HomeMy WebLinkAbout0126606-HVAC (furnace & a/c)
G
OSHKOSH
ON THE WATER
Job Address 1212 GOSS CT
Contractor WESLEY HEATING & COOLING INC
CITY OF OSHKOSH
No
126606
HV AC PERMIT - APPLICATION AND RECORD
Owner THOMAS S WilLIAMS
Create Date 09/05/2007
Fuel
~ Gas
UOil
Category 502 ~ Residential-Both
U Electric ~
Plan
U Solar
U Solid
System rr New 0 Replace 0 Other
~orced Air U Radiant []Stearn-I ~~NC ~ U V_El~__J
O}lectric U~~G illUEEI:~~___J U ~()_rl:Burne!J
Chimney Type U_Chimney A -UQ~~~_:~__._J2!rect V~rlt___-==____OJ,!l:)!Applicabl~~
Heat loss ITI\~f.pprov~d~___.~~l~ir!L_._-:===-==DJioI~i:>Pii~~~~__=:-_=:J Value __... _~____
BTU Rate al~~:PerPfaii--- -.D_'{~~~___~___._Q!I:leL.__.:==--===:J Value ______________
UselNature ~FRTRepTace furnace and aIel EIV provided by Kollman-Reilley Electric.-------
of Work I
1-
Fees: Valuation
Issued By:
$10,941.00
~
Plan Approval
$0.00
Permit Fee Paid ______!:!70.00
Date 09/05/2007
o Permit Voided I
Parcelld # 1201660000
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 IN
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.
.~~ ~ \"l.~.~
City of Oshkosh
Division of Inspection Services
P.O. Box 1 130
Oshkosh. WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-50&4
~
OfHKOiR
ON TH~ \,,^T~R
HVAC PERMIT APPUCATrON
All information after bold categories must be provided.
Incomplete applications win 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 with on! permit(s) will result in fees being doubled or $100.00 plus tbe
normal permIt fee, which ever is greater.
OR
If yOU are a contractor oarticipatinf! in the Permit fee Account Sl'.stem and have adequate funds. check here
if yOU want this processed through your account n
DATE ~~ \ \""\\ (~
JOBADDRESS \0\& e"'i\~~ ~~
OWNER\~ \ ~--:'-~'\.,,~~,
CONTRACTOR '\.~, ~ ~""....,~ "' C'~ U,.~
CHECK f!I ALL APPLICABLE ~.
USE CATEGORY
~ingle Family ODuplex OMulti-Family
ORental
OCommerciaf
OIndustrial
FUEL
)QOas
DOil
OElectric DSolid
OSolar
SYSTEM
ONew
DOther
tm.B.epJace
TYPE
tlforced Air ORadiant DSteam ~fC OVent DElectric DHot Water OSuppt. OCon. Burner
IS CHIMNEY BEING UNED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per the BTU'5 being vented.
CHIMNEY TYPE
REA T LOSS
BTU RATE
OChimney A
OAs Approved
OAs Per Plan
OCbimnev B
~Existing
DVariable
MDirect Vent Oather
DNot Applicable
OtOther Value
DESCRIPTION OF ALL WORl< BEING DONE
~
VALUE 'Including hltor and P1ateri_':;) $ \'('\ ,C\.t\\. N...J
,
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ELECTRICAL CONTRACTOR
[' For applicable projects, an Electric Installation Verification fon: s
attached. [fnol attached or not applicable, a separate Electrical Perml
lP
Li~D
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V:~e:~i~~RtECE1V
SEP 5 Z007
DEPART\V\ENT Otp/~~T
COMMUNITY DEVELOPIVli
INSPECTION SERVICES DIVISION
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Tbe V8.lu~otthiswortjs.S &lSlJ-
1 hereby 1TCtity th!J writ will be perfOnned :, y an c:mplo:y= ofthisccnliPlI1yand funner verily
fb~ rccormec.tiQu li~ wlfl'be done iD~wi1h mannfactvRrmd.B.ltaric COde
requicerne.nlS_
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tPrint ofOflitm')
rr- ...31-07
REC
SEP 5 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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