HomeMy WebLinkAbout0127161-HVAC (furnace; a/c)
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OSHKOSH
ON THE WATER
Job Address 2440 HICKORY LN
CITY OF OSHKOSH
No
127161
HVAC PERMIT -APPLICATION AND RECORD
Owner FLORENCE E PETERSEN LIVING TRUST
Create Date 10/04/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U HotWater
Chimney Type K:) Chimney A C) Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate D As Per Plan () Variable
Category 502 - Residential-Both
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent
Plan
U Solar U Solid
o Other
l!:J AlC U Vent
U Con. Burner
D Not Applicable
() Not Applicable
. Other
Value
Value
45,000
Use/Nature ~FR / Replace furnace and central air. EIV provided by Kollman-Reilley Electric.
of Work
Fees: Valuation
$7,344.00
~/J
Plan Approval
$0.00
Permit Fee Paid
$121.00
Date 10/09/2007
Issued By:
o Permit Voided I
Parcelld # 1518676000
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.
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~ \~\ .~
City of Oshtosh
Division of Inspection Services
P.O. Box IDa
()shkoshl~IS4~3-IIJO
Phone (920} 236-5050
Fax (920) 236-5084
~
~QlH
HVAC PERMIT APPLICATION
All intOnnation after bold categories must be provided.
Incomplete applications will not be processed.
· AppJicalion(s) and fee(s) can be brought to City Hall. Room 105 or mailed to Inspection Services. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit(JU \vill result in fees being doupted or $100.00 plus the
normal pennit fee, which ever is greafer.
OR
If y.QU ore It ctmtf'Qcfor Dorticip-uti"" in lite Permit fee Account SlIstem (1m' hove adeljuale funds. cheer.. here
if vou want Ihis on/cessed th'OUflh I101lT accoUnt 0
J?. 'I 'I (J
:::~~~~~~
CONTRACl'OR \.,-" ~ ~"-.....~~ Q<<-J>.~~
CHECK Ii1 ALL APPLICABLE
USE CATEGOR\t
_Single Family DDuplex: OMulti-Family
DATE Q.-C\~-~"1
ORental
DCommercial
Olndustrial
FUEL ~as
OOil
OElectric DSolid
OSolar
SYSTEM
ONew
DOUrer
~Replace
TYPE
\liQforced Air DRadiant OSteam ttNC o Vent OElectric DHot Water OSuppl. OCon. Burner
IS CHIMNEY BEING LINED 18No DYes - LINER SIZE & MANUFACTURER
Note: All cbimneys shall be sittd pc; lli~ Bl1J's being vented.
CHIMNEY TYPE aChimney A OChimney B ~Oirecl Vent OOther
MEAT LOSS OAs Approved ~E.xisting DNol Applicable
RTU RATE OAs Per Plan OVari.llhle ~tber Value l.\~5'C'~""
OCT 0 4 200/
V AWE 'Including lab JT and nllteri." ;) L-:1c4.,-\ . ~ DEPJ\RTiVIENT Of
~... Cm~Miji'JITY .....
ELF..cTRrCAL CONTRACTOR I~iSPF~I~IOi~ SERVICES
;: For applicable projects, en ISlectric Installation Verification form, signed by the Electrical COfltractor, must be
attached. ,rnot attached or not applicable, a separate Elec.rkal Permit is requIred.
~\
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09/25/2007 16:14
9202737965
K-R ELECTRIC LLC
TO: 1920273~?
PAGE 03/03
PA
. ~. ,.....n ~ HEFirING (920) 235-6951
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(Address) · (City) . (Stale) (Zip Code)
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(Address wJJm:WUJkwUl_
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The EUlt1Iq ofCbc Wtri; consistS of: (Qeck au or Describe tile "NlltVi8ofWmk)
~ ~ or 1IG\Vdn:vk fOrreplacaDalt Brating PIaI.rr.rllot AIC CoDdeaser. . .
_ R.econner:tion or new c:ircu:it for ,.~Eleotric w~ Beat8r or pcnw:Ir"cured
w~Matt':l'.
- R~ of 1be Str\1ce EntranceClbJe. Meter h~ altmtion.s to nrcx:ptaclc&
. Udligbring fixlt.lrcs duero siding'.flit iDstaUalian. Note: ~ Serviee
Entrance Cables win ~ a ~e psmit
- ReeoJlneetilm or new circuit for U.erepJMCmeM of oihet pc::r.atanently\vired
applillKlaS I~ .
- How oimait Jbr the addmon of.AJC to 8JJ ilrdividlml dwllHiIIg fmil (house uribe
htdi'I'iduU I)Ster'ns in .. ~ or CODdvntinimn). iDcIudiD& required JienIi=
e~ outlets.
~ Other
A -
I "L. > ..iT I I l
T'he value otthil wart ii S iC!2 .
J hereby verify tre; "'cuk will be perfom1ed ;.yan employee oftbB eDl.ipmy and fUrther verify
the ~liOB ! !uSlaUation wiU be dooel Ie CiOn'IplUmce with manufactUfCT ..d liled.ric eo4e
tequlren,tllt$.
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(Date)
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