HomeMy WebLinkAbout0123629-HVAC (A/C)
~.
OSHKOSH
ON THE WATER
Job Address 1514 OREGON ST
CITY OF OSHKOSH
No
123629
HVAC PERMIT - APPLICATION AND RECORD
Owner HAFERMAN PROPERTY MANAGEMENT L
Create Date 06/26/2006
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System o New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type K:) Chimney A C) Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate [) As Per Plan () Variable
Category 511 - Ind. & Comm-Air Conditioning Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
~ AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Use/Nature COMM /INSTALL ADDITIONAL CENTRAL AlC UNIT. * EIV PROVIDED BY SOLAR ELECTRIC
of Work
Value
Value
Fees: Valuation
$5,120.00
Plan Approval
$0.00
Permit Fee Paid
$88.00
Issued By:
Date 02127/2007
o Permit Voided I
Parcel Id # 0304880000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
AgenUOwner
Address
3220 BASLER LN
OSHKOSH
WI 54901 - 0
Telephone Number 920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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HVAC PERMIT APPLICATION, , ,
All infoffiution after bold categories must be providi]lEPARTMEf\n
Incomplete applications will not be proc~$,}IHMUNJTY
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
9. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-~ 128. 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 Accoullt System and have adeQuate funds. check here
if YOU want this TJrocessed through your account n
DATE \n- \0 - C~ S,)
JOBAD~RESS \0\'-\ .~~~~. ~.
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CHECK iii ALL APPLICABLE . ~f[..,,<&~"'r, I
FUEL
'(Gas
DOil
DElectric DSolid
DSolar
SYSTE1\
USE CATEGORY
DSingle Family DDuplex DMulti-Family
DRental
TYPE
DForced Air DRadiant DSteam 't:/\NC DVent DElectric DHot Wate
ISCHIM~EY BEING LINED li1No DYes - LINER SIZE
. Note: All chimneys shall be sized pei ~le BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
OAs Approved
DAs Per Plan
DChimney B
~Existing
OVariable
i;g(Direct Vent OOther
qNot Applicable
~Other \'alue
DESCRIPTIO!" OF ALL WORK BEI!"G DONE T. {~~~~, ~C'!"'~~Y"-C~_
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)1.~~; Srlf~ I- ~'t! J-,eW\-
VALUE (Including labor and all materials including light fixtures) S a.\~D .Q.:::) __
ELECTRICAL C01'\1'R1<\C1'01<. &-~ \.t'~~ OR ~. [icurie Installation Verification form attachedlit' Kcplaccrncntj
(\ .. .'.' f,fccrriC(i! .flS{;:~'/(:!. ": (~:''"'.eH':'rcpla({lmel!{cqu:j}fn('n{ Sir,l!:' done hylic:cnsed. cont,.-aCi!"
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s~ ~/'4+.p~:Uave--S
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JUN-Q-~06 22.1.4 FROM: l-lESLEY HEATING
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CSf2) 235-5951
TO~2357725 P~i
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. Electric Installation VerUlcation
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(Electrical ContraCtor Name)
ol.\~\J~~~~. ~~, ~,. ~~
(Address) (City) (State) (Zip/Code)
have been o..."..,ted ~ ~ etOClriei.-uation worl< lOr )~~ o~~~\~
atthefollowingaddress~ \Q\~ ~Q;~ ~.'
. (Address work win be perfonned)
I (We)
The nature of the work consistS of (Check One or Describe the Nature of Work.)
:i-
Reconnection or new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnect;on ofthe Se.rvice Entrance Cable, Meter Box, alterations to receptacles
and ligbting fixtures due to siding I soffit installation. Note; New Service
Entrance Cables will require a separate permit.
Reconnection or new circuit for the replacement of other permanently wired
appliance$ f fixtures.
New circuit for the addition of NC to an individual dwelling Witt (house or the
individual systems in a duplex or condominium), including required service
electrical outlets,
Other
.......--...
The value of this work is $
15o..--t/
- ._-~ .--.:.....
I hereby verify this work will be performed by an employee of this company and further verify
the reconnection I installation wHlbe done in compliance with msnufacturer and Electric oode
requirements,
(/
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~~ f(}y~
(Prin Name of Officer)
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tDateJ
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