HomeMy WebLinkAbout0125042-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1210 MORELAND ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
125042
Owner JOHN AlNANCY J BINDER
Create Date 05/30/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A C) Chimney B
Heat Loss K:) As Approved . Existing
BTlI Rate o As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilatinb Plan
U Electric
~ Replace
U Steam
U Suppl.
U Solar U Solid
o Other
U AlC U Vent
U Con. B~mer
. Direct Vent () Not Applicable
C) Not Applicable
. Other
,
, I
I
Value
i
Value
Use/Nature SFR / Replace furnace. EIV provided by Kollman-Reilley Electric.
of Work
45,000
Fees: Valuation
$4,176.00
thn,o
Plan Approval
$0.00
Permit Fee Pai~
$73.00
Issued By:
Date 05/30/2007
o Permit Voided I
Parcelld # 1308930000
I
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 perfbrm the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact th~ 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
I
Telephone Number
i
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.
~~ ~~~.~
,.
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE WATER
HVAC PERMIT APPLICATION
All information 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 be,ing doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
J Jail are a contractor artici atin in the Permit ee Accollnt Svstem and have ade /late unds check here
/r ~,OU want this processed throuf:h VOllr account n :
,
DATE 'f)\8o\~~
I \ Y
JOB ADDRESS \Q:).\~ ~~~ '\~~ ~
OWNER \'(
CONTRACTOR \., -, :> ,;;~\~:~~~ C' ~;~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
DCommerC:ial
Dlndustrial
FUEL
~as
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
~Replace
TYPE
~orced Air DRadiant DSteam DA/C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED \tiN 0 DYes - LINER SIZE
Note: All chimneys shall be sized pe; ilie BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimnev B ~Direct Vent DOth~r
HEAT LOSS DAs Approved tx1Existing DNot Applicable
BTU RATE DAs Per Plan DVariable ~ther Value LtC:"Ci::::C:)
DESCRIPTION OF ALL WORK BEING DONE~ 1:J\~~
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,
~~'s.~~~"lr~ 't~~
!
VAL UElllcluding lab0r and II iii , ,ri.';) S ~ \~\~ . CD
, i \'"",
ELECTRICAL CONTRACTOR - ~
r-~ For applicable projects, an Electric Installation Verification form, sign b) the Electrical Contractor. mllst be
attached. lfnot attached or not applicable, a separate Electrical Permit is requi~ed.
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~-25-2007 03: 31 FRON: I-ESLEY HEATI~ C9?eD 235-6951
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Electric Installation Verifieatton
!(Wel_ ~\~~N~)h~
\lQ~'\'n~~ Jf...~ ~~0.M\t\.LJ ~ ~~
(A~) (City) {State}' (Zip Code)
ha"" be<a - to ~ ""'=ic m.t.llatioo work t...'U-.:: c>f~~+~~
at the fo1lowinsaddra$,; -l(=)\t:\ .il~~ ~~~ ~ .~
(Addres& whtre wad; Wl1J be pedbnned)
The na:bIre ofrbe work CODtists or. (Cheek One or Describe the NIIIure ofWo.drj
.L ~ec:tion OClWW cln:uit fbl'repl~t Heating Plant and/or A;C~.
Rectmneotion Ot new eireuit for repla~ E.rectrW Water lieatet or powa ~
water heater.
R.eoonneotion of the Serviee Entranc;e Cable, M~ter Boxt altentiOl1$:to receptacles
and lighting fixtures due to siding I soffit inStaU1Uon. Note: New Smiee
Entrance Cables will require a sepw:aLe permit. .
-- RecoonectiOb or new circuit for the repJacaneal of other Pezmanentl!).wired
appliiUlCe$ f fixtures.
- New circuit for !he addition of A1C to an individual dwqJling wdt (hciuse at the
individual systMJ$ in a duplex or Condominium)t including ~ sm'icc
eJ<<:trical outlets.
_ Other
. . ,~
The valu!! ofthis WOrk is S !CU
,
I hereby verify thi3 work ll.'iH he perfOrmed ~y an employee ofthis companY:llld :6.Irther vcnlY
the ~ectiQtll instaJlaticm '.vill be done in compliance v'ith rnanufaeturer and Elettric code
requirements. "
'\.~
L <~~
(;(~f Company Officer) .
I.
-'-
J;r:.e/h? t"&!Ap~jh_
(Pz:int Name ofOffieer)
jJ-=;2,j--07
(Date)
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