HomeMy WebLinkAbout0124366-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1328 INDIGO DR
CITY OF OSHKOSH
No
124366
HV AC PERMIT - APPLICATION AND RECORD
Owner MARVIN KOTOWSKI
Create Date 04/23/2007
Contractor WESLEY HEATING & COOLING INC
Category 500 - Residential-Heating & Ventilating
Plan
Fuel
I Oil
L I Electric
o Replace
U Steam
U Suppl.
. Direct Vent
L,(I Gas
D New
l!J Forced Air
U Electric
Chimney Type () Chimney A
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
System
Heat loss
() As Approved
KJ As Per Plan
U Radiant
U Hot Water
() Chimney B
. Existing
C) Variable
BTU Rate
C) Not Applicable
. Other
Value
Value
Use/Nature SFR (MOBilE HOME) / REPLACE EXISTING FURNACE, EIV SIGNED BY KOllMAN-REillEY ELECTRIC
of Work
Fees: Valuation $3,000.00
Issued By: s-rnW
Plan Approval
$0.00
Permit Fee Paid
$55.00
Date 04/23/2007
D Permit Voided I
Parcelld # 1307310100
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 IN
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.
~~~~ ~.(Jc)
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
RECEIVED
APR 2 3 2007
DEPARTMENT OF
COMMUNITY DEVELOPME~T
INSPECnON SERVICES DIV1~lON
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will not be processed.
~
OfHKOfH
ON THE \\lATER
· 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 pennit(s) will result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If Vall are a contractor f)articipating in the Permit fee A ccollnt Svstem and have adeqllate funds. check here
if Vall want this f)rocessed throuzh VallI' account n
DATE L\- \ ~-C)"1
JOB ADDRESS \~ ''I..~'-~ ~
OWNER L~"",,- '--~ ~ ~~ ,-""~~ .;.
CONTRACTOR \ · ,. <U),. U W..,. h~ ~ "...,.,~~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family DRentaI DCommerciaI Dlndustrial
FUEL ~as DElectric DSolid SYSTEM DNew ~eplace
DOil DSolar DOther
TYPE
}QForced Air DRadiant DSteam DAIC DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B iMOirect Vent
HEA T LOSS DAs Approved ~"isting DNot Applicable
BTU RATE DAs Per Plan DVariable ~Other Value
DESCRIPTIO:\' OF ALL WORK BEING DONf'\4.~ 9\.'~'d.., ~~ ....
\j3--'" ~~~~ ~ ~ ~
DOther
~ ~t'... ~~"', ""-"~ ~
V.:....:.-UE 'Including labor and nl..tcri.';) $ Sf'''<='; . ("f')
\"d
ELECTRICAL CONTRACTOR ; ~"';'" ..-J
~~ For applicable projects, an Electric Installation Verification fcI n, igned by the Electrical Contractor. must be
attached If not attached or not applicable, a separate Electrical Permit is required.
~/
:0/04
04/16/2007 16:50
9202737955
~(-R ELECTRIC LLC
TO: 192027379b5
. ~n'. ur; I
F'AGE 01/01
-16-2007 02: 59 FROM: WESLEY HEATING . (320) 235-6951
APR .'~ ("nl> "L'''M '"S"~ct~<ln ~elllceS
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Electric Installation Verificatlon
l(Wb} fu\~ ~ ,;;-;, ~ "h"'~~ ~~...- ;" )
(EltctticaI Contractor Name) . .
\\ffi\,~~\r.Jo~~1U ~~~~\:"~ 1,").- ~~
(Address) {City} (State) (Zip COOe)
h~ve been cont;racted to ptrlorW. electric inscallation wmk forb"'\ ,'\l ~~~ ~ .~<:..
(Name con to) ~
'~""I ,....~.~
(Address wbn be perfonncd)
The nstllre oftbewod:: consists of: (Check One or Describetbe Nature ofWO!i:)
at the :&,uowfns; addrM:
~ Rc;f;onncaian or n~ drcuit for replacement Hc:nting Plant and/or Ale Condenser.
~M or new circuit lor replacement ~c Wmer HeaterorPQWU ~Qlted
water heater.
Recon.nectioo oftbe Service Entranc(; Cable, Meter Box) u=-atiOll3 to teot;ptac1es
and lighting fixtures dut to siding / soffit install.ation. Note: New Service
Entrance Qd)lcs will require a separale pennit
_ ReconnectiotJ or new cira1it for the repJacement of.other permanently 'wired
appliances f fixnlres.
New circuit for the addition of NC to en individual dwelling unit (house or the
individual syst~ in a duplex or condomininm). jneJudin~ required service
electrical outlets.
Other
u 00
TIle value of this work is $ A 7
r hereby verify thi} work will be performed :"y an e.'nployee of this eOlHpany and further verify
therccotmection! installation win be done in compliaooe wit.1l manuf4cturer and Rlectric code
requirements_
.....
LLa4 tt~~
IfSigna~o1 Company Officer)
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(Date)
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