HomeMy WebLinkAbout0126804-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 834 ANCHORAGE CT
CITY OF OSHKOSH
No
126804
HV AC PERMIT - APPLICATION AND RECORD
Owner CHARLES/CARLA PERRY
Create Date 09/17/2007
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Fuel
~
Category 500_~_ Residenti,!_~Heat~ Ventilating
ITElectric___~
L~L~~~__________--.J
U Steam-.:=]
U Suppl. _=-=:J
Plan
Contractor WESLEY HEATING & COOLING INC
Heat Loss
~ Gas U Oil
o New
RjForced Air U Radiant
LLElectric U Hot Water
ITC;;!1imney A llibimney B
ITAs Approved . Existing
IT,I\.sJ:~i?Ja~__.-O_ Variable
Oolar
U so]icr-:=___J
QgJ~~r___________j
[]7VC-----1 D-Verit---.=J
I
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System
US~n~ Burnei]
Chimney Type
~tveni-----.OJ:!ot Applicable
_~____~Not Applicabi"e----:.J _
___~._9_lJ:1~______~_~::J
Value
BTU Rate
Value
Use/Nature ISFR / RepTace furnace. EIV provided by Kollman-Reilley Electrlc:-
of Work I
-... -.-.------------- .-------_.,_.._~..._. --
j
I
i
I
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Fees: Valuation
$3,960.00
-U/ht-::J
Plan Approval
$0.00
Permit Fee Paid
$70.00
Date 09/17/2007
Issued By:
o Permit VoidedJ
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Parcelld # 1519670000
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
OSHKOSH
WI 54901 - 0
Telephone Number 920-235-6951
Address
3220 BASLER LN
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.
..*'~ ",,\C).~
City orOshkosn
Division oflnspection Services
P.O. Box 1130
Oshkosh, WI 54903.1130
Phone (nO) 236-5050
Fax (no) 236.5084
(t)
OfHKOfH
ON THE W^Tal
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications win not be processed.
. AppIication(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 resull in fees being doubled or $ I 00.00 plus the
normal permit fee, which ever is greater.
OR
if vou are a contractor particifJoting in the Permit fee Account $vstem and have adequate funds. check here
if vou want this Drocessed throulth your account n
DATE C\ - \D -D:1
JOB ADDRESS ce,~ ~~ ~ ~~. ~
~=~O~~:;~~:~% ~~c~~<s
CHECK 21 ALL APPLICABLE
USE CATEGORY
'~ingle Family DDuplex DMlllti-Family
OReota]
OCommercial
Olndustrial
FUEL
ltlQas
DOil
OElectric OSoIid
OSolar
SYSTEM
ONew
Oather
o(Repla\;e
TYPE
1J.Forced Air o Radiant DSteam ONC OVent DElectric OHot 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 OChimney A OChimney B g(Direct Vent OOther
REA T LOSS OAs Approved _xisting DNot Applicable
BTU RATE OAs Per Plan OVariable OOQther Value
DESCRIPTION OF ALL WORK BEING DONE~~.... ~5l.. ~ ~ "l; "'" ~ =er....o ~'<I.IU.....
V ALU['(ncltlding labor and mater!. ';) $ ~Cj2:)[~ d
ELECTRICALCONTRXCTOR ..".. 1 /1/; [J07.
D For applicable projects, an Electric Installation Verification fomt, signed by the Electrical contr3,O, t
attached. If nol attached or not applicable. a separate Electrical Permit is reqR , V
SEP 1 7 2007
10/04
DEPART!V1ENT ?F
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DlVISION
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C9B3) 235-6951
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The 1fI111e ott'bil '4WII'k i5 J l{l) ~ .
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I hem,. vcrily1hil MJZk will be perfnrmed ~.y lit -.1oF ordJisCOl~_ fimhor Mriiy
the rccormcaion! Iua.Ultion wiD bI: ckJaem COtYQ)Jiance~Ul.....&tturer IUd Bkt.Iric etIcJe
requlren1f:1JJ1..
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SEP 1 7 Z007
DEPARTiV1ENT Of
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION