HomeMy WebLinkAbout0125044-HVAC (a/c)
G
OSHKOSH
ON THE WATER
Job Address 426 N LARK ST
CITY OF OSHKOSH
No
125044
HVAC PERMIT -APPLICATION AND RECO~D
Owner LAINE B THOMPSON
Create Date 05/30/2007
Contractor WESLEY HEATING & COOLING INC
Fuel l!'J Gas UOil
System D New
U Forced Air U Radiant
I J Electric l J Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate () As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
~ Replace
U Steam
U SuppL
. Direct Vent
I Solar U Solid
D Other
l!'J AlC U Vent
U Con. Burner
o Not Applicable
() Not Applicable
. Other
. Value
Value
I
Use/Nature SFR / Replace central air conditioner. EIV provided by Kollman-Reilley Electric.
of Work
Fees: Valuation
$2,050.00
Plan Approval
$0.00
Permit Fee Paid
$41.50
Is~.ued By:
~
Date 05/30/2007
D Permit Voided I
,
Parcelld # 1610180000
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 per10rm the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact ~he 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 Addre~s, 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, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HV AC PERMIT APPLICATION
All infonnation 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 mailcd to Inspection Services, PO Box 1128,
Oshkosh WI 54903- 1128. Commencing work without permit(s) will result in fees b~ing doubled or $100.00 plus the
normal permit fee, which ever is greater. .
OR
If VOll are a contractor participatinf! in the Permit fee Account Svstem and have adequate funds, check here
if Vall want this processed throuf!h VOl/r account n i
DATE: C\o.~\C)"'1
I
JOB ADDRESS ~o N. ~ ~ ""- v..... ~ '>
OWNER \ ~...). ~ 0\'-CSh'-0-~~
CONTRACTOR \ ~ "~~-W.... "1;, ~~~m~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DCommerdial
DRental
Dlndustrial
FUEL
~as
DOil
SYSTE\l
ONe\\'
OOther
~Replace
DElectric DSolid
DSolar
TYPE
DForced Air DRadiant DSteam fAt./C DVent DElectric
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
DHot Water iDSuppl.
I
& MANUFACTURER
I
!
DCon. Burner
i
I
OOth~r
I
CHIMNEY TYPE DChimney A DChimney B ~irect Vent
HEAT LOSS DAs Approved ~xisting DNot Applicable
BTU RATE OAs Pcr Plan DVariable ~Other Value
I
DESCRIPTION OF~LL WORK BEING 1l0N~ ~~ ~ 'J ~ 'i~";(('
~~ ~\:"5\S~ \::,.) c.t~ \'\ \' 'L~)~~_~ . : ~\
VALl E lnclu('.ng labor and materi.'
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ELECTRICAL CONTRACTOR "\
c: For applicable projects, an Electric Installation Verification t~)rl1l, si{necl
attached. lfnot attached or not applicable, a separate Electrical Permit is
y the Electrical Contractor, must be
uir~d. ~1
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OS/25/2007 15: 51 '3202737%5 I< -R ELECTRIC LLC! PAGE (11/ 1I4
,~ SLEv LR:'^TI""'" (n'"'n). 2'.5-6951 TO: 192eEtJ7965 P. 8
MAY-25-200703:33 FRfl'1:W= 'n;;..r"l'= ~ """ 14~,\JI...j I. III
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EleetrIc Installation Veriflc:ation
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(meetritaJ ColltraGtM . !
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(Address) (City) (State) I (Zip Code)
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have bfJeJl conlnIc:ted to perform elcdric inttallat.ion work for\..",u)..~~~~..~
. (Name 0 ton to) '-.J
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(Address MtR WOIk wiD be perf'onmd) .
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The IlS...tl1te oflb,e WOIk ~tB of.: (Checlc One or Desaibe the Nature ofWmk)
i
lI:..- ~tiOb or new circuit for replacc:ment Heating Plant and/or Ale Cond8D5Cr.
~ Reconnectiolt or new circuit SOl' tt;placcment B1eetric Water Ifeatar Or power vented
water he:der. ,
Reccnnection of the Sc.rviC$ Entrance Cable, Meter Box. altetations!to 1"ecep1aclca
and lighting fixtures due to siding i soffit installation. Note: N~ S~
Entxance Cables will require a separate permit. .
Reconnection or new circuit for the replacement of lJIhet pem:tAnentlywired
applianc.e$ {tl~. i
N(;W cirl;Uit fur the addition of Ale to an i1Idlvidua/ dw<<lling rmit (hOWl! OJ' the
ittdividual 5)'Stems in a duplex Qr condominium). including requtteQ setvi~
el~1l1 outlets.
___ Other
I(We) _
at the toUowing address;
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The ;,.'lIlue of this work is $ (~
I hereb)' verify thi 3 work win be performed ~y an employee of this cornpany and further verify
the reconnectiQt) I \ttstallation will be do.ne in co:npliAncr: with manufacturer and ]$1ectric code
requirements.
,
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. (Si re ofCompaoy Officer)
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(Print-Name of Officer)
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(Date)
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