HomeMy WebLinkAbout0127567-HVAC (furnace)
G
OSHKOSH
ON THE WATER
Job Address 1358 BABBITZ AVE
CITY OF OSHKOSH
No
127567
HV AC PERMIT - APPLICATION AND RECORD
Owner JEFFERY G/L1NDA S FULLER
Create Date 10/30/2007
Contractor WESLEY HEATING & COOLING ~ Category 500 - Residential-Heating & VentilatinL.. Plan __________________
Fuel ~ Gas 0 Oi~__---.J U Electric --=J O-Solar-----=-::] U_ Soli~_~=~]
System D_!'l~~__~_______.J ~_~ep~c~____J 0 Other
~~~r~edATr---] D~~~~==-J D:~!~a:rn_-JJ=J D:_;\{~_-- D'{e~f-
U_~~_c:t!I~~=J D- f:ls>!.~~~r~J D:~~LlpeC_:~J D_c5~6_:!3.~!6~r:J
Chimney Type 0:: Chi~~J A ==_.-::.~O .ghirnney B _. --:.~I?J.r~ct\Z~I==:::::=O=Fii"f.,c..pPITcablEl_=====
Heat Loss D=Es..~B~{:=.=.===:::. Existing:::-::===---=D ~]\ip~~~I~==:==] Value _~__
BTU Rate ITAs_ Per Plan ---avai-Tabje-----IL6ther--------:===-_J Value __________~,0Q9
Use/Nature ISFR (Replace furnace.
of Work I
l
EIV provided by Kollman-Reilley Electric.
I
I
L___
_.___________~.___.~.__________.__._.___....._______._.__..__..._ "--'0- _..1
Fees: Valuation_______~~}8.00
Issued By: ~
Plan Approval $0.00
Permit Fee Paid
____.!~~.oo
Date 10/30/2007
~---
D~ermit V..c>id~
Parcelld # 0206160000
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.
~~~. \\~'5:J
City of Oshkosh
Division ofInspection Services
P.O. Box: 1130
Oshkosh, WI .54903-1l30
Phone (920) 236.5050
Fax (920) 236-5084
~
O~~QIH
HVAC PERMIT APPLICATION
All information after bold categories must be provided.
Incomptete applications will not be processed.
. Application(s) and fee(s) can be brought to City Hall, Room 205 or mailed to Inspection Services, PO Box 1128,
Oshkosh WI 54903-1128. Commencing work without permit{s) will result in fees being doubled or $100.00 plus the
nonnal permit fee, which ever is greater.
OR
If you are a contrucfor oarlicipating in the Permit (g:e Acconnt System fInd have adequate funds. check here
if VOIl want this orocessed ihrollf!h VOllr accollnt n
DATE
\~ffi~'1.-
RECEIVED
:::::~~ ~~~~~ ,: ,
CONTRACTOR \.:::.,.)"\,,~~+ \'~
CHECK iii ALL APPLICABLE
USE CATEGORY
~ingle Family
ODuplex
o Multi-Fami Iy
ORental
DCommercial
OCT 30 2007
DEPARTMENT OF
COMMUNITY DEVELOPMENT
INSPECTION SERVICES DIVISION
Olndustrial
FUEL
JiQas
DOil
OElectric OSolid
OSoIar
SYSTEM
ONew
OOther
~eplace
TYPE
~orced Air o Radiant DSteam DAle DVent OElectric OHot Water OSuppl. aeon. Burner
IS CHIMNEY BEING LINED ~o DYes - LINER SIZE
Note: All chimneys shall be sized per the BTU's being vented.
& MANUFACTURER
CHIMNEY TYPE
HEAT LOSS
BTU RATE
OChimney A
DAs Approved
DAs Per Plan
OChimney B
~xisting
OVariahle
~jrecl Vent DOther
DNot Applicable
tlQther Value ~.~
DESCRIPTION OF ALL WORK BEING DONE
V ALUElncluding latJJr ~nd OJateri,";) L~~.... ~
ELECTRICAL CONTRACTOR
<
'~
=: For applieable projects, an Electric Installation Verification form, sign y the Electrical Contractor, must be
attached. If not attached or not applicable, a separate Electrical Permit is required.
"-
10/04
10/25/2007 16:17 9202737955
OCT-e6-2007 013~29 rnoM1WESLEY l-EflTING
- -~ .........~. ..' ..... - ~
K-R ELECTRIC LLC
(920) 235-69S1 TO~ 19202737965
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