HomeMy WebLinkAbout0127164-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1013 EVANS ST
CITY OF OSHKOSH
No
127164
HVAC PERMIT -APPLICATION AND RECORD
Owner ROBERT O/ROSE M MEHNE
Create Date 10/04/2007
Contractor WESLEY HEATING & COOLING INC
Fuel I,(J Gas UOil
System o New
~ Forced Air U Radiant
U Electric I J Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss K:") As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
I I Solar J Solid
o Other
U AlC U Vent
I J Con. Burner
() Not Applicable
J Electric
o Replace
U Steam
I J Suppl.
. Direct Vent
C) Not Applicable
. Other
Value
Value
75,000
Use/Nature ,SFR / Replace furnace. Install 4" chimney liner. EIV provided by Kollman-Reilley Electric.
of Work
Fees: Valuation
$2,653.00 Plan Approval
~
$0.00
Permit Fee Paid
$50.50
Issued By:
Date 10/09/2007
o Permit Voided i
Parcel Id # 1108480000
In the performance of this work, I agree to perform all work pursuant to rules goveming 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.
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City of Oshkosh
Division oflnspeaioo Scrvic:u
P.O. BOle 1130
Oshkosh. WI 549&3-1 130
Phone. (920) 2l....SOS0
Pax (920) 236-5084
~
CJSQ{R
HVAC PERMIT APPLICATION
All inronnation after bold categories musl be provided.
Incomplete applications wi" not be processed.
. Application(s) and fee(s) can be brought 10 City Hall. Room 20j or mailed to Inspection Senrices, PO Box J 123,
Oshkosh WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
DATE ~ 'l~\.o -(:)~
JOB ADDRESS \~\~ rc~\\O..~ ~-
. OWNER ~~ \\J,.. ~ ~~
CONTRAcrOR\.~-~_ ~~'(~~~...~ ~ <>>'~~~~
CHECK ItS ALL APPLICABLE
USE CATEGORY
l!tSingle Family DDuplex DMuJti-family
ORental
OCommercial
Dlndustrlai
FUEL
nloas
DOit
ClElectric DSolid
DSOlar
SYSTEM
ONew
OOtller
tIlReplace
TYPE
iQ,fOrced Air ORadiant OSteam DAle OVent OElectric OHot Water OSuppl. Deoa Burner
IS CHIMNEY BEING LINEDONo!iiyes -I.,INERSIZE'4 "J..:\...~ & MANUFACTUR.ER.
Note: AU chimneys shall be sized per lhe RTO's being vented.
CHIMNEY TYPE DCbimney A OChimney B \t!Oirecl Vent DOlher
REA T LOSS OAs Approved ~xisting ONot Applicable
BTO RATE OAs Per Plan OVariabh: .Other Value,,\~. NT"
OCT 04 2007
DESCRlYrION OF ALL WORK agING DONE
V AWE lndudiog lalur and maten." i) L8~5~ .'q ,
DEPl\RT~V[ENT OF
COf'4f,r;UNITY
I NSPECTI 0 !\l<SER VI CES
.
El.ECTRTCAL CONTRACTOR
C F<< apptieable projects. an Electric InstaUation VeriflQ'ltion form, ed by the Electrical COI1lTactor, must be
attaebed. If not attached or not applicllble. 8 separate Electrical remlit is required.
\~~
\ d-.1 1.0104
139/28/28137 13&:31
92132737%5
K-R ELECTRIC LLC
TO: 19202737'~
PAGE 131/81
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hn.VQbecn~tq'ed"otaa~-.u.oawoik_~~~~~
at tilt "1IoWin& addra&I; -:i ~~\~ t ."'\\. ~_
(AddreA whn WOlkwiD be prd.Jnm:d)
Ths JRJ.bReoffhc'flVlk"'ts of (Check ~ Of Deac:oribe Ihe NaiDnI .rWeB)
L-ol_ ~ or I>>W cilaIi1 ibrnplacf.aulrt Hatin.B Plaut IftdIoT Ale CoJ:Id8Dsc::r.
--....-.. ~ or l$.e'W ~t lilt ~_Blectrle w_ HalcrmpoWiCl' ~
water hu1et.
_ ~orlhe Semee mttaneeCtbJe. Me.StD, aIteratious to~
aDd Jigttting ~ due to siding I soflit iDltaf1a1i.cn Note: New ~ .
Enwnce Cables. win requite a sepat'MC permit
_ 'RecortneeUcm ot DeW circuit for the 1q'18CCBl6ft1 of other permanatly'wire4
appliances I fixmra..
_ New cimJit fOr !be .dditiott of A1C to BD iNJi'IiduDl dw.ttlIIlJg II1Jtt (houJe or the
individual i)'8femJ :in a dqplex. or coodomiDium). ilmludiogn:quired servit:e
electrical outlets.
__ Other
The. value of this work: is s:
A ~~
~,
1 hereh)fverify ahi: WOJk win b~ performed '.y an employee of this t".Olupmy and funnel" verify
the r<<oJnl<:ction ! illSWlation win be dcme in compliance 'With miiMo.cturer ami Elecuic code
requlmnerds_
,
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(Print Name- Ctromaet)
Q-?-7r07
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(Dale)
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