HomeMy WebLinkAbout0125338-HVAC (a/c)
e
OSHKOSH
ON THE WATER
Job Address 1825 MARQUETTE AVE
CITY OF OSHKOSH
No
125338
HVAC PERMIT -APPLICATION AND RECORD
Owner CHARLES/DEBORAH L FOX JR
Create Date 06/14/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System D New
U Forced Air U Radiant
U Electric U Hot Water
Chimney Type U Chimney A () Chimney B
Heat Loss r) As Approved . Existing
BTU Rate K:) As Per Plan () Variable
Category 501 - Residential-Air Conditioning
Plan
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
() Not Applicable
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
() Not Applicable
. Other
Value
Value.._,
Use/Nature SFR / Replace a/c. EIV provided by Kollman-Reilly Electric.
of Work
Fees: Valuation
$3,564.00
flm,vo
Plan Approval
$0.00
Permit Fee Paid
$64.00
Issued By:
Date 06/14/2007
D Permit Voided I
Parcelld # 1229500000
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.
ry~~~ 3:l~~.~
I
J
11
d
I;
!'
f.;
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 infomlation after bold categories must be provided.
Incomplete applications \vill 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 being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
ffvoll are a contractor oarticipating in the Permit fee Account Svstem and have adequate funds. check here
if you want this orocessed throuf!h your account n
DATE U - '\. -\::)'\
JOB ADDRESS \~~ ~~yul?~ ~{C,
OWNER ~ \-\kR\. ~ ~ 1)'E-~\\. --=R-sf--.
CONTRACTOR~~6'.I \;\Pl~\\~ ~ ~~"l
\
CHECK It! ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family
DRental
DCommercial
Dlndustrial
FUEL
"l(Gas
DOil
DElectric DSolid
DSolar
SYSTEM
DNew
DOther
[lReplace
TYPE
DForced Air DRadiant DSteam ~A/C DVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~No DYes - LINER SIZE
Note: All chimneys shall be sized pe~the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE DChimney A DChimncy B ~Direct Vent DOther
HEA T LOSS DAs Approved~Existing DNot Applicable
BTU Ri\. TE DAs Per Plan DVariable t;(?ther Value f~. ~Cj
DESCRIPTION 0 F A,LL WORK BEING DONE ~ ~\;>.." "'- - ,~ 'l '- ~ ~"'0, ~ ~ ~,
C\ \. ''\...'' ~ ~ "'~'----'. '"",,-Q..:."-. '~ .. -
~~
'?J
\ !;..LUElncluding labor anl~ ;lIateri ;) S ()"(j.. \)~ ~ ~"f .?-0
ELECTRICAL CONTRACTOR'~ "'\\'~\\~...S>..~ \..~M, t' \,,~~~~'/ ~ ':'
:-= For applicable projects, an Electric Installation Verification f<snn',\$ignecl by the Electrical Contractor, mllst be
attached. Ifnot attached or not applicable. a separate Electrical 'Per-Mit is required.
10
05/11/2007 15:53
'3202731'%5
K-R ELECIRIC LLC
t-'A'-.t. tll! I::IL
. FROM~I<ESt...EY HEATING (920) 235'-6951
JUN-ll-~~ ~.1;"lP'" l'Lf"M !f:~~H:l!~!1 H['llctS
...... ...Ir 'W'ol:"'~ '.
10:19202737965 P.E
T1\). 11)"; I r. ,;;
s
Cilr.r~
~1It'~~
215 CJadI A_
l'Q Ic& IlJO
()4IlM'I 'WI $41fj.ll3O
0ISet ~U-fO$ll
t'U~
ElectrIc Instanation Verification
1 (We) ~\" ~ .::"\;;?;, \ \ '~~t}..~~...,..~ "'-.J
(Blectrical Contmctor N .
\\,,~ \l~~~l:h~ l\\ ~~~ ') t'-i, ~~':\
(Address) (City) . (State) (Zip Code)
hove bora OOItI<IICIedtopedlmn_ m.talJatjcn wu& lOC\~~ .~~~~~
(N11D1e 0 fo) \....J
\~ \. =k~~'.~ ~
(Address --' will be petfonned)
The natute of the work comists of {Check OM or Describe 1he Natn of Work}
at the:€OUowid ad--
g w__
...A R.l:conncdion or ne'W ciIwit for repl.acement Heating Plaut lU1dIor AIC CondenIer.
~ Reco~oa Qr new circuit for replacement E1ect:ric W 8tet Heater or poViCC vent;ed
water heater.
Reoonnection of the Service EntrMJce Cable. Meter Boxt a1tera.tiOn,,'i to receptacles
and lighting fixtures due. to siding I soffit ~n. NQte~ New Service
Entnmce. Cables will nlqUlre .a sepanne pennit
Re<:onnectiOh or new circuit for the :replacemtnt of other pcnn:mently'witcd
applianas I fixtures.
_ New circuit for the addition of NC to an individual dwelling unit (hou&& or the
individual S)'Stems in a duplex or condominium). including required service
electrica'll outlets.
_ Other
QGJ
The value of this work is $ /(;[J
1 hereby 'Jcrify th.!... work win be performed ~y all employee of this COlupany and further verify
the TCC0r4"1ectiol1 ! installation wHl be done in compliance w:tb manufacturer and Electuc code
requirements"
~~..
(Si MUl'e of ComPAnY Officer)
.
~,
\p
~.
~e#7Y j;4,qq~
~Name of Officer)
{:"//...tl7
(Date)
$101