HomeMy WebLinkAbout0123698-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1434 ELMWOOD AVE
CITY OF OSHKOSH
No
123698
HV AC PERMIT - APPLICATION AND RECORD
Owner JOSEPH/LACHANDRA C BUTLER
Create Date 03/0612007
Contractor WESLEY HEATING & COOLING INC
Fuel L{j Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A D Chimney B
Heat Loss D As Approved . Existing
BTU Rate () As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U AlC _
U Con. Burner I
() Not Applicable
U Not Applicable
. Other
Use/Nature SFR 1 REPLACE EXISTING FURNACE, EIV SIGNED BY KOLLMAN-REILLEY ELECTRIC
of Work
Value
Value
Fees: Valuation $2,370.00
~I.\
Issued By: ~
Plan Approval
$0.00
Permit Fee Paid
$46.00
Date 03/06/2007
D Permit Voided I
Parcelld # 1202250000
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 request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
/
02/23/2007 17: 10 '3202737%5 f<CiLL~~ANN
FEB-"J-2007 04:52 FRl:l'1:WESLEY HEATING (9213) 235-6951
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MAR 0 6 2001
EJedrle Installation VeriftcadoD
l(Wol.. ~N. ,~.;::. ~ ~~" ~cl'3. ~.~;,. J
~ca1 0mInct0r Name) .
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(A~) (City) (Stare) (Zip Code)
have been contmeted to petform eJ~ ~ wod: Ior\...~"",-...:\ *~~'-
. (Nemeof > ~
atthC1O&wiafJaddmss; )~~ ,~'"-~~ ~
(Address MtCle WOfk witt be pcrfCU!IleCl)
The nabR of the work ~ils of (Check One O'C Describcthe NfltDmo/Wori:)
.!i:. ~<<IioR.......drouIt filr~-,l'boI_ }JC c...u....r.
- ~ OlMW cirwit for ~li16otrie Watef Hw<<or~\1aned
water :heater.
--- RecontleCtioD of the Service Entrance Cable. Meter Box; a.lten1tians to receptac1ea
aD(i lighting fixtures due to siding I soffit iDstaUation. Note: New Service
EoU1ll'ice Cables will~ a separate pcnnit.
---- Recoonectioo or DtW cireui! fbr the repl~l of other pcnnanent1y'winwJ
applianceS /fixtures.
New circuit fOr the addition of NC to an irtdividtt4l dweliing Jttttt (bouM or the
indmdual systems in.a duplex or condominium). including n:q1liMd service
ElIJ(:triCtll outlets.
Other
The value of this work is S I ttIJ
I hereby verify this work win be perfo~ by an employee oftbis eompmy and. farther verify
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(Dme)
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City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
MAI\ U 0 lUUt
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OfHKOfH
ON THE WATER
HV AC PERMIT APPLICATION
All infomlation 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 YOll are a contractor oarticipatinf! in the Permit fee A ccollnt 51's/em and have adequate funds, check here
if you want this processed throuf!h your account n
JOB ADDRESS \'-\.O~ ? ~~~'C\ ~ k "')
OWNER ~~<:;L J \2,..... ~ ~"-_,
CONTRACTOR\ 5>~~~~h~~~~~"" 0~~~
. ......... .. ..~ .... \~ (
CHECK It[ ALL APPLICABLE
DATE A\&'-~\Cn
\ \
USE CATEGORY
~Single Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
FUEL Dtt Gas DElectric DSolid SYSTEM DNew ()QReplacc
OOil DSolar OOther
TYPE
Warced Air o Radiant OSteam DAIC OVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ttJ..No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
. & MANUFACTURER
CHIMNEY TYPE OChimney A OChimncy B tlDirect Vent
HEAT LOSS DAs Approved ~E.\isting DNot Applicable
BTU RATE OAs Per Plan D\ari:lble ty{Other Value T~, c. ~)
DESCRIPTIO!,; OF ALL WORK BEING DONF~-~9\.s--\:'-'''---'''
~~~-)..~;;} -) -
DOther
'-..Sl ~t -\ ~ '- ""~ 2J
VALl" - Includinr: labor and mater;';) ~~'\a ~ "" ______
ELECTRICAL CONTIl';\CTOR ~-;" :--~~. ~~ ~~s:::') '._-, -"
=: For applicable projects, an Electric Installation Verification fOl1~gned by the Electrical Contractor. must be
attached. Ifnot attached or liot applicat!e,;, separate Electrical Permit is required.
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