31/2007 08:27 9202737955
JA~-22-2l307 01: 28 FRa1: WESLEY HEATING (920) 235-6951
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Electric InstaDation Verification
I (We)_ ~~ ---k")'hj:;JJ.',;~ ,
. (EleetricaI Contractor N .
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(Address) ~ (City) (State)
~C\~"':\
(Zip Code)
ha.~ been contracted tD p6fwm eledric ms.auation work b\ ~ .")ot.~~~1.""ri)~ ~
(Nama . 00 0)
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(Address wheRt WOtk wit1 be pedbnncd)
The natltte ofthc WOIk <<mJists at (Check ODe or Describe the Nstm't: of Work)
./
+- ~onar:oew c:iJ:cujt foc~HatingPltlUandJM NC Cundannr.
~ 1k:conordion or new cb'e1rit for ~entEeetric: Wl@r Reater (l['powa' v~
water heater.
_ Recoonection of the Service mtrM,ce Cab~ Metar Box, altemtions to telqltacles
and lighting fixtures due to siding I soffit iDstaDafion. Nota: New S~
Enl:r$noo Cables will require a rep&.rate pcnnit
_ ~. ornew cirouit for the replttcement of other per:ma:nently'wircd
applimcea I fixtnres.
Nt:W eireuit fOr the addition of NC t9 an itJdivit:bm1 ~llJng unit (hou. or Ute
individual sysf$11S in a dQ]llex or eondominium). intJwiag ~ service
eltlCtri.c31 oudeu,
Other
at the to1lowioS addtcN: r
~~
The value ofthls WQ~ is $ I{)D
1 hereby verify Uris work win be perfomred by an employee of this comp.my and further verify
the reconncctlon I wmUatian wiJI be don~in compliance wiftl ruanu.fa.ct~ and Electric code
requirements,
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(PI:int Name ofOfficei}
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