HomeMy WebLinkAbout0125802-HVAC (a/c)
to
OSHKOSH
ON THE WATER
Job Address 816 W GRUENWALD AVE
CITY OF OSHKOSH
No
125802
HV AC PERMIT - APPLICATION AND RECORD
Owner CHRISTINE M STEINIKE
Create Date 07/16/2007
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 U Chimney B
Heat Loss () As Approved . Existing
BTU Rate () As Per Plan o Variable
Category 501 - Residential-Air Conditioning
Plan
U Solar
U Solid
D Other
U Vent
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
~ AlC
U Con. Burner
C) Not Applicable
() Not Applicable
. Other
Value
Value
Use/Nature SFR / replace central air unit. EIV provided by Kollman-Reilley Electric.
of Work
Fees: Valuation
$3,431.00
Plan Approval
$0.00
Permit Fee Paid
$62.50
Date 07/16/2007
Issued By:
~
D Permit Voided I
Parcelld # 1220440000
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 (Le. 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.
~L-13-2007 14'32 FROM'WESLEY HEATING
City of Oshkosh
Division ofInspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (920) 236-5050
Fax (920) 236-5084
9204680645
(~
OJHKOJH
ON THE WATER
TO: 19202365084
P.1
HV AC PERMIT APPLICATION
All infom,ation after bold categories must be provided.
Incomplete applications will not be processed.
. Application(s) and feces) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commenc.ing work without permit(s) will result in fees being doubled or $1 00.00 plus the
normal permit fee, which ever is greater.
OR
[(vou are a con/roc/or porticipa/inf! in /he Permit fee Acco/ln/ System and have adeQuate funds. check here
i(vou want this fJrocessed through your account n
DA TE '--C) - ~~ - \:)~.
o RentaI
OCommercial
OIndustrial
FUEL
5(Gas
oOil
DElectric DSolid
DSolar
SYSTEM
oNew
oOther
rBReplace
TYPE
DForced Air oRadiant OSteam ~A/C oVent DElectric DHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& M^NUFACTURER
CHIMNEY TYPE
HEA T LOSS
BTU RATE
OChimney A
DAs Approved
OAs Per Plan
OChimney B
Jt!::xisting
OVariable
WDirect Vent DOther
DNot Applicable
~Other Value
~.
DESCRIPTION OF ALL WORK BEING DONE
VALUE "Including labor and mated.I;;) $ ~ ('(")
,
"" ~
ELECTRICAL CONTRACTOR
o For applicable projects, an Electric Installation Verification fOfm, si' e by the Electrical Contractor. mllst he
altached. I f not attached or not applicable, a separate Electrical Permit is quired.
"'''-0
u,2~50
lO/QQ
, .~ .., " '\
-. -- ,"","
FROM:WESLEY HERTING 920468d645
!:L!~M :~S~ttt!On Slr~\Ce~
TO: 19202365084 P.2
IiU. u1.,,.-t'I I. II I
JUL-13-2007 14:
<~l--;\;";
<~
~
~
~CJH'
, W^\Ltt
City Q'~l!koIII '
Divisiorl orr~ SCrviO!s
21~ aNn:IlA_ . .,", ..
ro Boll 1130 '
o.l>kasll WI S4m-ll30
ollie. ",o.3~"SOj(l
Fu IlZO-U6-SOU
Electric Installation Verifieation
I (We)
~m~~~t~~~)
(E~ectricalContractor Name) . .
\\tl\-~~-,}...~~~ ~ ~A.u.\~~ J L~"i~
(Address)' (City) (State)
G~~~
(Zip Code)
have been conlracted to ped'onn electric ins1allation work fur h). ~~~~ ~~
(Name of contract t ~
at the following address: ~ \ ls,) \ i"'\ C'~~ \. \. Cl ~ \ 'l... "'- ~ ~ ,
(Address where work will be perfonned)
The nature o/the work consists of: (Check One or Describe the Nature of Work)
Reconnection C1C new circuit for replacement Heating Plant and/or Ale Condenser.
Reconnection or new circuit for replacement Electric Water Heater or power vented
water heater.
Reconnection of the Sen~ce Entrance Ca.ble. Meter Box, alterations to receptacles
and lighting fixtures due to siding I soffit installation. Note: New Sexvice
Entrance Cables will require a separate pennit.
Reconnection or new circuit for the replacement of other permanently"wired
appliances I fixrures.
New circuit for the addition of NC to an individual dwelling unit (house or the
individual systems in a duplex or condominium), including required service
electrica.loutlets.
Other
The value of this work is $
I hereby verify thi ~ work will be perfonned ~y an employee oftms company and further verify
the rcconnection ! installation will be done in compliance with manufacturer and Elechic code
requirements.
........
,
..,
...,...
\,...
(Signature of Company Officer)
(print Name of Officer)
(Date)
5102