HomeMy WebLinkAbout0127163-HVAC (furnaces)
e
OSHKOSH
ON THE WATER
Job Address 639 CENTRAL ST
CITY OF OSHKOSH
No
127163
HVAC PERMIT -APPLICATION AND RECORD
Owner ROSALIE L SMITH
Create Date 10/04/2007
Contractor WESLEY HEATING & COOLING INC
Fuel l!:J Gas UOil
System D New
l!:J Forced Air U Radiant
U Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss D As Approved () Existing
BTU Rate () As Per Plan . Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
() Not Applicable
. Not Applicable
() Other
Value
Value
Use/Nature iSFR / Replace furnace and install 2nd furnace. EIV provided by Kollman-Reilley Electric.
of Work i ,
Fees: Valuation
$7,050,00
fknvo
Plan Approval
$0.00
Permit Fee Paid
$116,50
Issued By:
Date 10/09/2007
o Permit Voided I
Parcel Id # 0704480000
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 (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.
~~-~
.. \\~.~
City of Oshkosh
Division ofInspection SelVices
P.O. Box 1130
Oshkosh, VVI54903-1130
Phone (920) 236-5050
Fax (920) 236~5084
~
OJI-KOfH
ON THE \'If^Ti'lI
HVAC PERMIT APPLICATION
All infonnation 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 SelVices, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(s) wiII result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
{(VOIl are a contractor oarticiv.ating in the Permit fee Account Svstem and have adequate funds. check here
if you wanllhis processed throu$!.h your account n
DATE ct- \~~\.--
JOB ADDRESS \ S\c<4. C' ~'""-~ ~ .
OWNER .~~~~ ~~~
CONTRAcroR\ L-' ......~ ~~ ~ i:~'~
CHECK iii' ALL APPLICABLE
USE CATEGORY
't(Single Family DDuplex DMulti-Family
DRental
OCommercial
OIndustrial
FUEL
~..Gas
DOil
OElectric DSolid
OSolar
SYSTEM
ONew
DOther
~eplace
TYPE
'(Forced Air ORadiant DSteam DAlC o Vent OElectric DHot Water OSuppl. DCon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE & MANUFACTURER
Note: All chimneys shall be sized per tile BTU's being vented.
CHIMNEY TYPE
HEAT LOSS
BTU RATE
DChimney A
DAs Approved
OAs Per Plan
OChimney B
~xisting
OVariable
1)ll.Direct Vent OOther
DNot Applicable
)lOther V
&
DESCRIPTION OF ALL WORK BEING DONE
OCT 0 4 2007
VALUE 'Including lalnr and materi." ;) L-2j~2 _5_:0. 0_ C)
Utt)i;.~'{! ~1/1L:!\j! C)l-
Cm!i~vlUf\JITY DEVELOPfvlENT
!~ISPECnOi\l SERVICES DIVISIOr'~
ELECTRICAL CONTRACTOR
C For applicable projects, an Electric InstaIlation Verification form, sig by the Electrical Contractor, must be
attached. Ifnot attached or not applicable, a separate Electrical Permit is required.
/I \~
\ 1 10/1>4
..I,. UI U.,. ,u~ t .&.\,1". -,"U ..1""11;"I'" r w' JU..J
....... ." ~'-'U J _'-.LV L.,L.:\..JI
.~ ~""'I'W'"
lJ',...J-"'-~{ \7l::~~ t-KLM~1oEELE'I" rEATINi (920) 23'5-6951
-......,. __"".. ~._.. - ......4........ ..... .............._..
TO: t9Z027.37965
P.l
0&
Olr.......
....,.............
!UCIIII6"-
ro... ,..
OMoIostIWI ~"tW
GlIIIr ~...
,. ,....
EJedlfc JJuraJIadou Vertficad.
I (We) J.....'" \. ".....,: ........~.\ "',~~. h........~.. ,
cmecabI~N..) { -
\\C)"'L)...'"....~_~ ~":J...,,~~~... '--~t ~ \.~'-. ~
(A&Iresa) P1> fSt*) (.Zip Code)
,....,.... --.......-................... wa'lF;1br\=~~~
IUhUoUotriDSlIkfmsc: \ an~ ~ q ~ ~ '.:J ~ _~.
(Addles wlIf&MlIt dl>>cpcdlnaat)
net ftImIeottbc-.t:caasisIs of (a.a ODeOS' DIIcri.be tbeNllmofWGrt)
(a~
~ ~ oraewcin:uitiwNliW__HaliqPbtLto4ltJ6 AIC C-'...
- ~or..,t:Bwi1 Car~~ WI&a'Bcatccmpo1lClIaIICd.
__Hat..
- ~ oflkeSc:rviQlamm.ceClbJc.M8ta' _. -m.uIO~i1d.
ad ~~due.BIiu,/.coBhhmaQ_an. Nxc: Ncw8ervice
EotrllCe CabI. wiD tCIqUft, SI:;Pmfopamit.
--- ~--UflWei8:uilfortb~ofGd1er~'Wim1
.appJimoa f fixturs.
- Newcireait 1Orf1.~ofNCto.~ltlwlllllgJDfi] (boule 0I'U)t
iodiWIuaIlJ'IfIIlIS ill.,... -candamiJri1DD).. ~~1ICrVicc
eJedricaJ outlets.
_ Odll!t
ne vahteotlbis -n is S itiJ 0'
r J..1 J,.
I h8!bYverify thhwarkwin be PCr(OilD'.'lEy In emplo~oftbile<<..pmylltad fiJrIl'Kw wrify
tbe~ioQ I iDsIaUJtion wiD be ~ in ~wifh lmUUIl2tmer and.&kdric eo4e
t'eqWRJJJCftt$.
~ :..
/C::~
1L~
...
~~i{.l4WL
(Print ..ram...)
b-(~?
(D-Ie)
-