HomeMy WebLinkAbout0127494-HVAC (furnace)
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OSHKOSH
ON THE WATER
Job Address 1103 BUCHANAN AVE
CITY OF OSHKOSH
No
127494
HVAC PERMIT - APPLICATION AND RECORD
Owner ROBERT STREHLOW
Create Date 10/26/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOil
System D New
~ Forced Air U Radiant
LJ Electric U Hot Water
Chimney Type D Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate K:) As Per Plan C) Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
D Other
U AlC U Vent
U Con. Burner
I J Electric
~ Replace
U Steam
U Suppl.
. Direct Vent () Not Applicable
() Not Applicable
. Other
Value
Value
50,000
Use/Nature ISFR / REPLACE EXISTING FURNACE, EIV SIGNED BY KOLLMANN-REILLEY ELECTRIC INC "check #93148
of Work
$50.50
Fees: Valuation $2,669.00
Issued By: Qm~
Plan Approval
$0.00
Permit Fee Paid
Date 10/26/2007
D Permit Voided 1
Parcelld # 1604910000
In the performance of this work, I agree to perform all work pursuant to rules governing the described construction.
While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party, if you perform the work
described in this permit application within an easement, the City strongly urges the permit applicant to contact the easement
holder(s) and to secure any necessary approvals before starting such activity.
Signature
Date
Agent/Owner
Address
3220 BASLER LN
OSHKOSH
WI 54901 - 0
Telephone Number 920-235-6951
To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number, Type of
Inspection (i.e. Footing, Service, Final, etc.), Access into Building if Secure (how do we gain entry), your Name and Phone
Number. Unless specified otherwise, we will assume the project is ready at the time the request is received. Work may
continue if the inspection is not performed within two business days from the time the project is ready.
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City of Oshkosh
Divisilm vf ~on Scrvite$
P.O. 801( 1130
Oshkosh. WI S4903-t 130
Phone {920) 236-5050
Fax (920) 236-5084
RECEIVED
OCT 25 2007 ~
cOM~E,f~7MENT OF ~
INSPEcrJON SEg:I~~~O:~:m O{!!OfH
...f \'/ATB!
HVAC PERMIT APPLICATION
All infonnatiDn after bold cater-ories must be provided.
Im:omptctc applications will nOt be precessed.
. AppJlcatfon(s} and reefs) can be brought to city Hall, Room 2ei or mailed to InspeCUon Se1Vices,. PO Box 1128.
Oshkosh WI 54903-1128. Commencing work without permit(s.} \Viii result in fees being doubled or $100.00 plus the
normal permit fee, which ever is greater.
OR
If YOU are Q confrac-ior participating in. ,he PermitJ.e:e: Account System ,,-no "Qve adeqllale frrrrds. check here
if VOII wont this DToceaseJ lhroullh VOII,. "rearml n
DATE \D\ \s'\C\'q
'\ ..
JOBADDRESS ~\~ \r...,,-~~,~ ~~,,",\'
OWNER~ ~~~~~
CONTRACTOR \ !l.....~~'-.~~~~~.;- ~~~~'\'s
CHECK iii ALL AYPLlCABLE
USE CATEGORY
~ingle Family o Duplex OMulli-Family
ORental
OCommercial
Olndustrial
FUEL
""Cas
ODil
OElectric DSolid
DSolar
SYSTEM
ONew
OOther
PtReplace
TYPE
)Q.Forced Air o Radiant OSteam ONe OVeRt OEledric OHot Water OSuppt. aeon. Burner
IS CHIMNEY BEING LINED ;;~!No 'tIves - LINER SIZE "--\ ~'Cf) & MANUFACTURER
Note: An chimneys shall be s~ per the s'!I\j's being vented,
CHIMNEY TYPE OChimney A OChimney B )6pirect Vent OOther
REA T LOSS OAs Approved ~~isting 01'401 Applicable
IITU RATE OAs Per Plan OVariable ~her Value ~, ~
DESCfllPI"lON OF ALL WORKBEINC DONE ~ ~"''L- , .. ":'~ .~
~"""l. jo~~ _ __
V ALUE .tndudin~ labs!" llnd nurteri.'. .1 ~ cl ~ ~
......
....
ELECTRICAL CONTRACTOR
:: for applicable projects, an Electric Installation VerificatiOll form, :;it; y the Electrical Contractor, must be
attached. t f not attached or not applicable, a separnte Electrical Pemlit is required.
10/04
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QCT-23-2007 18:54 F'RCI1:loESl..EV }.EATING
(929) 235-6951
TO: 19892731965
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REcelVE.D
OCT 2 5 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
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