HomeMy WebLinkAbout0124367-HVAC (a/c)
o
OSHKOSH
ON THE WATER
Job Address 1725 HAZEL ST
CITY OF OSHKOSH
HV AC PERMIT - APPLICATION AND RECORD
No
124367
Owner CARY H/SANDRA L JOLIN
Create Date 04/23/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chim ney Type () Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate K:.) As Per Plan C) Variable
Category 501 - Residential-Air Conditioning Plan
I Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
U Not Applicable
() Not Applicable
. Other
Value
Value
UselNature SFR / REPLACE EXISTING CENTRAL AIR UNIT, EIV SIGNED BY KOLLMAN-REILLEY ELECTRIC
of Work
$59.50
Fees: Valuation $3,220.00
Issued By: ~W
Plan Approval
$0.00
Permit Fee Paid
Date 04/23/2007
D Permit Voided I
Parcelld # 1510450000
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.
04/13/2007 14:09
92027379t:,5
K -k: t.Lt.C I k:1(..: LLC
t-'Al1t. I:H i t11
APR-12-2007 23:56 FROM:WESLEY HEATING (920J 235-6951
.>::..:~ l',J.lj':;. l:Lf~M \l\"~'!.Cl:Ic<n HI'iI\;S
TO: 19202737965 P.2
111,l.1.)7.' I. III
~
~
(:1Iy 1lf0l1obBll
DiY~~~
113 0-;10 "--
1'0 Bolt lIj(l
~\I/l~lr:Jd
0IIb '>>VWO\fG
I'D. ,~
Electric Installation Verifieatlon
I (We) ~cll. " ..........:::-, -~: ~ \. ~ ~ f'h<:-~" ,
(Elearical Conttactor Name) .
\~~ ~\),~~~~~ ~ ~~ \r.~ ~ h.."'L ~~\
(Addxm) .. (City) (State) (Zip OJde)
have been etmtraeted to petlWm. electric ~ation work Cor\!l ~~~I.'l ~~~ ~ ~,-'~
(Name of contrac ~ ~
att&.CCo1lowinS~ _\~&~ (~~be~)
-v ....-.......
The nanue of the work consists of (Check One or Dest:n"be the Nature of Work:)
..L RcccmnC1;Uon or new circuit for replacement Heating .Plant and/or NC Condenser.
~ lkconr.ection or new circuit for ~mt.81ectric Water Heater or power vented
water heater.
Reconnection of the Serviee Entrance Cable, Meter Box) alterations to- flXiepta.clcs
and lighting fixtures due to siding I soffit installation. Note; New Service
Entrance Cables wiU require a separate permit
_ Reconna.:tiotJ Qr new circuit fur the replacement Qf other pcmunently'wircd
appliance$ r fixtures.
~ New circuit fOr the addition of NC to an ilfdividJI.aJ dwelling unit (house or the
individual systems in a duplex or condQminhnn). including required service
tll'lCtri~a.l outlets.
_ Other
~~
The value Qfthi~ wurk is $M ' "
r hereby v<:rify thi; work wi{! be performed ;.;yan employee of this eo~Hpany and further v~fy
the ~eclion f iostallation wHl b~ don:: in compliance with manufacturer and Electric code
requirements.
- ,
';..
~.
__ J&t"erhy /(o//~;,r.
<Print Name ofOffiw)
f-/3-07
~
(Date)
5I!n.
,
~?'
\)~"-~, 5~, ~
City of Oshkosh
Division of Inspection Services
P,O, Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
D~::R~E~O~F ~
COMMUNITY DEVELOPMENT QifHV10I rH
INSPECTION SERVICES DIVISION I~ U
ON THE WATER
HV AC PERMIT APPLICATION
All infom1ation 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 VOIl are a contractor oarticioatinf! in the Permit fee Account Svstem and have adequate funds. check here
if vou want this processed throuf!h VallI' account n
DATE ~ \0-(:)\1,
JOB ADDRESS -\~2i~) ~ ~ ~.
OWNER C'~-~ ~~""'-' .
CONTRACTOR~ ~, .~""..,.'''''''~ ~~~
,CHECK Ii1 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
FUEL ~Gas OElectric OSolid SYSTEM ONew ~Replace
OOil OSolar OOther
TYPE
DForced Air ORadiant OSteam ~A/C OVent OElectric OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented,
& MANUF ACTURER
CHIMNEY TYPE DChimney A OChimne\ B ~Direct Vent
HEAT LOSS DAs Approved ~:-;isting DNot Applicable
BTU RATE OAs Per Plan DVariable f;){Other Valuc
DESCRIPTIO\' OF ALL WORK BEING DONr:~-\)\.~\' .;:
r' ,- 'f-.-.~ " . ,
"'-,<:l.. ~'(~"".:<' ',) r"'- '" \. '- ~. ~. .
DOther
,-3 r~~"'~'\j:C~
V ALUr"nc!udini" labor and matcri.' ;) S. '\~i~) U')
ELECTRICAL CONTRACTOI{' ~Q\.\.. \~y(' ",,:':. '/ \"
:::: For applicablc projects, an Electric Installation Verification f I'll signed by the Electrical Contractor, must be
attached, Ifnol attached or not applicable, a separate Electrical Permit is required,
10104