HomeMy WebLinkAbout0127497-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 222 BACON AVE
CITY OF OSHKOSH
No
127497
HVAC PERMIT - APPLICATION AND RECORD
Owner KAREN BEERNTSEN
Create Date 10/26/2007
Contractor WESLEY HEATING & COOLING INC
Fuel ~ Gas UOH
System o New
~ Forced Air U Radiant
U Electric U Hot Water
Chimney Type C) Chimney A () Chimney B
Heat Loss KJ As Approved . Existing
BTU Rate K) As Per Plan () Variable
Category 500 - Residential-Heating & Ventilating Plan
U Solar U Solid
o Other
U AlC U Vent
U Con. Burner
U Electric
~ Replace
U Steam
U Suppl.
. Direct Vent C) Not Applicable
() Not Applicable
. Other
Value
Value
50,000
Use/Nature SFR / REPLACE EXISTING FURNACE, EIV SIGNED BY KOLLMANN-REILLEY ELECTRIC "check #93148
of Work
$44.50
Fees: Valuation $2,289.00
Issued By: ~ ~
Plan Approval
$0.00
Permit Fee Paid
Date 10/26/2007
o Permit Voided I
Parcelld # 1518310000
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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RECEIVED
City of Oshkosh
Division orl~ Services
P.O. Box I tJO
cnhkosh.VViS490j-113~
Phone (920) 236-5050
Fax (920) 23,6-5084
OCT 2 5 2007 (I)
DEPARTMENT OF ~
COMMUNITY DEVELOPMENT . ~
INSPECTION SERVICES DIVISIONarfE ~.
--.JQ
14.F WATE
HVAC PERMIT APPLICATION
All infonnation after bold categories m~ be provided.
lm:omplete applications will not be processed,
. Application(s.) and fee(s} can be brought to City HaU. Room 205 or mailed to Inspection Services. PO Box 1128,
Oshkosh WI 54903-[ 128. Commencing work without permit{s) will result in fees being doubled or $100.00 plus the
normal pennit fee, which ever is greater.
OR
If !IOU are Q contractor PQrtidpQlin~ in ,he Permit fee; .4C'CO~1 Svsfem rInd IrflvC adequate frmds. check here
if ~oP wOlff this orocessed lhrQ"2h vonr tlCCDrlnl 0
DATE \~ - \~ .(U,\
JOBAIlDRESS ~ ~._~ h~)
OWNER ~~ ~ -~r.:,,~~_s.V'-
CONTRAcrOR~, ,~. ''lS~'''~~ ~ H~~
CHECK it ALL APPUCABLt
USE CATEGORY
~ingle Famlly DOuplex OMuld-Pamily
ORenmi
DCommercial
Olnrlustrial
FUEL
l:2kias
OOiI
OEfectric OSolid
DSolar
SYSTEj\f
ONew
DOlher
)\Replace
TYPE
Ji1forced Air ORadiant DSteam DAlC OVent OEteetric DHot Water OSuppL OCon. Burner
IS CHIMffEY BEING LINED ~o DYes - LINBR. SIZE
Note; AU chimneys 5naU be sized per the 811)'$ being vented.
CHIMNEY TYPE DChimney A OChimney B ~irec' Vent OOther
REA T LOSS OAs Approved ~~jsting ONOl Applicable
BTU RATE OAs Per Plall OVanabte ~her Value ~_ ~"
DESCRIPTION OF "LL WOBK BIUNC DO"E~~" ~,_ ." ~ ~ "'..... ~
~~~~c~ _ L"__
& MANUfACTURER
V ALUE 'tncludin~ Iall,tr nnd Platen." ~) $ ~C\ _ ~
ELECTRrCAL CONTRACTOR
..",.
S;U
;: For applicable projects, an Electric Installation Verification fonn, signe the 51a;tri~al Contractor, must be
attached. If not nttached or not applicable., a separate Eh:ctricaJ Pennit is reqUIred.
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Rf!CEIV~O
OCT 252007
OCT-15.2BIiff lB~56 FRO'1iWESt.EY l-EATINf,; _ __ _ (!;la3) 235-6951
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COMMUNITY !)EVE'LOPME~IT
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1b6__oftlQ-*iaS 100
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