HomeMy WebLinkAbout0127162-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 946 OLSON AVE
CITY OF OSHKOSH
No
127162
HVAC PERMIT - APPLICATION AND RECORD
Owner EUGENE W ANNIS
Create Date 10/04/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type KJ Chimney A () Chimney B
Heat Loss K:) As Approved . Existing
BTU Rate KJ As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U Steam
U Suppl.
. Direct Vent
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
() Not Applicable
() Not Applicable
. Other
Value
Value
UselNature SFR / Replace furnace. EIV provided by Kollman-Reilley Electric.
of Work
Fees: Valuation
$2,225.00
arvo
Plan Approval
$0.00
Permit Fee Paid
$44.50
Date 10109/2007
Issued By:
o Permit Voided I
Parcelld # 1252110000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
3220 BASLER LN
OSHKOSH
WI 54901 - 0
Telephone Number 920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Fin'al, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City Of OshkOSh
Division of111iP=ion Scrvic:e5
P.O. Box 1 no
OsbkQ$h. Wi S49D3--1 J 30
Pho1w {l}20} 236-5050
Fax (920) 236--5084
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HVAC PERMIT APPLICATION
All infonnation after bold <;at~ories mu51 be provided.
Incomplete applications will not be processed.
· AppJication(sJ and fee(s) can be brought to City Half, Room 203 or mailed to Inspection Sewices. PO Box 1128,
Oshkosb WI 54903-1128. Commencing work without permit(s) will result in fees being doubled or Sloo.OO pius the
nannal permit fee, which ever is greater.
OR
If lUll' art!. 6 contractor partic(palinf! in (he Perm;t fee Accounf Svslrem arul huve: adeaua/e funds. check herf!
i( fOil want lhis Dr-oreased lhrouJlh vall' accolmt 0
DATE <\-~-D~
JOBADDRESS CX~n ~~~ p,..",~6
OWNER ~\ \(\...Y::t'-\1;:". ~t~U.~
CONTRACTOR h.~...=--...\ ~=,~~\~ \- ~~ \."-""1....
\. . ""'-'\
CHECK Iil ALL APPLICABLE
USE CATEGORY
~ingle Family DDuplex DMulti-Family
DRental
OCommercial
Dlndustrial
FUEL
"Gas
Oeil
DElech'fc OSolid
DSo[ar
SYSTEM-
ONew
GOUler
&eplace
TYPE
"'Forced Air ORadiant OSteam OAIC OVent OElectric
IS CHIMNEY BEING LINED'fi1No DYes. - LINER SIZE
NDte: AU chimneys shall be sized p~ d.e BID's being vMted.
OHat Water DSuppl. Deon. Burner
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTU RA TK
OChimm:y A
DAs Approved
OAs Per Plan
OChimney B
)lExisting
OVariahle
C&10irecl Vent DOlher
DNol Applicable
JQpther Value 5."'. ~
DESCRIPTION OF ALL WORK BEING DONE
OCT 0 4 2007
V AWE -Induding lull Jr and maten.".) ~_~
COIJliV1UNITY
INSPECTION SERVICES D1VlSIOi~
......
ELECTRrCALCONTRACTOR
::: FOf applicable projects, an Electric Installation Verification form. signed c Electrical COlltractor, must be
auatbed. If not attached or not applicable. a separate Electrical Pennit is required.
.....
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09/25/2007 16:14
9202737965
K-R ELECTRIC LLC
ro: 19292737965
PAGE 01/03
P.2
SEP-25-2007 ro~57 FROM~~EY ):*~':'1!~6.., .... .~~cg0) 235-6,..~1
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Electric InstaIlatiG. VerlficadoD
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~ContndbrN .
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(Address) . (City) + (State) (Zip~)
havcbeaJ~toperbm.~cin"'aIion Wl)ikCor \ ~~,,~
8!tlV;fttI1OMnaaddtaiF. ~,. ~~~~ ~
(~Dentwodt willIE ~
The P8tweofCheWOItCDDSism of {Cbed Oat or Dcseribethe Nlt1nofWmkl
~ _ ~0I'1lGW~1U"t toriqJ1.accmeat HeatioJPlaatwnN. NC~.
~ ~QIl. OJ'D.IlW cireult few nrpIaa:numt Biectric WIIikf Haterar powcr....enblt\
water heater.
_ R.ecoJInection oflhe Service l2lb'aDee Cable. .Meter BGx. aheJations to recepraclca
and UgbIing.6:ltures dUe to aiding/soffit inltaDatiOJ1. Note: Nevr S6vice
Entranee Ca&1ea will req_ a: sepmllt: prnnU..
___ ~ orna.v circuilror th.~em of othetpamantnt1y'wiJal
appli;meas.! ixrore&.
_ New eirc.uit for th~ a&tition mAJC 10 aD iltd/vitllltll dwelli", lIJJit(house or the
individual ~in I dupluor~fom~ iocIsdidB~ semg;
~IectrieaJ outlets..
~ Other
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The v.alue Oftbil w()lt is S (CXJ $f"
-J
I hereby veri(y tbr:i wwk win be paformed :..y an em])loyet ofthit ~u.pany and fimher verib
tM r<<onn<<liou I jD~tion will be dope in ebmPliaftce with martuC4tlQ.lt:t _ B1ecLric eocle
requlramcmts.
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~i orCQn1pany OfJioet)
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(Print Name orOmcer)
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(Da1c)
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