HomeMy WebLinkAbout0125041-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 1044 N MAIN ST
CITY OF OSHKOSH
HVAC PERMIT -APPLICATION AND RECORD
No
125041
Owner ANTHONY PALMA ETAL
Category 510 -Ind. & Comm-Heating & Ventilating
!
U Electric U Solar
o Replace
U Steam
U Suppl.
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 Chimney A Chimney B
Heat Loss o As Approved . Existing
BTU Rate U As Per Plan C) Variable
Plan
~ AlC
Direct Vent
Not Applicable
U Con. Bu~ner
!
C) Not Applicable
. Other
,
Value
Vi'llue
Use/Nature COMM / Replace roof top unit. EIV provided by Kollman-Reilley Electric.
of Work
120,000
I
Fees: Valuation
$5,350.00
Plan Approval
$0.00
Permit Fee Paid
Issued By:
~
$91.00
Date 05/30/2007
o Permit Voided I
I
Parcelld # 1001480000
In the performance of this work, I agree to perform all work pursuant to rules goveming the described construction;
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perfol"f!1 the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the ~asement
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 NUfnber
920-235-6951
To schedule inspections please cal/ the Inspection Request line at 236.5128 noting the Address, P~rmit 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.
'V~~<i\.~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
HV AC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will n<?t be processed.
~
OfHKOfH
ON THE \VATER
· 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 $100.00 plus the
normal permit fee, which ever is greater.
OR
I
ee Account S 'stem and have ade
check here
JOBADDRESS \~l\~ ~ lA~~-... ~,
OWNER \.., '-'\'&$ C'~~ ~,~ ""\... ~\ ~ . \ ~~'"\"\,~
CONTRACTOR \. ':), '-N. '~~~,-\i~~~~
CHECK 0 ALL APPLICABLE
USE CATEGORY
OSingle Family ODuplex OMulti-Family
DATE' O\oN[j\
. .. ~
ORentaI
~Commerciai
OIndustrial
FUEL
~s
OOil
OElectric OSolid
OSolar
SYSTEM
ONe\\'
OOther
~\.eplace
TYPE
~orced Air ORadiant
DSteam ~A/C DVent DElectric
DHot Water O$uppl. DCon. Burner
I
IS CHIMNEY BEING LlNED~No DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUF ACTYRER
CHIMNEY TYPE
HEAT LOSS
BTV RATE
~birect Vent DOther
DNot Applicable .
~ther Value \:"":)0 ~rl
I .
< SCR~T!ON OF ALL WORK BEING DONE~ 0\~"" , '~'P ~ ~~. /'
.' ( ~. .' ~
. ~
OChimney A
OAs Approved
OAs Per Plan
OChimney B
JXt\:isting
OVariable
V ALUElncludin,; labor :lI1d llIateri." ;) $
",<
ELECTRICAL CONTR~>CTOR .~ '>" ~ ,,'\ J\ ~~\s>) ~>
C For applicable projects, an Electric Installation Verification~, signed by the qectrical Contractor. must be
'ltached. [r ,;ot ,ttached 0' "ot app [I co b ['. a sepacate E Icct, ical Pemt It is reg u I ted, D <f I
1~6
10/04
OS/25/2007 15:51
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MAY-25-2007 03.32 FROM;I-€9-EY rEATING (92fa) Z3S-5951
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TO: 19282137965
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(Electrical Contmtor N . .
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(Addn:u) (cay) (State): (Zip Code)
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l>avl; been ClllIIllICted to pe<bm eIodric m.t.IIa1ion worltflll' \ ) '). ~ ~ \'~
. (Name of : ~ ~
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(Addresa where wodc will be pedonned) I
The n.atute of the wcnk 1X)DSists of; (Cbed: One or Degc:ribe the Nature of Wotki
I
i
.!iL- Reconn.~ or.new cimlit for replacement Heating P1an11PJd1or A{C Cwdenlef.
Reootm<<ltion or t1e\\' circuit for rtpbcemem: Electric Water Hester ~r po~ 'IentOO
waWr beater.
Reconnection of the Service Entrance Cable. Meter Bo:x, alteraticms to re<<ptaclcs
and lighting fixtures due to siding I soffit iosWlation. Note: N~ Service
Entrance Cables wilt require II $ep8Iate penuit i
Reconnection or new circuit for the replacement of other Pern'lMentlt'wir<<J..
appliances I fixtures, i
New circuit fOr the addition of NC to aD i:1tdlvidual dwelling unit ~e or the
individualS)'Stetns in 3. duplex or CMdomininm). ineluding ~ ~ce
e!ectric~ll outlets.
Other
Electric Installation Verification
I(WeL....
at thO fb~owmg_drcs5;
The value of this work is $ 'I Q'J "",-\
r hereby verify thi..; work wHl be peIform€(l ~y an employee of this con~pany and ~er verify
the teeo~tion I installation will be done in c')mplla.,~ with rnanufactur;,:;" ~ Eleettic code
requ iremcnfs.
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re of Company Officer)
.
...
.....
J;ren-y M~"'A
(Print Mame of Officer)
~
s-; ;i:y;.o'O 7
(bate)
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