HomeMy WebLinkAbout0127255-HVAC (furnaces)
G
OSHKOSH
ON THE WATER
Job Address 130 W CUSTER AVE
CITY OF OSHKOSH
No
127255
HVAC PERMIT -APPLICATION AND RECORD
Owner NICK L PAULOS
Create Date 10/12/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type o Chimney A () Chimney B
Heat Loss o As Approved . Existing
BTU Rate o As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Electric
o Replace
U . Steam
U Suppl.
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
. Direct Vent C) Not Applicable
() Not Applicable Value
. Other Value
Use/Nature DUPLEX / REPLACE 2 FURNACES (ONE IN EACH UNIT), EIV SIGNED BY KOLLMAN-REILLEY ELECTRIC "check #93104
of Work
Fees: Valuation $8,196.00
Issued By: C:Jy-'rJS
Plan Approval
$0.00
Permit Fee Paid
$133.00
Date 10/12/2007
o Permit Voided I
Parcelld # 1501000100
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 ofOshkosb
Division of Inspection SCtvices
P.O. Box 1130
Oshkosh. WI S490]-1130
Phone (920) 236-50S0
Fax (920) 236-5084
OCT 1 2 Z007
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DEPAfHiV1ENT OF
CO!\1~IiUNITY DEVELOPMENT
INSPEltlmJ DI\!lSION
HVAC PERMIT APPUCATION
AU information after bold categories must be provided.
Incomplde applications wilt not be processed.
· Appllcation(s) and fee(s) can be brought to City Ha1J. Room 20.5 or mailed to Inspection Serviees. PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without pennit(sj will result in fees being dOubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If "vu are tl crJn'racMr ptlt'lic:iDolinf/ in ,he Permillel! ACC:Ofml S:p.slem and /rove tldeg"D~e funds check. here.
Ii }for. want tlti$ orocessed thrall}!' VOrl,. account 0
DATE \D'C\.~Dl
JOBADDRESS \~ h, (-' '" l~(\'""",\
OWNER "- ~~~Y"'\r-~...... ~)
CONTllAcroR~.::" ~li>"':"'''(:$, (' ~~
CHECK &:J A&:..L APPLICABLE
USE CATEGORY
DSingle Family DDuplex i)lMulti-Family
ORental
DCommercial
Olndustrial
FUEL
tlGas
COil
OElectric DSolid
DSolar
SYSTEM
JlJNew
. OOtller
DReplace
TYPE
~Forced Air DRadiant OSteam DAlC DVent DEledric OHot Water OSllppl. aeon. Burner
IS CHIMNEY BEING LINED "No DYes - LINER SIZE
Note: AU chimneys shall be siud per the Bm's being vented.
& MANUFACTURER
CHIMNEY TYPE
REA T LOSS
BTO RATE
DChimney A
OAs Approved
OAs Per Plan
OChimney B
_Existing
OVariable
JIoirecl Vent DOlher
DNoI Applicable
_Other Value
~^.n~ I /5}-e. ~ /dLdJ
DESOUPTION OF ALL WORK BEING DONE d
\~
V ALl1Etnrluding Inb..r and p'atert.'~) ~
'"
EIJECTRrCAL CONTRACTOR
C For applicable projects. an Electric lnstallation Verification fonn, sign the Electrical Contractor, must be
attached. I f not attached or not applicable, 8 separate EJeclrical Permit is reqUIred.
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COiV1~'lUNITY DEVELOPfVJEf\JT
INSPECnON SERVICES DIVISION
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