HomeMy WebLinkAbout0125043-HVAC (a/c)
e
OSHKOSH
. ON THE WATER
Job Address 1011 PARK RIDGE AVE
CITY OF OSHKOSH
HVAC PERMIT - APPLICATION AND RECORb
I
I
No 125043
Owner
MR/MRS DANNY W SMITH
Contractor WESLEY HEATING & COOLING INC Category 501 - Residential-Air Conditioning
Fuel ~ Gas UOil U Electric U Solar
System D New ~ Replace
U Forced Air U Radiant U Steam ~ AlC
U Electric U Hot Water U Suppl.
Chimney Type Chimney A Chimney B Direct Vent
Heat Loss D As Approved . Existing o Not Applicable
BTU Rate KJ As Per Plan () Variable . Other
Create Date 05/30/2007
Plan
U Solid
D Other
U Vent
Use/Nature SFR / Replace central air conditioner. EIV provided by Kollman-Reilley Electric.
of Work
I
I
Value
Jalue
I
I
I
Fees: Valuation
$3,285.00
~
Plan Approval
$0.00
I
I
Permit Fee Paid!
i
$59.50
Date 05/30/2007
Issued By:
D Permit Voided I
Parcel Id # 1222490000
In the performance of this work, I agree to perform all work pursuant to rules governing the described constructior.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact th$ easement
holder(s) and to secure any necessary approvals before starting such activity. I
Signature
Date
Agent/Owner
Address
3220 BASLER LN
OSHKOSH
I
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 (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entfy), your Name and Phone
NlIImber. Unless specified otherwise, we will assume the project is ready at the time the reques1 is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
v~~ ~ QI:\.~
,
i
1 ",
j
~1 .
"
.;
\ ~
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
-j'
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 mailed to Inspecti&n Services, PO Box 1 128,
Oshkosh WI 54903- 1128. Commencing work without permit(s) will result in fees bejng doubled or $100.00 plus the
normal permit fee, which ever is greater. !
OR
[fYOll are a contractor participating in the Permit fee Account System and have' adeQuate fllnds, check here
if YOll want this processed throuf!h your account n '
I
DATE 5\&>\m
I .
JOBADDRESS \D\\~ ~c\1:s' ~~
OWNER~~ ~~
CONTRACTOR '" 0 ~"~<:\l. ~~ ~"".~~
CHECK Ii1 ALL APPLICABLE
USE CATEGORY
~ingIe Family DDuplex DMulti-Family DRental DCommerci~1 Dlndustrial
FUEL ~as OElectric OSolid SYSTEM ONew ~Replace
DOil OSolar DOther
TYPE
OForced Air DRadiant
OSteam ~/C OVent DElectric
!
OHot Water OSuppl. DCon. Burner
I
;
!
IS CHIMNEY BEING LINED~No OYes - LINER SIZE
Note: All chimneys shall be sized per the BIU's being vented.
& MANUF ACrURER
i
CHIMNEY TYPE OChimney A DChimney B ~Direct Vent
HEAT LOSS OAs ApprO\ed ~xisting DNot Applicable
BTU RATE OAs Per Plan DVariable \'tlQther Value
DE. SCRIPTION~F A~L, WORK BEINGPONF:-~ ~< "-- ,_',
C'-.r~'V \l..,-~, ~~\-\-1. .~~
DOther
t '.!.
~ 'T "'~
,
:
i
...L_
I
!
~1tJ
,. \ p.?J
V;,LUE Including labor ane! nuteri.
;) S ,,,~2ice-t), \::Q:,.)
ELECTihcAL CONTRACTOR ~ '
~----'
:= For applicable projects, an Electric Installation Verification form, 'tIn d by th~ Electrical Contractor. must be
attached. Ifnot attached or not applicable, a separate Electrical Permit is require~.
i
10<;
OS/25/2007 15:51 9202737955 K-R ELECTRIC LLC i
TO:l~5
.J:....., 25 ~007 03"32FRll'1'WESLEY rEATING (920) 235.-6951 "",.\,11"
1'.....- -:,-;~ ':::;. Ll.!UC. ~:Li~M :~HH~H~11 HP1~O i
I
i
f-'A6E tl21 tl4
P.6.
J. 1.1;
~.
~
(1yol~
lllel&:rl~~
us C1&lIl "-
l'Q &:N: I UO
~\rIJ ~111O
0lBct NH1U4lO
.Fu. .~
Electric Installation Veriftcatfon
I (Wel_ ~\ \ w-a.n ~ ~~\ ~,~:~t~\ .r-\\\. ~"')
(Electrical Contractor N . .
\~\\~~~I)~~~A..~~h~~! ~
(Address) (City) (State)' (Zip Code)
havebem """""*<I1o...,futn>. oloo1rio ~ worlc lor t. '\ ~~b ~
(Name of. ).. .. ~
allld/!owill& addross: ,()\,\~, \<I.,~ ~ ~ ~. . ~.
(Address ~ work: pert'onncd) ,
I
Th-.: nature of~ worlc comins of (Check One or Describe the Nature ofWmt)
I
I
J;&... RecOM,e(:tiOit Or DCW circuit for repl~t Heating Plant mdlor J:Jc CondeQ$e:r.
Reoonnection or new circuit for repli\ee:ment ~ledric Water Btster'or power "entad
waf<< heater. ,
Reoonnection of1he S~rioo Entrance Cable. Meter ~, aJteration$ ~ receptaoles
and lighting fixtures due to siding I soffit inm.aUation. Note; N~ Service
Entrance Cables will requim a separate pcnnit. '
ReconnectiOb or new circuit for the replaccm.tnt of other pennanently"wh'ed
appliances , fixtures. I
------- New circuit for the addition of NC to an individual dwelliJtg unit (&use or the.
indiv.idual systettlS in a dupkx Qr condQIDinibm). including teqdp'ed 5eIVice
electrical outlets.
Other
The value of this work is S 15.0 ~
! hereby verify thiJ work wilt be performed ~ y an employee of this company and ~er verify
the rccotmection / installation wm be done in compliance wifh manufllLturcr and Blectric ~e
requirements, '
~,,..
k '-
.:2~
f(Signa 'l': of Company Officer)
,
~.
i..... '+.
_ kr~;~tj,/C~4~
(Print Name of Officer)
ylp'-o 7
rr
. (Date)
5i\j2