HomeMy WebLinkAbout2007-HVAC (furance & a/c)
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OSHKOSH
ON THE WATER
Job Address 2857 RUSCHFIELD DR
CITY OF OSHKOSH
No
125340
HVAC PERMIT -APPLICATION AND RECORD
Owner HAROLD J/LAURA J GOEKING
Create Date 06/14/2007
Category 502 - Residential-Both
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
Plan
Contractor WESLEY HEATING & COOLING INC
Fuel 1.....1 Gas UOil
System D New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type r) Chimney A () Chimney B
Heat Loss () As Approved . Existing
BTU Rate () As Per Plan () Variable
U Solar U Solid
D Other
~ AlC U Vent
U Con. Burner
o Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR / Replace furnace & a/c. EIV provided by Kollman-Reilly Electric.
of Work
Fees: Valuation
$7,313.00
~
Plan Approval
$0.00
Permit Fee Paid
$121.00
Issued By:
Date 06/14/2007
D Permit Voided I
Parcel Id # 1340730000
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
AgenUOwner
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 ifthe 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 54903-1 130
Phone (920) 236-5050
Fax (920) 236-5084
~
OfHKOfH
ON THE \'lATER
HV AC PERMIT APPLICATION
All infom1ation after bold categories must be provided.
Incomplete applications will not be processed.
· Application(s) and feees) 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
Ifvoll are a contractor participatinf!: in the Permit fee Account Svstem and have adequate funds. check here
if you want this processed throu)!h your account n
DATE \.0 - \\ -(:)"1
JOB ADDRESS ~~ '\ '\<~~~ "- ~ ~ ~.
OWNER L ~ ~ '-""-C'-..., t){ ~ ~I...~~ ,
CONTRACTOR '-D, ~ ~, , ~ ~h:'n~C;; ~''''~
CHECK 0 ALL APPLICABLE
USE CATEGORY
~Single Family DDuplex DMulti-Family DRental DCommercia[ Dlndustrial
FUEL ~Gas DElectric DSolid SYSTEM DNew 1ltReplace
DOil DSolar DOther
TYPE
'~orced Air o Radiant OSteam 'tJ...A/C OVent DElectric DHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & \1ANUFACTURER
Note: All chimneys shall be sized per the BTU's being vented.
CHIMNEY TYPE DChimney A DChimney B ~[)irect Vent DOther
HEAT LOSS OAs Approved ~:\isting DNot Applic?ole
BTU RATE DAs Per Plan DVariable ~ther Valli':
DESCRIPTION OF ALL WORK BEI~G ~Ol\a~-~ '\~~~~~.~ -' ,5 1''- ~ \ ','C-~>'''-
t~ <L'""- ~--=.)c..~ " C\.,-;:,,,--\' C ~,,\-b. \..., S:. C\,.\....\. C. ,-.'r"c\. "-"'\.'- ,-~'y--~'\ -..... ~
vtD
/0
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VALUE kJuding labor and ntat~ri.
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ELECTRICAL CONTRACTOR _,' .~ '" ,\ ~
[: For applicable projects, an Electri,' Installation Verification form. signld y the Electrical Contractor, must be
attached lfnot attached or not app!!cable, a separate Electrical PelT, it is required.
10/
05/11/2007 15:53
9202737%5
K-R ELECTRIC LLC
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- 1-2007 02:14 FROI1:WESLEY HERTING (920) 235-6951
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Electric Installation VeriOtadon
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(Address) (City) (State) (Zip COOe)
hA.. heon _04 loprimnolootriciostallalion WDIk 1i>rV:.~~ . ~"'~~~
(NlI1nC of contract ~
81thefoUowifiglddnK ~~~~..~'r.."-~..."" \.\ h") .
(Address wb~win be perfonned)
The nature oftbc wOIt OODSists of: (Cheek One or Dcscxibe the Nature ofWorlc)
~ R-econnc:ction or- new circuil for replacement Heating Plant lUNVor NC Condenser.
_ ~ or new circuit for replacement li1eetric Water Heater OJ' power vt;:tJted
water .beatec.
Reconnection of the Service ErltrAtJce Cable. Meter Box I aJteratiOli:J to receptacles
and lighting fixtures due to siding I soffit ~n. NQte: New Service
Bntrwloe Cable$ win r.equirc A separnle permit
Reconnectiott or new cirouit for the nlpJacem.Cftt of other permanently 'wired
lipplianus I fixtures.
New circuit fur th8 ~ddition of Ale to an u.dividual dwelling wit (house or tho
individU3l systems in a duplex or eondominium).. including required service
electrical outlets_
Other
The vahle of this work is s:9Lz7 .;.</
J hereby verify thi; wQrk will be performed :.y illi employee of this corupiD)i and further verify
the reconnect ion ! iastaUation wiH b~ done: in (",.6mplianee with manufact~' and Eleehic code
requirements.
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~i1ty J~~Q~~'
(Print Name ofOfiicer)
c;:- 1/;07
(Date)
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