HomeMy WebLinkAbout0125339-HVAC (a/c)
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OSHKOSH
ON THE WATER
Job Address 1635 CHESTNUT ST
CITY OF OSHKOSH
No
125339
HVAC PERMIT -APPLICATION AND RECORD
Owner WENDY E BERTELSEN
Create Date 06/14/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System n New
U Forced Air U Radiant
U Electric I J Hot Water
Chimney Type 10 Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
I
U Solar U Solid
D Other
~ NC U Vent
U Con. Burner
C) Not Applicable
o Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace a/c. EIV provided by Kollman-Reilly Electric.
of Work
Issued By:
$2,490.00
(')n.va
Plan Approval
$0.00
Permit Fee Paid
$47.50
Fees: Valuation
Date 06/14/2007
D Permit Voided I
Parcelld # 1512480000
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 LN
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 (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
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HV AC 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 fces being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
J(you are a contractor oarticioatinr; in the Permit fee Account Svstem and have adequate funds, check here
if you want this fJ/'ocessed through your account n
DATE \..g- \d-~\
JOBADDRESS \'---~~~ (\ ~~Y'\u..~ . ~ >
OWNER \ '- '~~
CQNTRACTOR \ =< ~,~ ~~~;; ~ '-"'-~
CHECK iii ALL APPLICABLE
USE CATEGORY
't't!.Single Family DDuplex DMulti-Family DRental DCommercial Dlndustrial
FUEL MGas DElectric DSolid SYSTEM DNew ~Replace
DOil DSolar DOther
TYPE
DForced Air DRadiant DSteam lttA/C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
DAs Pcr Plan
DChimnev B
~"istini
DVariable
~irect Vent DOther
DNot Applicable
lilOther Value
DESCRIPTIO" ~F ALL WORK ~EINGpOKE=::r~~,,- , "1'- >""".~~,_
~'\ '\'('D'\.\;"<.. \,;: C\. \..,\, ~_~"'-C\...~":L2... ~~
'D1
~4.J
VALUE "Including labor ~.ncl r\lateri. ;) $ C\)'--\~ '~n . d (:;
ELECTRICAL CONTI{ACTOR ~'--~ ""'''-~~~, .::^~,- \.~~,\.. ~~~~~ ~ \ '-
= For applicable projects, an Electric Installation Verification form~ned by the Electrical Contracwr. mLlst be
attached. Ifnot attached or not applicable. a separate Electrical Permit is required.
10 "
05/12/2007 10:45
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:nJN-11-2007 a::l~19 FROM:\.ESLEY !-EATING (920) 235-6951
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Electric Installation VeriOcation
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~\.~~n~;'~'NJ~\"~~'I' , .
(Blearical Contractor) .
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(A~) (City) (State)
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(Zip Code)
have beeJ OOn!nlctM to ptrfoJm ~~ installation work fw: ~,,~""'" ~~~~
(Nwne 0 co tt))
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(Addres& wberc wtltk wiD be pedoJmed)
Tht: nature ofQle work consists of: {(."bed One or Describe the NIJtUre ofWorlc)
at the tbUowing addre$5; ~
---'
::i:- ~tio.n or .new circuit for l'8placcmenl HeatinS Plant attd/<< Ale Condenser.
__ Reomn~n or new circuit for replacement nleetric Water Heater OK power 'liented
water .huler.
_ Reoonnection of the Service EnttMce Cable. Meter Box. alterati<ms to reoeptaclcs
amI lighting fixtures due to siding I soffit installatioIL Note; New Service
Entrance Cables will toq1lUc a separate permit.
Rcconnection or new circtlit for the repl~t cf other pe:rman$nfly'wired
appliances { fixtures.
New cU-a1it for the aOdition of NC to an indtvidual dwelling 1J1fit (bowie or the
individual S}'S'terns in It duplex Qr eoodomininm)~ including required service
elec.tri.e9l outlets.
~ Othe.r
The vlllue of this ~o~ is $ / ~
I hereby verify thi) work will be performed :Jyan employee of this cOTlipanyand further verify
the reconneCliolll installation will be done in compliance with rnannfacrurer and E!edrjc rode
requirelll ~nK
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! (Si ure ofO:m1pany Officer)
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veFeIJ1 / V(t,d/f 11. ;'J
(Print am.e ofOffieer}
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t5'- /). :0(
(Date)
$102