HomeMy WebLinkAbout0126605-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1285 MARICOPA DR
CITY OF OSHKOSH
No
126605
HV AC PERMIT - APPLICATION AND RECORD
Create Date 09/05/2007
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Owner JAMES J MOLLON
Category 500_- R~~identi~l-!i~'!til19-!!<~~~til~J!~L _ Plan ._.._______u_~_~____.
U_ EI~_C!':i~:~ U~91ar ~-=J o:~~]~r=__:=-=]
0_F3~lace ________--.-J CL<2t':!.~~_~______j
[]Ste-am--i . ]
___~__~~ U AlC U~~__j
~~__= U Con. Burner:
. Direct Vent --flJ'i<>t Applicable
~ Not Applicable =:=J
. Other .-.-J
Value
Contractor WESLEY HEATING & COOLING INC
Fuel ~~~_J U_Oil--.J
System [ll-Jew ~
[![F~G CLRacITarir-i
U~~_J ~t Water l
Chimney Type Ug_~imneY_i\____~____llihimney B
Heat Loss [)AsApprovea-------_=_ Existing
BTU Rate t.1As Per Plan 0 Variable
Value ______ 70,000
U../Na"" r. FR / Replace furnace.
of Work
I
EIV provided by Kollman-Reilley Electric.
I
I
J
Fees: Valuation
$1,289.00
~
Plan Approval
$0.00
Permit Fee Paid
$29.50
Issued By:
Date 09/05/2007
o Permit Voided I
_._._-~~-~
Parcelld # 1312660000
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.
-y~~~&~,,~
City of Oshkosh
Division of Inspection Services
P.O. Box 1130
Oshkosh, WI 54903- 1130
Phone (nO) 236-5050
Fax (920) 236-50&4
CIJ
OfI--l(OJR
Ol'f THE W^TEIf
HVAC PERMIT APPllCA nON
All infonnation after bold categories must be provided.
Incomplete applications will not be processed.
· Applic:ation(s} and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WE 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
If yOU are a con/ractor participating in (he Permit fee Account System and have adequate funds. check here
if YOu want tbis processed tbrouflh ,?our account n
DATE B- An ~""'
JOB ADDRESS 1~~ ~l'ci>b.... ~
OWNER ~"f\. t\.JL~ \. ~
CONTRACTOR \ l.~_~. ~~\l~~ +- l'(){)\. _~
\
CHECK Itf ALL APPLICABLE
USE CATEGORY
~ingle Family ODuplex OMulti-Family
ORental
OCommercial
OIndustrial
FUEL
~as
DOH
OEleelric OSolid
DSolar
SYSTEM
ONew
DOther
~Replace
TYPE
lCtrorced Air ORadiant DSteam DAle OVent OElectric 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.
& MANUFACTURER
CHIMNEY TYPE DChimney A OChimney B _Direct Vent OOther
REA T LOSS DAs Approved JQ1:.xisting ONot Applicable
BTU RATE DAs Per Plan OVariable lllOther Value__~~. ~
DESCRIPTION OF ALL WORK BEINe DONE~~ 1.1! ~ S> , "'- >f.' ~"""~
b~"'q~" ~ J - ---
06
~lQ~
I ~,
"'.
VALUE !nduding labor and mated.' ;) $
....... .
ELECTRICAL CONTRACTOR
n For applicable projects, an Electric InstaHatton Verification form, si
attached. If not attached or not applicable, a separate Electrical Perm it is
SEP 5 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT 10/04
INSPECTION SERVICES DIVISION
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(Prim Name ofOl'ficw)
(DIce)
REC I
SEP 5 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DI\IfSJ()~1