HomeMy WebLinkAbout0126803-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1702 OAK ST
CITY OF OSHKOSH
No
126803
HV AC PERMIT - APPLICATION AND RECORD
Owner DOROTHY R LAST
Create Date 09/17/2007
Contractor WESLEY HEATING & COOLING INC
Category 500 - Residential-Heating & Ventilating
Plan
Fuel ~ Gas U Oil ~Electric _~-=:J U Solar [JS01Id-~~
System D-New [7J Repla.~~______~~ 0 Other I
~ced Air U Radiant I U Ste~~_~_:=J U AlC __~ U Ve~~__ 1
D_~--=:J O~~-,"-_J U~uppT.=~~=~ ITCon~ Bur~~!J
Chimney Type a-Chimney A ~~imn_~ ___ - =_ DirectyenC=- -~ =D){of!~pE!icabl~_ ==
Heat Loss ~APPrOVecr----------=]I~-==~=::===:II:~Ql:~epi~~Ie::--====---:-J Value -------
BTU Rate ITAs Per Plan_---------O Variable________Jl_Olh_~~==~==_==:=] Value ______
UselNature ['SFR / Replace furnace. EIV provided by Kollman~-ReilleyElectric:----------
of Work
--j
,
I
_______J
Issued By:
$3,189.00
~/J
Plan Approval
$0.00
Permit Fee Paid
$58.00
Fees: Valuation
Date 09/17/2007
o Permit Voided i
Parcelld # 1510490000
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.
~~~
'&:)<c,.e:i::::>
en)' of Oshkosh
Division of Inspection Services
P.O. Box. 1130
Oshkosh, WI 54903-1130
Phone (920) 236-5050
Fax (920) 236-5084
~
O-!t!QlH
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomplete applications will 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 without permit(s) will result in fees being doubled or $.100.00 plus the
normal permit fee, which ever is greater.
OR
l(you are a contractar oarficivatinf! in (he Permit fee Account Si'sfem and have adequate funds. check here
if VOlt want this processed IhrouJ!h your account n
DATE ex - \D ~. (:)~
OReolal
o Commercia I
Olndustrial
FUEL
l4.Gas
DOil
OElectric OSolid
DSolar
SYSTEM
ONew
aOther
~eplace
TYPE
'4Forced Air ORadiant DSteam DAIC OVent OElectrrc OHot Water DSuppl. DCon. Burner
IS CHIMNEY BEING LINED atNo DYes . LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RA TE
OChimney A
DAs Approved
DAs Per Plan
OChimney B
tB.Existing
OVariable
~Direct Vent OOther
DNot Applicable
11Jpther Value
DESCRIPTION OF ALL WORK BEING DONE
ELECTRICAL CONTRACTOR
C For applicable projects, an Electric Installation Verification form, sign
attached. If not attached or not applicable, a separate Electrical Permit'
......
VALUE 'Including labur and matcri.~ ~ ;) $
,of} :8
SEP 1 7 2007 / :A!ll~/o4
DEP/\RTfvJENT OF
COf\'lMUI\!ITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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SEP-12~EOO7 ~= 29 FID1=~Y ~!~~ ~., _.... ~~~n 235-6951
.- ..._'l< "'0lIl..... III ........
TO; 19C32:-m%S
PAGE 02/02
P.E
09/13/2007 16:47
9202737965
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The natm:eortB wodr tGDIists of (Qeck One Ok Desc'lbe 1he N.It1tte ofW-)
~ ~ or .uewdlWilibr ..1aCtmfd H_tin.BPJautJ'tJdlot AJC CoadeDscr.
_ ~or lleIWcirc:atil fot Hpt~_ Blectric: WMt:.r Heataror powt:%vcnted
water huts.
___ l\et:onoection of !be Serviee RntraQce c.~ Met<< Box. altewatiou torooepfactea
ad lighting Iix1umJ due to siding i_flit imtaUatioa. Nob!: Now S<<vice
Bnt:rance Cables wril1 require a sepamIe.pamit
_ R.ecormectimJ Ol'tIeW oircuit for th~ ~ ofodlet~.wired
..pplimces ( fixtUres.
_ N(lW Walit fbr Ibt addition of IVC to aD ~ dwelIiag iIJII't (IlouIa or the
. fMivJduaJ I)'Ifem$ in a duplex. or r.ondominimn). ineJudinI required service
eIllCIIical outlet$..
...-.- Other
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'I'M valua oftbi! work iK S.... ItrJ
I hereby verify tbi; wodc ~.iU be- penonned ;~"I an employee ofthi4t GOI,lPlGY _ fanh.- YOtify
the ~<lCtion ! i.su1Jation will b' done in c:ornp~e with manofac:um- an4 E1eetm:. code
requiren,t!nls.
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(lIDAOffioeIl
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(Print Name ofOJrlCa")
DEPARTHENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION